Presbyterian Health Plan Individual and Employer Group Members
Presbyterian is with you during this difficult time and we’d like you to know about additional flexibilities provided to members on an individual plan or their employer’s plan that reside in one of the affected areas.
The affected areas are:
Chaves County
If you reside in one of these areas, the following flexibilities may be extended to you:
You may receive a grace period of 120 days and payment plan for up to 6 months, if unable to pay your premiums
Cost-sharing and deductibles waived for 120 days
Prescription refill early for 120 days and will allow for replacement for lost or damaged medication
One eyeglass or contact lens and one hearing aid replacement, according to your benefits
Denture or other prosthodontic device replacement, according to your benefits
Disposable medical supplies and durable medical equipment (DME) replacement
Presbyterian will postpone cancellations and non-renewals for no less than 120 days
Presbyterian will waive referrals and prior authorization requirements for medically necessary services, whether it’s an emergency or not
These flexibilities may be subject to your employer’s plan. If you’ve been impacted and would like to take advantage of one of these flexibilities, please call us at
or toll-free at .Presbyterian Health Plan Medicare Members
For Medicare members residing in one of the affected areas, the following flexibilities have been extended:
You may seek services from an out-of-network provider without the need for a referral and your services will be covered at the in-network rate
You may refill your prescriptions early and receive the maximum extended-day supply
You may fill a prescription at any pharmacy in New Mexico
If you need assistance or if you have any questions, please call us at
or toll-free at .PresRN Nurse Advice Line
Presbyterian Health Plan members have access to trained registered nurses who can answer questions and guide you to the right care when needed. The line is available 24 hours a day, 7 days a week, including holidays. Please call us at
or .Mental health support
It is okay to feel anxious, fearful or sad about the impact of these natural disasters. Call
to talk to a mental health specialist and get the mental and emotional support you need. This service is available Monday through Friday, 8 a.m. to 8 p.m. CST.Telehealth
Presbyterian offers a variety of virtual health care options for physical and mental health. Please visit phsgetcare.org to find the right level of care for you.