Presbyterian Senior Care (HMO) and Presbyterian MediCare PPO | Summer 2021 | Your Story

www.phs.org/Medicare 5 Are you a member who qualifies for both Medicare and Medicaid benefits? Then our Dual Eligible Special Needs Plan (D-SNP), Presbyterian Dual Plus (HMO- D-SNP), may be for you! Our service area includes the following counties: Bernalillo, Catron, Cibola, Colfax, De Baca, Doña 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. Dual Plus offers an expanded network to include Lovelace, UNM, and St. Vincent de Christus. To find out if your provider accepts our plan, please call the Presbyterian Customer Service Center at the number listed below. For more information on our Presbyterian Dual Plus (HMO-D-SNP) plan, call us! Our licensed Health Plan Insurance Consultants are here to help! Phone: (505) 923-8458 Toll-free: 1-800-347-4766, TTY: 711 Hours: 8 a.m. to 7 p.m., Monday through Saturday (except holidays) Presbyterian Dual Plus (HMO-D-SNP) corner If you are already a Presbyterian Dual Plus (HMO-D-SNP) member, here are some frequently asked questions that might help you! Q: What is the benefit that we receive on our over-the-counter (OTC) card? A: The OTC card is mailed ready to use with $275.00 loaded each quarter. Q: How do I schedule transportation? A: Please contact Secure Transportation at (505) 923-6300 or toll-free at 1-855- 774-7737 , 24 hours a day, seven days a week. Q: Do I have dental coverage? A: The plan covers a $3,000 annual limit benefit. The benefit includes some preventive and comprehensive services. For more detailed information, please For additional information on your benefits, the PresbyterianCustomer Service Center is here to help! Call us at (505) 923-7675 or 1-855-465-7737 Hours: 8 a.m. to 8 p.m., Sunday through Saturday You can also visit www.phs.org/dualplus for more information! Q: How can I tell which OTC products are covered in the store? A: The OTC Network Mobile App allows you to keep track of your balance and find eligible items when shopping at the participating retailers to the right. contact the Presbyterian Customer Service Center at the number listed below. Q: Can I get glasses on the plan? A: Yes, the plan offers a $275 annual benefit for routine eyewear (frames, lenses, contacts, and contact lens fitting). A final question