INSIDE Mental health and motherhood 2 Make the most of your benefits 3 Presbyterian Health Plan, Inc. P.O. Box 27489 Albuquerque, NM 87125-7489 www.phs.org Important plan information NATC Standard U.S. Postage PAID Presbyterian Health Plan Your Fall 2025 for Native American communities Turquoise Care for Native Americans: 1-888-977-2333 Going to the doctor isn’t just for when you feel sick. Visiting your healthcare provider when you feel well is important too. It’s called preventive care, and it helps you stay healthy by catching problems early and reducing your risk of serious illness. Wellness visits are regular checkups that focus on prevention rather than treatment. They give your provider the chance to identify potential health concerns before they become serious and help you manage any chronic conditions. They also provide a chance to discuss lifestyle choices, nutrition, and other factors that affect long-term health. Who needs wellness visits? No matter your age, wellness visits are important. Kids and adults both benefit from these visits, though their needs may be different. When to schedule your next wellness visit Adults should have regular wellness visits. Most health insurance plans recommend annual wellness visits, but you may need checkups more often depending on your recommended screenings or chronic conditions. Children need wellness visits more often, especially in the first few years of life. The American Academy of Pediatrics recommends: • Infants and toddlers: visits at 1, 2, 4, 6, 9, 12, 15, 18, 24 and 30 months • Ages 3 years and up: yearly checkups What to expect at a wellness visit A wellness visit may include: • A full health review. Your provider will ask about your medical history, lifestyle, and any concerns you have. Wellness visits are for everyone — Continued on page 2
2 • Physical exam. Height, weight, blood pressure, and other health metrics are checked. • Screenings and tests. Depending on your age and risk factors, screenings may include vision, hearing, cholesterol, and others. • Immunizations. Your provider will check that you’re up to date on your vaccinations and give new ones, as needed. • Health and wellness guidance. Your provider may offer advice on diet, exercise, mental health, and more. Take charge of your health Preventive care helps you stay ahead of potential health problems. Don’t wait until you feel sick — schedule your wellness visit today. A simple checkup can make a big difference in your longterm health. If you have questions about wellness visits or need help scheduling an appointment, call the number on the back of your member ID card. Sources: American Academy of Family Physicians; American Academy of Pediatrics; American Medical Association; MedlinePlus Medical Encyclopedia Mental health and motherhood Expecting a baby? You may be feeling happy, nervous, and excited. Pregnancy can come with many feelings, including feeling anxious and overwhelmed. After giving birth, many new moms experience tiredness, worry, and sadness. This is also known as baby blues. These feelings usually go away on their own. For some women, these feelings can become severe and interfere with their daily lives. This is known as postpartum depression. Postpartum depression occurs in one out of eight women and can happen to anyone. Women may also have these feelings during pregnancy. Symptoms of postpartum depression can include: • Crying more than usual • Extreme sadness or anger • Not feeling a connection with your baby • Worrying about hurting your baby • Having guilt or doubts about not being a good mom If you have any of these symptoms, talk to your provider to find a treatment that is right for you. As a new mom, it can be hard to focus on yourself and your health, but it is crucial to your baby’s health and well-being too. Depression can happen to anyone. You can prepare by knowing what to look for and getting help when you need it. What additional resources are there? • Talk to your healthcare provider about your risk factors for postpartum depression and what to watch out for. • Go to phs.org/VirtualPRES to schedule a virtual behavioral health visit from the ease and comfort of your home. • Call or text the National Maternal Mental Health Hotline at 833-852-6262 (833-TLC-MAMA) for free, 24/7, confidential counselor support. • If you are thinking about harming yourself or your baby, get help now. Go to the emergency room if needed. You can call 988 for emergency help from the 988 Suicide & Crisis Lifeline. Sources: 988 Suicide & Crisis Lifeline; Centers for Disease Control and Prevention; Health Resources and Services Administration; National Institute of Child Health and Development; U.S. Department of Health and Human Services Wellness visits are for everyone — Continued from front page
