2019 Presbyterian Senior Care Plan 1 (HMO) H3204-8-0 in NM from Presbyterian | HealthPocket

Presbyterian Senior Care Plan 1 (HMO)

$0/mo

Apply For This Plan

Zip Code87121
Applicant11/16/1983 Male
Coverage Start11/18/2018
Apply Now

Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderPresbyterian
Plan IDH3204-8-0
Plan Year2019
CMS Rating
Plan TypeHMO
Annual Deductible$0.00

What To Know About This Plan
  • This is a health coverage only plan with no drug coverage

Why We Like This Plan
  • has no additional premium costs outside of your Medicare Part B premium

Costs and Other Important Information

Plan Year2019
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$0

Coverage Area for Presbyterian Senior Care 1 (HMO)

StateNew Mexico
CountyBernalillo

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Care for older adults – medication review
Care for older adults – functional status assessment
Care for older adults – Pain screening
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan
Care Coordination

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Beneficiary access and performance problems
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physicians that accept Presbyterian Senior Care 1 (HMO) for New Mexico

/
Please select the correct zip
Dozeman, Lynn
View All Details
Guerrero-pezzano, Tatyana
View All Details
Loughrey, Galen
View All Details
Tam, Adela
View All Details
Peachey, Marilyn
View All Details
Fetner, Jean
View All Details
Buxton, Benjamin
View All Details
Candelaria, Delfino
View All Details
Gallegos-macias, Angela
View All Details
Jansen, Shari
View All Details
Ponce, Liana
View All Details
Gurule, Monica
View All Details
Montoya, Andrea
View All Details
Miller, Frederick
View All Details
Barnes, Jesse
View All Details
Jacobsohn, Vanessa Cook
View All Details
Buckels, Wendy
View All Details
Kassicieh, Samir
View All Details
Hockin, Benjamin
View All Details
Shelley, Brian
View All Details
Lynn Dozeman, MD
View All Details
  • Phone Number
    (505) 831-2534
  • Office Locations
    6900 Gonzales Rd Sw
    Albuquerque, NM 87121
6900 Gonzales Rd Sw Albuquerque NM, 87121
HumanaChoice H5216-077 (PPO)
COST:from $0CMS Rating:
Select
AARP MedicareComplete Choice (PPO)
COST:from $0CMS Rating:
Select
CHRISTUS Health Plan Generations (HMO)
COST:from $0CMS Rating:Not Rated
Select
Aetna Medicare Choice Plan (PPO)
COST:from $0CMS Rating:Not Rated
Select
Blue Cross Medicare Advantage Select (HMO)
COST:from $0CMS Rating:
Select

get free advice

Speak With A Licensed Agent

Call (800) 931-6467

Learn More

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.

Medicare Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.