www.phs.org/Medicare 11 Presbyterian Dual Plus (HMO D-SNP) corner Are you a member who qualifies for both Medicare and Medicaid? Then our Dual Eligible Special Needs Plan (D-SNP), 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 Christus St. Vincent. To find out if your provider accepts our plan, please call the Presbyterian Customer Service Center (PCSC) at the number listed below. You can also visit www.phs.org/medicare and search our online Provider Directory under the D-SNP plan for information. 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! Q: Are all supplement benefits available in all New Mexico counties? A: No, please call PCSC for information about benefits and where they are available. 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 $320. Please be sure to activate your card by calling 1-833-832-7306. We will load the benefit to that same card each quarter. Q: What is the name of the company that I order my products from? A: You can place an order online using mypres.phs.org. You can also place an order over the phone by calling OTC Advocates at 1-866757-2043 (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 the participating retailers below: • Albertsons • CVS • Dollar General • Family Dollar • Smiths • Walgreens • Walmart Q: How do I schedule transportation? A: You can contact Secure Transportation at (505) 923-6300 or toll-free at 1-855-774-7737 for services. Secure Transportation also has an app that you can use.* 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 PCSC at the number listed below.* Q: Are dental implants covered? A: No. 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). *Only applies to members with a 004 plan. For additional information on your benefits, the PCSC is here to help! Call us at (505) 923-7675 or 1-855-465-7737. You can also visit www.phs.org/medicare/en/ members/Pages/dual-plus-dsnp -members.aspx for more information.
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