[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-detail-565493-en":53,"doc-seo-565493-105":74},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":5,"data":54},{"doc_id":55,"user_id":56,"nickname":57,"user_avatar":58,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":60,"doc_content":61,"file_id":62,"file_url":63,"file_type":64,"file_size":65,"view_count":4,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":66,"language":67,"language_code":68,"site_id":69,"html_lang":68,"table_of_contents":70,"faqs":71,"seo_title":72,"seo_description":60,"update_tm":73,"read_time":37},565493,3985747872983,"adawds","https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Presbyterian Health Plan - 2025 Health Maintenance Organization (High, Standard and Wellness Options)","2025 Presbyterian Health Plan is a Health Maintenance Organization serving all counties of New Mexico, offering High, Standard, and Wellness options. The plan includes Minimum Essential Coverage and meets the minimum value standard, with accreditation noted. Enrollment is limited to people who live or work in the geographic service area, and enrollment codes are provided for each option. Detailed Medicare prescription drug coverage notices explain Creditable Coverage, late-enrollment penalties, FEHB coordination, and IRMAA considerations, alongside low-income assistance and key contact information.","Presbyterian Health Plan  \n[www.phs.org](www.phs.org)  \nCustomer Service: 800-356-2219  \n 2025  \nA Health Maintenance Organization (High, Standard and Wellness  \nOptions)  \nThis plan's health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. See page 8 for details. This plan is accredited. See page 12 for details.  \nServing: All counties of New Mexico  \nEnrollment in this plan is limited. You must live or work in our geographic service area to enroll. See page 13 for requirements.  \nEnrollment codes for this Plan:  \nHigh Option  \n• P21 Self Only  \n• P23 Self Plus One  \n• P22 Self and Family  \nStandard Option  \n• PS4 Self Only  \n• PS6 Self Plus One  \n• PS5 Self and Family  \nWellness Option  \n• PS1 Self Only  \n• PS3 Self Plus One  \n• PS2 Self and Family  \nIMPORTANT  \n• Rates: Back Cover  \n• Changes for 2025: Page 15  \n• Summary of Benefits: Page 106  \n|  |  |  |\n| --- | --- | --- |\n|  | Important Notice from Presbyterian Health Plan About\u003Cbr>Our Prescription Drug Coverage and Medicare\u003Cbr>The Office of Personnel Management (OPM) has determined that Presbyterian Health Plan prescription drug coverage is, on average, expected to pay out as much as the standard Medicare prescription drug coverage will pay for all plan participants and is considered Creditable Coverage. This means you do not need to enroll in Medicare Part D and pay extra for prescription drug coverage. If you decide to enroll in Medicare Part D later, you will not have to pay a penalty for late enrollment as long as you keep your FEHB coverage.\u003Cbr>However, if you choose to enroll in Medicare Part D, you can keep your FEHB coverage and your FEHB plan will coordinate benefits with Medicare.\u003Cbr>Remember: If you are an annuitant and you cancel your FEHB coverage, you may not re-enroll in the FEHB Program.\u003Cbr>Please be advised\u003Cbr>If you lose or drop your FEHB coverage and go 63 days or longer without prescription drug coverage that is at least as good as Medicare’s prescription drug coverage, your monthly Medicare Part D premium will go up at least 1% per month for every month that you did not have that coverage. For example, if you go 19 months without Medicare Part D prescription drug coverage, your premium will always be at least 19% higher than what many other people pay. You will have to pay this higher premium as long as you have Medicare prescription drug coverage. In addition, you may have to wait until the next Annual Coordinated Election Period (October 15 through December 7) to enroll in Medicare Part D.\u003Cbr>Medicare’s Low Income Benefits\u003Cbr>For people with limited income and resources, extra help paying for a Medicare prescription drug plan is available. Information regarding this program is available through the Social Security Administration (SSA) online at [www.socialsecurity.gov](www.socialsecurity.gov), or call the SSA at 800-772-1213, TTY: 800-325-0778.