Presbyterian Senior Care (HMO) and Presbyterian MediCare PPO | Fall 2020 | Your Story

www.phs.org/Medicare 3 Presbyterian Dual Plus (HMO D-SNP) is expanding! For members who qualify for both Medicare and Medicaid benefits, our Dual Eligible Special Needs Plan (D-SNP), Presbyterian Dual Plus (HMO D-SNP), may be for you! Dual Plus is expanding our service area from 15 to 28 counties: Bernalillo, Catron, Cibola, Colfax, DeBaca, Dona Ana, Eddy, Grant, Guadalupe, Harding, Hidalgo, Lea, Lincoln, Los Alamos, Luna, McKinley, Mora, Otero, Rio Arriba, Sandoval, San Miguel, Santa Fe, Sierra, Socorro, Taos, Torrance, Union, or Valencia. Now you can get more out of your Presbyterian Dual Plus (HMO D-SNP) plan too! • $0 diabetes test strips, lancets, and monitors • $3,000 max for dental (up from $2,000) • 50 transportation trips— increased from 36 • $1,100 annual OTC benefit (increased to $275 per quarter, up from $255/quarter); balance rolls over through end of calendar year • $2,000 hearing aid benefits every two years • $275 eyewear allowance • SilverSneakers gym membership For more information on Presbyterian Dual Plus (HMO D-SNP), call us. We’re here to help! Call our licensed Health Plan Consultants for assistance: (505) 923‑8458 or 1-800-347‑4766 (TTY: 711 ). Hours: 8 a.m. to 7 p.m., Monday through Saturday (except holidays). If you have feedback, please email us at feedback@phs.org . needs, such as $0 deductible on brand and generic drugs and $0 copay for behavioral health. You asked for less paper. For those members who want it, we offer paperless delivery options for Explanation of Benefits (EOBs), Provider Directories, Formularies, and Annual Notice of Change (ANOC) packets. We are here in your time of need We strive to make sure your healthcare needs come first. Here are just a few examples of ways we are supporting our members during COVID-19: ● Contacted members with complex health conditions to offer support and reassurance and answer questions through our outreach, care coordination, and disease management teams ● Expanded telehealth services so members could receive medical care from the comfort and safety of their home ● Extended prior authorization dates for elective procedures and prescriptions ● Increased the quantity of medication per refill and provided pharmacy mail- order and delivery services ● Provided resources for services provided within the community, such as assistance with meals so members didn’t have to leave their home during self‑isolation ● Informed when in-person services at Presbyterian facilities were reinstated Presbyterian Health Plan is proud to offer quality health coverage and local support to you, your family, and our community for almost 35 years. Thank YOU for allowing us to be your partner in health. We look forward to continuing to serve you and our fellow New Mexicans for many more years to come. hoosing us