Presbyterian Dual Plus (HMO D-SNP) Members
Learn more about your plan benefits, managing your plan and how to access care.
Your Plan Documents
Find important plan information related to your 2025 Dual Plus (HMO D-SNP) plan.
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Manage Your Care
Accessing Care
Get Care
You have many options for getting care through your plan. Visit the Get Care webpage for help finding the best care option for your situation.
Need to find a provider?
Check out the Provider Directory for a list of in-network providers and pharmacies.
Find a Provider in my plan’s Network
Dental Coverage (H3204-013-004 plan only)
Months are based on a rolling year and not a calendar year.
H3204-013-004 plan members have basic dental coverage, up to $3,000, included through a contracted* provider at no additional cost to you. Services include:
Oral exams, cleanings, and fluoride treatments (two every 12 months)
Dental x-rays (frequency varies by type)
Periodontal maintenance (four every 12 months)
Emergency treatment of minor pain (as needed)
*You must obtain dental services through a contracted DentaQuest provider.
Dental Coverage (H3204-013-006 plan only)
H3204-013-006 plan members have basic dental coverage, up to $1,800, included through a contracted* provider at no additional cost to you. Services include:
Oral exams, cleanings, and fluoride treatments (two every 12 months)
Dental X-rays (frequency varies by type)
Periodontal maintenance (four every 12 months)
Emergency treatment of minor pain (as needed)
*You must obtain dental services through a contracted DentaQuest provider.
Over-the-Counter (OTC) Card (H3204-013-004 plan only)
H3204-013-004 plan members are eligible to receive an OTC card that can be used to buy over-the-counter health-related items. This includes:
$800 in annual credits
Health-related items purchased in-store, by catalog, or online
Prices in catalog are subject to change
Over-the-Counter (OTC) Card (H3204-013-006 plan only)
H3204-013-006 plan members are eligible to receive an OTC card that can be used to buy over-the-counter health-related items. This includes:
$300 in annual credits
Health-related items purchased in-store, by catalog, or online
Prices in catalog are subject to change
Online
Find all catalog items, plus hundreds more, when you shop online. Place your order anytime, from anywhere.
Web: www.phs.org/myPRES App: Download the Healthy Benefits Plus app on your phone or tablet.
Catalog
You should have received a catalog with available OTC products in the mail. Call
(TTY ) to place an order by phone. *Prices in catalog are subject to change.In-store
Use your flex card when you shop thousands of participating retail stores including Walgreens, CVS, Walmart and more. Learn more about using your flex card or find participating stores near you when you visit www.phs.org/myPRES. Note: not all retailers can accept your flex card including but not limited to Costco and Amazon.
Have Questions?
Call your local Presbyterian Customer Service Center at:
or (TTY ) Hours: 8 a.m. to 8 p.m., Sunday - Saturday