Online Enrollment System | Apply For Coverage

Ready to Enroll?

Things you'll need:

Applicant Names

Full names of applicants, including dependents.

Social Security Numbers

Required for all applicants, including dependents.

Immigration Documentation

If any applicants require proof of legal immigration.

This application takes approximately 15 minutes to complete. You will not be able to save and return to this form later, so be sure to have all applicants' names, social security numbers, and any relevant immigration documentation available for reference.

Already a Member?

If you are here to renew your coverage you can speed up the process by logging in with your myPRES account. If you don't have a myPRES account, we can register you right now based on a few identifying questions.

Tell us about yourself

We'll put together your plan details with this information and ask you for more detail after you decide what plan fits you and your family best.

Tell us why you're here

There {{is_open_enrollment > 1 ? 'are':'is'}}{{is_open_enrollment <= 7 ? ' only':''}} {{is_open_enrollment}} day{{is_open_enrollment > 1 ? 's':''}} left in the current Open Enrollment Period. After that youll need a Qualifying Life Event to enroll in an Individual & Family Plan.

We’re now in a special enrollment period. This means you need to have experienced a Qualifying Life Event to enroll in an Individual & Family Plan.

Good News, {{subscriber.first_name | capitalCase}}!

Your application has been successfully submitted.
Thank you for choosing Presbyterian Health Plan for your healthcare needs.

You should recieve a confirmation email shortly, but you may want to print/save this page for your records.

Application Summary

Confirmation Number:

Medical Plan:

Dental Plan:

Vision Plan:

Total Monthly Premium:

Subscriber:

Dependents:

Application Summary

Each child in a child-only application will be enrolled seprately.

Subscriber (child):

Confirmation Number:

Medical Plan:

{{ dependents[$index].plan_selection && dependents[$index].plan_selection_different ? dependents[$index].plan_selection.medical.display_name : planSelection.medical.display_name }}

Dental Plan:

{{ dependents[$index].plan_selection && dependents[$index].plan_selection_different ? dependents[$index].plan_selection.dental.display_name : planSelection.dental.display_name }}

Vision Plan:

{{ dependents[$index].plan_selection && dependents[$index].plan_selection_different ? dependents[$index].plan_selection.vision.display_name : planSelection.vision.display_name }}

Total Monthly Premium:

Proof of Special Enrollment Eligibility

Your application may not be complete!

If you did not already upload these required documents as part of your application, please mail, fax or upload to our Secure Submission Form in order to complete your application.

{{doc.proof}} {{doc.exception}}

Presbyterian Health Plan
P.O. Box 27489
Albuquerque, NM 87125

FAX: 505-923-8252

Your application will be held for 31 days until we receive the required documentation for the requested effective date. If we do not receive the documentation by the 31st day, you may still eligible for the next available effective date, within 60 days of qualifying event. After 60 days, you are no longer eligible for Special Enrollment.

Paying your Premium

You have the following options to pay your premium:

If you entered credit card or bank draft information, you will be drafted on the 25th of each month for the next month’s premium.

If you chose Bill Me and you have your Member ID number you can:

Mail your payment
Pay by phone at 505-923-5678 or 1-800-356-2219
Pay online with our simple and secure Express Bill Pay at https://mypres.phs.org

Tell us about your online enrollment experience

{{feedback.length}}/10 minimum feedback length

Just for Members!

Keep Moving with Gym Memberships

As a Presbyterian Health Plan member, you and your enrolled dependents (ages 18 and up) now have free access to more than 8,500 national, regional, and local fitness, recreation, and community centers.

Learn more about free access to gym memberships

Take Advantage of Video Visits

Video Visits are a convenient way for you to get the medical care you need to treat common health issues via a computer with a webcam, tablet, or smartphone. For HDHP members, the cost is $35 per visit until your deductible is met.

Learn more about Presybyterian's video visit benefit

Member Tools & Resources

Presbyterian Health Plan has a wealth of resources and tools to help you get started as a new member, from online account access to health & wellness information.

