Accepted Insurance | Presbyterian Hospital

presbyterian hospital accepts most major insurances including medicare, medicaid and presbyterian health plan. For questions about coverage, payment plans, or financial assistance, please contact your insurance provider or our business office. the selected insurances we accept are listed below.

*indicates limited plan acceptance

Reading: What insurance does presbyterian accept

In order to maintain our ability to provide the best possible health care to New Mexicans, the following payment expectations apply for non-emergency services for both insured and uninsured patients seeking care in Presbyterian-owned facilities. In the event of an emergency, Presbyterian will provide necessary medical treatment regardless of an individual’s ability to pay.

Important: If your insurance is not in Presbyterian’s health care services network, you must obtain prior authorization for all services. prior authorization is not a guarantee of payment or a guarantee of an in-network benefit. patients outside of your primary network may be subject to a higher copay/deductible. call your insurance provider directly to confirm coverage.

for insured patients: your deductible, copay and/or coinsurance, if applicable, are due at the time of service. A deductible is the amount you must pay before your benefit plan begins to pay for any part of your medical services. After you meet your deductible, you may have to pay a copay (a flat dollar amount) or coinsurance (a percentage of the cost) for your health care. some plans do not require a deductible. check your benefit plan documents for the amounts you must pay for different services. If you are scheduled for a non-emergency medical procedure or surgery, we may contact you prior to your appointment to provide an estimate of your cost and to collect your copay, deductible, and/or coinsurance.
for uninsured patients: full payment will be required. Presbyterian offers uninsured patients a 25% discount on all services. We will provide you with a cost estimate so you can make an informed decision about whether or not you want to continue with the requested services.
Financial Assistance: Financial assistance and counselors are available for our patients who are uninsured or underinsured and have difficulty paying for care. Presbyterian offers payment options, including payment plans for those who qualify and charity assistance. For information about our financial assistance policy, please call 505-841-1406.
Presbyterian hospitals and clinics (including the Presbyterian Medical Group) accept payments by cash, checks, and debit and credit cards.
If you are unable to pay on the day of your appointment, or earlier if requested, we can reschedule your appointment.
If you are approved for payment agreements, you must pay according to the terms of the agreement. If you do not pay in accordance with your agreed commitment, your account will be considered delinquent and subject to additional collection terms. Please note that this may include the inability to schedule future appointments with your doctor, as well as referral to an outside collection agency. this action may affect the status of your credit.

For help finding out if your plan has a contract with Presbyterian Hospital or for answers to other questions, contact:

phs business headquarters

505-923-64001-800-251-9292

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