Presbyterian Health Plan, Inc. P.O. Box 27489 Albuquerque, NM 87125-7489 www.phs.org Important plan information TC Standard U.S. Postage PAID Presbyterian Health Plan INSIDE Tips for healthy eating 5 Vaccines kids need 8 Your Fall 2025 for Turquoise Care members En español: Si usted desea obtener este boletín en español, llame al (505) 923-5200 o al 1-888-977-2333. When the flu becomes an emergency For many of us, having a bad case of the flu can be a miserable time. But sometimes the flu can be more than just an annoying sickness. It can be downright dangerous. How the flu can be severe The flu is a viral respiratory infection. Although it takes a few days to a week or two, most people recover from the flu. But some people develop severe and even life-threatening problems, like pneumonia. The flu can also lead to dehydration. It can make other health problems a person may already have, like asthma or heart disease, worse. While anyone can develop flu complications, people at higher risk include adults over age 65, younger children, and pregnant women. People with underlying health conditions — such as diabetes or heart, kidney, or lung disease — are also at higher risk. Warning signs of a flu emergency If you have flu-like symptoms (including fever, chills, body aches, and a sore throat) and you’re in a high-risk group, ask your doctor about antiviral medicines. When started early, they may help you recover sooner. You should also pay attention to your symptoms and seek medical care right away if you have signs or symptoms of a flu emergency. These can include: • Trouble breathing or fast breathing in children • Chest pain • Dizziness or confusion • Severe muscle pain, which can be bad enough to affect walking • Seizures • A fever or cough that improves but then returns or worsens • In children, a fever above 104 degrees or, in infants younger than 12 weeks, any fever • Dehydration — signs include not urinating, having a dry mouth, and having no tears when crying • A worsening of chronic health conditions Is it an emergency? If you’re not sure whether your flu illness rises to the level of an emergency, call your primary care provider or visit the nearest emergency room. You can also use Virtual Urgent Care to see a provider without needing to leave your home. Sources: American Academy of Family Physicians; American College of Emergency Physicians; Centers for Disease Control and Prevention
2 Everyone feels anxious at times. It’s part of life. Anxiety can even help you be alert and prepare for danger. But if you feel like you can’t escape from fear, worry, and tension, know that there are things you can do to help lower your anxiety. Coping with anxiety Learn how to manage stress. Relaxation techniques can clear your mind. They help you feel calmer. Try deep breathing, yoga or stretching, and meditation. Find a therapist. Therapists are trained to help people with anxiety and other mental health problems. Therapy helps you learn what to do when you feel out of control. It also may help you change your thought patterns. Medication can help. It can’t cure anxiety. But it can ease your symptoms. There are different kinds of anxiety medication. Your provider can help you find the best one for you. Tell your primary care provider about your anxiety. They can help you find relief. Sources: American Psychiatric Association; Mental Health America; National Institute of Mental Health How to help someone cope with A PANIC ATTACK Find a quiet place to sit. This could be an empty room. Help the person control their breathing. Have them take slow breaths. Encourage them to seek treatment. Panic attacks can be caused by anxiety disorders or other medical conditions. Treatment can help. Be calm and supportive. Talk softly; let them know it will be OK. Sources: HelpGuide; National Council for Mental Wellbeing 3 TIPS for coping with anxiety
