Presbyterian Medicare Advantage Plans 2025

Are you looking for a Medicare Advantage plan in 2025 that offers comprehensive benefits, tailored dental and vision coverage, and a seamless enrollment process?

Look no further than Presbyterian Medicare Advantage Plans.

In this article, we’ll discuss the variety of plans available, including HMO, HMO-POS, and PPO options, and explore the numerous benefits that make Presbyterian Medicare Advantage Plans stand out from the competition.

Key Takeaways

• Discover Presbyterian Medicare Advantage Plans for no or low-cost quality care.

• Benefit from tailored dental and vision coverage, generous allowances, hearing health exams & aids including SilverSneakers® membership, and Assist America® global emergency assistance.

• Check plan availability in your area before selecting a plan with the convenient online enrollment process offered by Presbyterian Healthcare Services.

Discovering Presbyterian Medicare Advantage Plans

Presbyterian Medicare Advantage Plans provide secure access to care from home and an extensive system of physicians and hospitals, with numerous $0 and low-cost options.

These plans offer a variety of benefits at no additional cost, such as primary care visits, telehealth visits, basic dental services, and more, ensuring that you receive the value you need.

HMO: Zero Dollar Premiums, Quality Care

Presbyterian HMO plans offer the following benefits:

• $0 monthly premium options

• Access to Presbyterian physicians and specialists

• Benefits that extend beyond Original Medicare

• $0 Telehealth Benefit, which enables members to access virtual visits with their network providers at no cost

Our health plan offers you the value that comes with the necessary resources to keep you healthy.

Presbyterian Senior Care (HMO) plans offer:

• Basic dental coverage

• Option of comprehensive coverage for an additional monthly cost

• $0 copay Primary Care Provider visits

• Dental cleanings

• X-rays

• Exams

These benefits ensure your behavioral health and overall well-being are well-rounded.

HMO-POS: Flexibility and Freedom

The Presbyterian Medicare Advantage HMO-POS plan provides a broad service network, including a system of physicians and hospitals, network primary care, benefits beyond the network, and a flexible spending card for increased adaptability.

With more benefits than original Medicare, the expanded service network allows you to access care outside the HMO network, giving you greater freedom in choosing your providers.

However, be aware that additional cost-sharing or co payments may apply for services received from out-of-network providers.

The HMO-POS plan provides an out-of-network benefit with a flat copay and a flex spending card preloaded with $215 per quarter for approved out-of-pocket expenses, such as dental, vision, hearing, and over-the-counter products.

Simply activate the card before shopping and use it to cover your expenses.

PPO: Provider Choice and Coverage

Presbyterian PPO plans offer the following benefits:

• Freedom to choose providers within or beyond the network for all-encompassing coverage

• Certain services for no co-payment to be eligible for Presbyterian Medicare PPO, you must:

• Be entitled to Medicare Part A and enrolled in Medicare Part B

• Reside in New Mexico

Presbyterian Medicare PPO plans offer basic dental coverage through a contracted provider, with a comprehensive option available for an additional monthly cost. This ensures your dental needs are met, no matter your preference.

Tailored Dental and Vision Benefits

Presbyterian Medicare Advantage Plans provide bespoke dental and vision benefits to meet your unique needs.

With basic dental coverage through a contracted provider at no additional cost and an optional comprehensive dental plan, you can choose the level of coverage that suits you best.

Vision benefits are also a priority, with an annual allowance for vision hardware included in the plans.

Enhanced Dental Coverage

Presbyterian Medicare Advantage Plans offer improved dental coverage which includes:

• Basic dental services from a contracted provider without additional charges

• Oral exams

• Cleanings

• Other basic dental services to maintain your oral health.

For those seeking more comprehensive dental coverage, Presbyterian Medicare Advantage Plans offer an additional option with a $4,000 calendar-year benefit maximum.

This ensures that you have access to the dental care you need, whether you prefer basic or comprehensive coverage.

Generous Vision Allowance

Presbyterian Medicare Advantage Plans include vision benefits with an annual allowance of up to $265 for eyewear, encompassing:

• Frames

• Lenses

• Contacts

• Prescription sunglasses

This generous allowance allows you to choose the eyewear that best fits your needs, style, and budget.

The vision allowance covers:

• Frames

• Lenses

• Contacts

• Contact lens fittings

You can use this allowance with any Medicare-approved vision provider that accepts VISA®. With this flexibility, maintaining your vision health is easy and convenient.

Hearing Health: Exams and Aids Included

Presbyterian plans acknowledge the importance of hearing health as a key element of overall well-being. They provide coverage for routine hearing exams and up to two hearing aids per year to promote better hearing health.

The annual hearing exam comes with no copay, and the $0 cost-share for up to two hearing aids per year ensures that you have access to the necessary devices for improved hearing.

While the specific brands and types of hearing aids covered may vary, Presbyterian Medicare Advantage Plans are committed to offering comprehensive hearing health benefits to their members.