\u003Cbr>Potential Additional Premium for Medicare's High Income Members\u003Cbr>Income-Related Monthly Adjustment Amount (IRMAA)\u003Cbr>The Medicare Income-Related Monthly Adjustment Amount (IRMAA) is an amount you may pay in addition to your FEHB premium to enroll in and maintain Medicare prescription drug coverage. This additional premium is assessed only to those with higher incomes and is adjusted based on the income reported on your IRS tax return. You do not make any IRMAA payments to your FEHB plan. Refer to the Part D-IRMAA section of the Medicare website [https://www.medicare.gov/drug-coverage-part-d/costs-for-medicare-drug-coverage/monthly-premium-for-drug-plans](https://www.medicare.gov/drug-coverage-part-d/costs-for-medicare-drug-coverage/monthly-premium-for-drug-plans) to see if you would be subject to this additional premium.\u003Cbr>You can get more information about Medicare prescription drug plans and the coverage offered in your area from these places:\u003Cbr>• Visit [www.medicare.gov](www.medicare.gov) for personalized help.\u003Cbr>• Call 800-MEDIC","cbCaijHTOqU8eBwj","https://ap.wps.com/l/cbCaijHTOqU8eBwj","pdf",1725670,114,"English","en",105,"# Table of Contents\n## Introduction\n## Plain Language\n## Stop Healthcare Fraud!\n## Discrimination is Against the Law\n## Preventing Medical Mistakes\n## FEHB Facts\n## Coverage information","[{\"question\":\"What enrollment requirements apply for the Presbyterian Health Plan in 2025?\",\"answer\":\"Enrollment is limited. You must live or work in the plan’s geographic service area to enroll.\"},{\"question\":\"Does the plan’s prescription drug coverage qualify as Creditable Coverage for Medicare Part D?\",\"answer\":\"Yes. The document states the plan’s prescription drug coverage is, on average, expected to pay out as much as standard Medicare prescription drug coverage and is considered Creditable Coverage.\"},{\"question\":\"What happens to Medicare Part D premiums if FEHB prescription drug coverage is lost for 63 days or longer?\",\"answer\":\"Monthly Medicare Part D premiums will increase by at least 1% per month for each month without prescription drug coverage that is at least as good as Medicare’s.\"}]","Presbyterian Health Plan - 2025 Health Maintenance Organization (High, Standard and Wellness Options) | PDF",1791855233,{"code":4,"msg":75,"data":76},"ok",{"site_id":69,"language":68,"slug":77,"title":59,"keywords":78,"description":60,"schema_data":79,"social_meta":129,"head_meta":131,"extra_data":133,"updated_unix":73},"presbyterian-health-plan-2025-health-maintenance-organization-high-standard-and-wellness-options","",{"@graph":80,"@context":128},[81,97,111],{"@type":82,"itemListElement":83},"BreadcrumbList",[84,88,91,94],{"item":85,"name":86,"@type":87,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":89,"name":10,"@type":87,"position":90},"https://docshare.wps.com/template/",2,{"item":92,"name":41,"@type":87,"position":93},"https://docshare.wps.com/template/letters/",3,{"item":95,"name":59,"@type":87,"position":96},"https://docshare.wps.com/template/presbyterian-health-plan-2025-health-maintenance-organization-high-standard-and-wellness-options/565493/",4,{"url":95,"name":59,"@type":98,"author":99,"headline":59,"publisher":101,"fileFormat":104,"inLanguage":68,"description":60,"dateModified":105,"datePublished":105,"encodingFormat":104,"isAccessibleForFree":106,"interactionStatistic":107},"DigitalDocument",{"name":57,"@type":100},"Person",{"url":85,"name":102,"@type":103},"DocShare","Organization","application/pdf","2026-10-13",true,{"@type":108,"interactionType":109,"userInteractionCount":4},"InteractionCounter",{"@type":110},"ViewAction",{"@type":112,"mainEntity":113},"FAQPage",[114,120,124],{"name":115,"@type":116,"acceptedAnswer":117},"What enrollment requirements apply for the Presbyterian Health Plan in 2025?","Question",{"text":118,"@type":119},"Enrollment is limited. You must live or work in the plan’s geographic service area to enroll.","Answer",{"name":121,"@type":116,"acceptedAnswer":122},"Does the plan’s prescription drug coverage qualify as Creditable Coverage for Medicare Part D?",{"text":123,"@type":119},"Yes. The document states the plan’s prescription drug coverage is, on average, expected to pay out as much as standard Medicare prescription drug coverage and is considered Creditable Coverage.",{"name":125,"@type":116,"acceptedAnswer":126},"What happens to Medicare Part D premiums if FEHB prescription drug coverage is lost for 63 days or longer?",{"text":127,"@type":119},"Monthly Medicare Part D premiums will increase by at least 1% per month for each month without prescription drug coverage that is at least as good as Medicare’s.","https://schema.org",{"og:url":95,"og:type":130,"og:title":59,"og:site_name":102,"og:description":60},"article",{"robots":132,"canonical":95},"index,follow",{"doc_id":55,"site_id":69}]