www.phs.org/Medicare 11 Presbyterian Dual Plus (HMO D-SNP) Corner Are you a member who qualifies for both Medicare and Medicaid benefits? Then Presbyterian Dual Plus (HMO D-SNP) may be for you! Our service area includes all counties in New Mexico! Dual Plus offers an expanded network to include Lovelace, the University of New Mexico (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 at right. Please note that supplemental benefits like dental and over-the-counter (OTC) benefits vary depending on county. 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) If you are already a Presbyterian Dual Plus (HMO D-SNP) member, here are some frequently asked questions that might help you! For additional information on your benefits, the Presbyterian Customer Service Center is here to help! Call us at (505) 923-7675 or 1-855-465-7737. You can also visit www.phs.org/dualplus for more information. Q: What is the benefit that we receive on our over-thecounter card? A: The OTC card is mailed ready to use with $305 loaded each quarter. Important: The OTC card benefit is not available in all counties. Q: What is the name of the company that I order my products from? A: You can place an order online using www.ConveyBenefits.com/Presbyterian. You can also place an order over the phone by calling OTC Advocates at 1-855-885-5737 (TTY: 711). 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 participating retailers. You can also call the Presbyterian Customer Service Center at the number below to obtain a list of covered products. Q: How do I schedule transportation? A: Please contact Secure Transportation at 505-923-6300 or toll-free at 1-855-774-7737. 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 contact the Presbyterian Customer Service Center at the number listed below. Important: The dental coverage benefit is not available in all counties. 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).
RkJQdWJsaXNoZXIy NzIxMDA=