www.phs.org/Medicaid 3 For many parents, bedtime can be a struggle. Children don’t always want to settle down for the night. Here are some tips by age to help make bedtime easier. Babies • Play during the day. Playing longer can help them sleep longer at night. • Put your baby (4 months old or older) to bed when they’re sleepy but still awake. This will help them learn to fall asleep in their own bed. • Keep calm. At bedtime and if the baby wakes in the night, move quietly. Speak softly, if at all. • Wait a bit. If your (4 months old or older) baby cries during the night, wait a few minutes before entering their room. They might go back to sleep on their own. Older kids and teens • Keep screens out of the bedroom. Make a space away from the bedroom for homework, play, computer games, and TV. Set a screen curfew: no electronics within one hour of bedtime. • Soothe their fears. Avoid violent or scary shows, games, or books before bed. Talk with your child during the day about their worries. Toddlers • Create a pleasant bedtime routine. Give your toddler a warm bath, play soft music, or read a story to them. Let them pick out their pajamas. Put them to bed at the same time every night. • Make their room cozy. Provide things to help them feel loved and secure. Try a stuffed animal, blanket, or safe toy. Leave a night-light on or the door slightly open. Above all, be patient. Creating good sleep habits takes time. If you’re concerned about your child’s sleep, talk to your child’s provider. Sources: American Academy of Pediatrics; Sleep Foundation Kids need solid sleep to rest and recharge Help your child get to sleep
4 In 2024, we learned and applied many new ways to better serve you in 2025. Here are some of our 2024 actions and results. Presbyterian Health Plan (PHP) is committed to providing quality care and services to our Turquoise Care members. At PHP, we have a Quality Improvement (QI) Program that evaluates the care and services you receive. We work to improve your experience with care and services. The QI Program includes: • Member activities • Quality and safety of clinical care • Quality of service • Annual goals, processes, and activities At the end of each year, we evaluate the QI Program to see how we did. We also look for what we can do to better serve you in the future. As Mark Twain said, “Continuous improvement is better than delayed perfection.” PHP deployed NeuroFlow, a new digital well-being tool. PHP created tailored healthcare journeys for pregnant members, those of childbearing age, adults who need mental health support, and older adults. In August 2024, PHP sent in our health plan survey. We received new accreditation status in October, scoring above 99% for all product lines and 100% for the Long-Term Services and Supports Distinction. PHP Pharmacy made it easier to access hepatitis C medications by removing the need for prior authorization for the medications Mavyret and generic Epclusa. It also removed the need to use a special pharmacy. PHP was ranked first in provider satisfaction among New Mexico health plans, according to the Provider Satisfaction Survey. Our Quality Improvement Program
www.phs.org/Medicaid 5 This fall, eat foods that taste great and help you stay healthy. Eating fruits, vegetables, whole grains, nuts, and healthy fats like olive oil can be good for your health. They help maintain a healthy weight and help prevent Type 2 diabetes. Eating healthy can also keep your heart and brain healthy and keep your blood sugar normal. Eating good and feeling great You can get more ideas for healthy eating and healthy activities when you join the Path for Wellness Prevention Program. This program offers healthy weight management and diabetes prevention to eligible Presbyterian Turquoise Care members at no additional cost. It is designed to help members: • Build healthy habits • Lose or manage weight • Be more active • Reduce their risk of Type 2 diabetes It’s easy and fun to participate — the program is available online or by phone. The classes are also available in Spanish. Here are some things to add to your meals: • Lots of colorful fruits and veggies: Think tomatoes, grapes, and spinach. • Whole grains: Brown rice and oatmeal are good options. • Beans and lentils: They give you lots of energy. • Fish: Salmon is good for your heart as well. To learn more about the program and get more details about how to sign up: • Visit phs.org/preventionprogram • Call 1-855-249-8587 • Nuts and seeds: A small handful is a healthy snack. • Herbs and spices: They add flavor to your food. • A little bit of cheese and yogurt: For calcium and strong bones.