Learn more about Member Tools & Resources

Give us a Call

We're here to help!

Interpreter Services

We have free interpreter services to answer any questions you may have about our health or drug plan.

Ready to Enroll?

Things you'll need:

Applicant Names

Social Security Numbers

Immigration Documentation

Things you'll need:

Applicant Names

Social Security Numbers

Immigration Documentation

Already a Member?

Tell us about yourself

Tell us why you're here

{{ get_lang('APPLICATION_TITLE') }} - {{ get_lang(tabs[tab.index].title) }}

Medical Plan

Plan Name:

{{plan.display_name}}

{{benefit.name | removeParentheses}}:

%

Monthly Premium:

{{currencyBuilder(plan.premium)}} {{currencyBuilder(children_combined(plan, 'medical'))}}

Plan Name

{{plan.display_name}}

{{plan.display_name}}

Monthly Premium

{{currencyBuilder(plan.premium)}}

{{currencyBuilder(children_combined(plan, 'medical'))}}

{{plan.disabled}}

Dental Plan

Plan Name

{{plan.display_name}}

{{plan.display_name}}

Monthly Premium

{{currencyBuilder(plan.premium)}}

Vision Plan

Plan Name

{{plan.display_name}}

{{plan.display_name}}

Monthly Premium

{{currencyBuilder(plan.premium)}}

Review Selected Coverage

Medical Plan

{{planSelection.medical.display_name}}

Dental Plan

{{planSelection.dental.display_name}}

Vision Plan

{{planSelection.vision.display_name}}

Total Monthly Premium

{{totalMonthlyPremium(false,enrollmenttype.coveragetype == 'Child Only')}}

{{ effective_date(true).getFullYear() }} Coverage Benefit Details

{{benefit.name | subtitleParentheses:false }}{{benefit.name.indexOf(':') == -1 ? ':' : ''}}{{benefit.name | subtitleParentheses:true }}

%

We’re now in a special enrollment period. This means you need to have experienced a Qualifying Life Event to enroll in an Individual & Family Plan.

{{ get_lang('SECTION_ELIGIBILITY_TITLE') }}

{{ get_lang(enrollmenttype.coveragetype == 'Child Only' ? 'SECTION_GUARDIAN_TITLE' : 'SECTION_APPLICANT_TITLE') }}

{{ get_lang(enrollmenttype.coveragetype == 'Child Only' ? 'SECTION_CHILD_TITLE' : 'SECTION_DEPENDENT_TITLE') }}

{{ get_lang('SECTION_PAYMENT_TITLE') }}

{{ get_lang('SECTION_LEGAL_TITLE') }}

{{ get_lang('SECTION_ACKNOWLEDGMENTS_TITLE') }}

{{ get_lang('SECTION_REQUIRED_DOCUMENTS_TITLE') }}

{{ get_lang('SECTION_SIGNATURE_TITLE') }}

Good News, {{subscriber.first_name | capitalCase}}!

Your application has been successfully submitted. Thank you for choosing Presbyterian Health Plan for your healthcare needs.

You should recieve a confirmation email shortly, but you may want to print/save this page for your records.

Tell us about your online enrollment experience

{{affiliate.affiliate_link_title}}

Just for Members!

Keep Moving with Gym Memberships

Take Advantage of Video Visits

Member Tools & Resources

{{ get_lang('RENEWAL_APPLICATION_TITLE') }} - {{ get_lang('PAGE_REGISTER_MYPRES_TITLE') }}

{{ get_lang('SECTION_REGISTER_TITLE') }}

{{ get_lang('SECTION_REGISTER_GUARDIAN_TITLE') }}

{{ get_lang('SECTION_ACCOUNT_TITLE') }}

{{benefit.name | subtitleParentheses:false }}{{benefit.name.indexOf(':') == -1 ? ':' : ''}}
{{benefit.name | subtitleParentheses:true }}

Your application has been successfully submitted.
Thank you for choosing Presbyterian Health Plan for your healthcare needs.