To enroll in one of Presbyterian's Medicare Advantage plans, you must meet the following criteria: Be 65 or older Receive Medicare Parts A AND B
- Online. Presbyterian makes it easy to enroll online through our secure portal. 2022 ONLINE ENROLLMENT.
- By Phone. 505-923-8458 or 1-800-347-4766 (TTY 711) Hours: 8 a.m. to 8 p.m., Sunday - Saturday.
- By Fax or Mail. Print, complete and fax or mail the enrollment form.
What are the benefits of Presbyterian health prescription drug plans?
Presbyterian Health Prescription Drug Benefits and Plans. The Medicare Part D Prescription Drug Plans it offers as part of its Medicare Advantage Plans pay prescription drug costs that may not otherwise be covered. It offers this benefit within your Part C (Medicare Advantage) Plan in order for you to receive the medications you need.
Can I choose a PPO plan that accepts Medicare?
Our PPO plans let you choose any provider who accepts Medicare in or out of our network. Do you qualify for both Medicare and Medicaid? If so, this might be the plan for you. Need help? Call our licensed Health Plan Consultants for assistance.
What expenses can I Pass on to my Medicare Advantage plan?
With the options available to you, you can pass on your expenses associated with hospitalization costs, such as hospital and skilled nursing room expenses, and costs associated with doctor services. The Medicare Advantage Plans offered (as Medicare Part C) take the place of your Original Medicare program benefits.
Medicare Advantage HMO Plans
Enjoy access to Presbyterian doctors and specialists, $0 monthly premium options, and much more with our HMO plans.
Medicare Advantage PPO Plans
Have the freedom of choice. Our PPO plans let you choose any provider who accepts Medicare in or out of our network.
Medicare Advantage HMO-DSNP Plans
Do you qualify for both Medicare and Medicaid? If so, this might be the plan for you.
Key Dates
You have 7 months: your 65th birthday month+ three months before and after. Certain younger people may also be eligible.
Summary of Benefits
Quickly look up your 2022 Presbyterian Medicare Advantage benefits or compare plans. Not sure what plan you have? Check your Presbyterian Member ID card.
Dental Plans to Meet Your Needs
Your Presbyterian Senior Care (HMO) and Presbyterian MediCare PPO plans includes basic dental coverage through a contracted provider. An additional comprehensive option is available for a low monthly cost.
Member Resources
Whether you’re a new member or have been with us a while, you’re bound to have questions or need assistance. Here are the most helpful tools—all in one spot.
Your Member ID Card
After enrollment, you are given a Presbyterian Medicare Advantage plan identification card. You must use your membership card for our plan whenever you get any services covered by this plan.
Presbyterian Members Approaching Age 65
If you're a Presbyterian member and are starting to think about Medicare, we'll help you plan ahead so your Presbyterian Health Plan coverage continues without interruption.
6 Months Before You Turn 65
Confirm your Medicare eligibility with Social Security and request your Medicare card.
3 Months Before You Turn 65
Explore your Medicare plan options using the Rates and Benefits section of this site, and then start the enrollment process.
How long is Assist America?
Enjoy the protection of Assist America’s global emergency travel assistance services 24 hours a day, 365 days a year, for up to 90 days. This unique program immediately connects you to doctors, hospitals, pharmacies and other services when experiencing a medical emergency while traveling 100 miles or more away from your permanent residence or in another country.
Does Presbyterian Medicare have a low cost?
Presbyterian Medicare Advantage plans combine safe ways to get care from home with many $0 and low-cost options, and $0 premium options, so you can get the care you need. Presbyterian offers you the value that comes with our integrated system of physicians, hospitals and health plan – all working together to keep you healthy.
How to change Medicare plan?
The options for Medicare Annual Enrollment allow you to make one of the following changes: 1 If you’re in Original Medicare (Part A and/or Part B), you can switch to a Medicare Advantage plan (Part C). 2 You can switch from a Medicare Advantage (Part C) plan with drug coverage (Part D) to one without drug coverage. 3 You can join or drop a Medicare prescription drug plan (Part D). 4 You can choose a new plan from your current insurer or choose a new insurer.
When is Medicare open enrollment?
The Medicare Advantage Open Enrollment Period is from January 1 through March 31 each year. It allows individuals enrolled in a Medicare Advantage plan to make a one-time election to go to either another Medicare Advantage plan or Original Medicare.
How long do you have to enroll in Medicare if you don't have Part D?
If you don’t enroll in a Part D plan when you become eligible for Medicare Part A and B or if you drop your Part D coverage for more than 63 days, you may have to pay a late enrollment penalty if you decide to enroll in Part D at a later time.
How long do you have to enroll in Medicare?
The Initial Enrollment Period is the seven month period that begins three months before your 65th birthday, the month of your 65th birthday, and the three months after your 65th birthday. You should sign up for Medicare even if you don’t plan to retire. If you already collect Social Security benefits, you will be automatically enrolled for Medicare Part A. If you’re not already collecting Social Security benefits before your Initial Enrollment Period starts, you’ll need to sign up for Medicare online or contact Social Security.
What is LIS in Medicare?
Assistance may be available to low-income individuals to help with the costs of Medicare through Extra Help, also called Low-Income Subsidy (LIS) .If you are eligible, this lowers your plan premium and drug copays, as well as eliminates the coverage gap (the donut hole).
How old do you have to be to get medicare?
For specific information and how to enroll, see the Official U.S. Government Site for Medicare. In general, you are eligible for Medicare if: You are 65 years of age or older*.
Is Medicare Advantage a private insurance?
Part D may be included. Because Medicare Advantage is offered by private companies, the costs and benefits may vary from plan to plan. At a minimum, you must continue to pay your Part B premiums. There may be other costs. There also may be other benefits.
How long is Assist America?
Enjoy the protection of Assist America’s global emergency travel assistance services 24 hours a day, 365 days a year, for up to 90 days. This unique program immediately connects you to doctors, hospitals, pharmacies and other services when experiencing a medical emergency while traveling 100 miles or more away from your permanent residence or in another country.
Does Presbyterian Medicare have a low cost?
Presbyterian Medicare Advantage plans combine safe ways to get care from home with many $0 and low-cost options, and $0 premium options, so you can get the care you need. Presbyterian offers you the value that comes with our integrated system of physicians, hospitals and health plan – all working together to keep you healthy.
What is replacement Medicare Part A and B?
Its solutions are specifically designed to take the place of your Medicare Part A and B coverage provided under the Original Medicare program. This replacement coverage for your Original Medicare also pays for important prescription drug benefits that would otherwise be paid for out of your own pocket. With the options available to you, you can pass on your expenses associated with hospitalization costs, such as hospital and skilled nursing room expenses, and costs associated with doctor services.
What is Medicare Solutions?
Medicare Solutions customizable tool can be used by you in order to search, filter, and run a comparison of all the plans that are available in your area. These include plans from Presbyterian Health Medicare and many other providers. You can use this tool to find the Presbyterian Health Plan Medicare plans that best fits your needs and budget.
Is Presbyterian Health Plan a private health care system?
Presbyterian Health Plan serves the Medicare needs of the residents of the state of New Mexico. It is the only private, not-for-profit health care system in the state and has been doing business for more than a century. Its solutions help you cover costs associated with your important Medicare benefits.
Does Presbyterian Health have Medicare Part D?
The Medicare Part D Prescription Drug Plans it offers as part of its Medicare Advantage Plans pay prescription drug costs that may not otherwise be covered.