6 Do you want your children to be adventurous eaters? Invite them into the kitchen to help you cook. Kids who help their parents cook are more likely to try all the foods you prepare, even if they don’t embrace them right away. Cooking teaches kids about nutrition and food safety — not to mention math and science. And a child who becomes skilled in the kitchen is less likely to quickly grab less healthy, processed foods when hungry. Ready to have your kids begin cooking? Here are some tips for enlisting their help. 1. Start with food safety Be sure your children know the basics, like: • Washing their hands with soap and running water before and after handling food • Keeping work surfaces clean • Keeping raw meat, poultry, and fish separate from other foods • Waiting until food is cooked before tasting • Cooking foods to their proper temperatures Invite your kids into the
www.phs.org/Medicaid 7 After-school strawberry shake Sources: Academy of Nutrition and Dietetics; American Academy of Pediatrics Cooking with your kids can set them on the path to a lifetime of healthy eating while making fun family memories. 3. Emphasize safe kitchen skills Teach your child how to use kitchen tools the correct way to avoid injuries. They may not be ready to use knives, even with adult supervision, until they are 10 to 12 years old. Show them how to wear oven mitts to protect themselves from burns and explain why they should turn pan handles inward to avoid bumping into them. Be sure they know how to turn appliances on and off. 2. Teach them how to read (and follow) a recipe Show your kids how to gather ingredients and utensils for a recipe. Tell them why it’s important to measure the correct amount of each ingredient for the recipe to work. 4. Let them explore with their senses Knead dough. Rinse produce. Tear lettuce and snap green beans. These activities will pique a child’s curiosity about food with senses other than taste. If your child is hesitant to taste a food, invite them to smell it first. Taste it yourself and tell them how good it is. Each serving provides an excellent source of vitamin C. kitchen Makes 3 servings. Ingredients 1 pint strawberries, hulled 3 whole strawberries for garnish 2 medium bananas, peeled and cut into 1-inch chunks 1/2 c up fat-free strawberry or plain yogurt 4 ounces orange juice 1 teaspoon light honey 3 cups ice cubes Directions • In a blender, combine all the ingredients except 11/2 cups of the ice cubes, and puree until smooth. • Add the remaining ice; blend until smooth. • Pour into tall glasses, and garnish with whole strawberries. Nutrition information Serving size: ⅓ of recipe. Amount per serving: 150 calories, 0.5g total fat (0g saturated fat), 0mg cholesterol, 35g carbohydrates, 4g protein, 4g dietary fiber, 40mg sodium. Source: Produce for Better Health Foundation
8 Make sure your child is up to date on vaccines Virtual resource meetings for expecting families Are you thinking of becoming pregnant? Are you pregnant now or have recently delivered? You may be looking for resources and support. Presbyterian Health Plan (PHP) has you covered. Join our monthly virtual resource meetings for expecting families! Get support and resources for a healthy pregnancy and healthy baby. • Turquoise Care benefits for you and your baby • Health tips for pregnancy and postpartum care • Educational programs and rewards like Pregnancy Passport and Baby Bonuses Meetings are open to all PHP Turquoise Care members in New Mexico. Visit www.phs.org/events/virtual-resource -meeting-for-expecting-families to get details on upcoming meetings. For more information, call (505) 923-2074 or visit www.phs.org/wellbaby. Vaccines children need to attend school • Diphtheria/Tetanus/Pertussis (DTaP/DT/Td) • Tetanus/Diphtheria/Pertussis (Tdap) » 7th through 12th graders require proof of one dose of Tdap, regardless of when the last Tdap-containing vaccine was given. » Children 7 to 9 years old who receive one dose of Tdap as part of the catch-up series require one additional dose at 11 to 12 for 7th grade entry. • Polio (IPV) • Measles/mumps/rubella (MMR) • Haemophilus influenzae type B (Hib) • Hepatitis B (HepB) • Hepatitis A (Two doses required for kindergarten through 2nd grade) • Pneumococcal (PCV) • Varicella (VAR) » For kindergartners through 9th graders: Receipt of vaccine; titer or laboratory confirmed diagnosis required as proof of prior disease. » For 10th through 12th graders: Receipt of vaccine, written proof of immunity by a physician/healthcare provider or laboratory titer is required. » For all newly diagnosed varicella cases: Lab confirmation of disease is required. • Meningococcal (Men ACWY) (one dose required for 7th through 11th grade entry. Two doses required by grade 12 and recommended at age 16.) Recommended but not required to attend school • Influenza, COVID-19, and HPV vaccines are not required for school entry but will continue to be strongly recommended, as it is considered best practice. Vaccines can help keep your child healthy. They can also help keep other children healthy this school year. At right is a list of the vaccines children need to attend school. Make sure they are on track. Talk to your child’s provider if they need a vaccine or if you have questions.
