Presbyterian Dual Plus (HMO D-SNP) — 2026 Special Needs Plan
Presbyterian Health Plan
Plan ID: H3204_013
Very Stable
What affects this score:
Monthly Premium
$0
Medical Deductible
N/A
Drug Deductible
$550
Max Out-of-Pocket
$9,250
Supplemental Benefits
OTC Allowance: $50/quarter
Benefit Details
Drug Coverage Summary
Drug Deductible
$550
Drug Premium
$0/mo
This plan includes Part D prescription drug coverage. Drug costs depend on which tier your medications fall under. Use our comparison tool to estimate your specific drug costs.
Medical Benefits
Inpatient Hospital
inpatient
Inpatient Hospital
inpatient
Inpatient Hospital
inpatient
Emergency Room
emergency
Urgent Care
urgent_care
Emergency Room
emergency
Urgent Care
urgent_care
Emergency Room
emergency
Urgent Care
urgent_care
Primary Care
primary_care
Specialist
specialist
Primary Care
primary_care
Specialist
specialist
Primary Care
primary_care
Specialist
specialist
Outpatient Hospital
outpatient
Outpatient Hospital
outpatient
Outpatient Hospital
outpatient
Dental - Preventive
dental
Dental - Comprehensive
dental
Dental - Preventive
dental
Dental - Comprehensive
dental
Vision - Eye Exams
vision
Vision - Eye Exams
vision
Vision - Eye Exams
vision
Hearing - Exams & Aids
hearing
Hearing - Exams & Aids
hearing
Hearing - Exams & Aids
hearing
Counties Served (31)
New Mexico
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