www.phs.org/Medicaid 9 Presbyterian Virtual Care makes getting care easy from anywhere in New Mexico It can be hard to keep up with your healthcare. Presbyterian Virtual Care makes it convenient to get care from wherever you are in New Mexico. Now is the perfect time to use Virtual Care, also called telehealth or telemedicine, to get the care you need. You can easily schedule an appointment and talk with a provider over video. Don’t have a primary care provider (PCP) or need to find a new one? You can establish and build a relationship with a provider online using Virtual Primary Care. We also offer Virtual Urgent Care. Avoid the waiting room and make a Virtual Urgent Care appointment. Whether you need to be seen in person may depend on your condition. Many issues can be discussed and treated over a virtual visit. Virtual Behavioral Health is another option. Get started today without leaving your home. Visit phs.org/virtualpres to make an appointment and learn more. Speak with a Presbyterian nurse at any time You have access to PresRN, a nurse advice line, 24 hours a day, seven days a week, even on holidays. PresRN is an easy way to speak with a Presbyterian nurse if you are not feeling well and need advice or just have a general health question. A PresRN nurse will help you and your family, whether you require a trip to the emergency room or urgent care, a virtual visit with a provider, or selfcare at home. The best part is all you need is a phone. Presbyterian nurses are happy to answer any questions. Please call even if you are healthy but need some advice. As part of your Presbyterian healthcare team, we let your provider, care coordinator, and health coach know of your health concern so that you will have continued care and follow up. We are here when you need answers! Call PresRN at (505) 923-5677 in Albuquerque or 1-888-730-2300 toll-free. If you are having a medical emergency, please call 911.
10 Communication is important to you and to us. That’s why we offer translation services if you need them. We want to make sure you have the information in the language or format you use so you can take charge of your own healthcare. We have bilingual staff and certified translator services if you want to use these services. These services are available to help you talk with providers, nurses, and caregivers; learn about your health plan; and much more. Our translation and interpreter services include: • Language translation • Written materials translation • Telephonic interpreters • In-person interpreters • American Sign Language interpreters • Video remote interpreters It’s easy to request these services. Call the Presbyterian Customer Service Center at the number on your Presbyterian member ID card. Three simple steps to go paperless 1. Scan the QR code or visit www.phs.org/myPRES to log in to your myPRES MemberConnect account. 2. Go to “My Account” in the drop-down menu under your name. 3. Select “Communication Preferences” and answer each question. It’s that easy! Act today to experience all the benefits of going paperless. Get the myPRES app Presbyterian Health Plan’s myPRES app can help you easily oversee your healthcare. You can access myPRES on the go and view important items, like your ID card, during your provider visits. The myPRES app is a great way to stay connected to your resources and access all the information regarding your health. Your account also includes: • Easier access to your healthcare team, including your primary care provider • Simpler ways to schedule appointments using Get Care • Streamlined access to Turquoise Care Rewards • The ability to set your communications preferences, such as print or electronic delivery and English or Spanish language In addition, your health and wellness resources are all at your fingertips. This includes transportation, PHP Video Visits, and Value Added Services. We hope that you find the myPRES platform helpful in managing your care. To get the full benefit of myPRES, download the app on your mobile device. Visit www.phs.org/ myPRES to get started. To download the app, go to the Apple App store or Google Play Store on your mobile device and search for “myPRES.” Presbyterian’s translation and interpretation services
www.phs.org/Medicaid 11 Advance care planning means thinking through and talking about your healthcare wishes so you can create an advance directive. An advance directive is a legal document. It makes your healthcare wishes clear if you become injured or sick and can’t speak for yourself. Advance directives can be made for any members over 18 years of age. It will only be used when you are not able to speak for yourself about your healthcare. Presbyterian Health Plan has made the process easier with our electronic advance directive (eAD). You can fill out an eAD by going to www.phs.org/tools-resources/ patient/advance-directive. When you complete the eAD process, your document will be stored in your medical record so that it is always available to your healthcare team. You can also fill out a form and give it to your provider to keep on file. An advance directive form and more information is also available on Presbyterian’s website at www.phs.org/member-rights. Keep these numbers handy The Presbyterian Customer Service Center (PCSC) is available for members Monday through Friday, 8 a.m. to 6 p.m. Members can reach the PCSC at the following numbers: (505) 923-5200 or 1-888-977-2333, TTY: 711 Children in State Custody: (505) 923-8417 or 1-844-233-4887, TTY: 711 Navajo/Diné members: (505) 923-5157 or 1-888-806-8793, TTY: 711 Other important numbers PresRN: (505) 923-5677 or 1-888-730-2300, TTY: 711 New Mexico Crisis and Access Line (for a behavioral health crisis): 1-855-662-7474 (1-855-NMCRISIS) 988 Suicide & Crisis Lifeline (available 24/7): 988 or 1-800-273-8255 Presbyterian Turquoise Care Ombudsman: Phone: (505) 923-5780 Email: ombudsman@phs.org Create an advance directive This is your healthcare, and it should reflect your personal and cultural values. To make sure that you are always at the center of your care, create an advance directive today.
Yourstory Your Story is published for members of Presbyterian Health Plan, Inc., and Presbyterian Insurance Company, Inc. P.O. Box 27489, Albuquerque, NM 87125-7489 www.phs.org Managing editor: fluentqc@phs.org Information in Your Story comes from a wide range of medical experts. Models may be used in photos and illustrations. If you have any concerns or questions about specific content that may affect your health, please contact your healthcare provider. Such services are funded in part with the State of New Mexico. Presbyterian complies with civil rights laws and does not discriminate on the basis of protected status including but not limited to race, color, national origin, age, disability, or sexual orientation or gender expression. Free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 1-855-592-7737 (TTY: 711) or speak to your provider. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 1-855-592-7737 (TTY: 711) o hable con su proveedor. SHOOH: Diné bee yáníłti’gogo, saad bee aná’awo’ bee áka’anída’awo’ít’áá jiik’eh ná hóló̜. Bee ahił hane’go bee nida’anishí t’áá ákodaat’éhígíí dóó bee áka’anída’wo’í áko bee baa hane’í bee hadadilyaa bich’į’ ahoot’i’ígíí éí t’áá jiik’eh hóló̜. Kohjį’ 1-855-592-7737 (TTY: 711) hodíilnih doodago nika’análwo’í bich’į’ hanidziih. For more information, visit www.phs.org/nondiscrimination. 2025 © Coffey Communications, Inc. All rights reserved. MPC052537 Medicaid #TC7188 Like us on Facebook: Facebook.com/PresHealth Get started and sign up for NeuroFlow today! Use the QR code below to access NeuroFlow and sign up or visit neuroflow.app.link/PHP123. For help with signing up or technical questions, please email NeuroFlow at support@neuroflow.com or call 1-855-296-7711. At Presbyterian Health Plan (PHP), we are committed to supporting your overall health and well-being. PHP offers NeuroFlow, a tool that connects you to health information, self-guided exercises, tailored resources, and support services. It is available at no cost. The program is easy to use and is offered online or by mobile phone app to eligible PHP members. Here are some ways NeuroFlow can help you on your journey. Receive health content on topics such as healthy living, emotional well-being and mental health, recommended screenings, and more. Manage your overall health with personalized wellness journeys on topics such as: • Navigating mental health • Lifelong health and wellness • Women’s health • Pregnancy and postpartum • Smoking cessation Track and monitor your progress and health patterns in focus areas like: • Mood • Sleep • Stress • Pain Achieve your goals and feel your best through daily tools and activities. Take charge of your health and well-being with NeuroFlow
www.phs.org/Medicaid 3 Get the most out of your benefits and Value Added services Value Added Services In addition to the great benefits and services that come with being a Presbyterian Turquoise Care member, you also get Value Added Services. These are services that go beyond Medicaid-covered benefits. Some eligibility requirements, limitations, and restrictions may apply. They include services like: • Baby Bonuses Program • Pregnancy Passport (New Parent) Program • Enhanced care coordination with Meals on Wheels • School sports physicals • Medication reminders • Wellness classes • And more Please visit our website at www.phs.org/ health-plans/turquoise-care-medicaid/ native-american-communities to learn more. Traditional Medicine Value Added Service We know that traditional customs are an important part of health and wellness to Native American people. We want to honor and support Native culture with the Traditional Medicine Value Added Service. This Value Added Service can help with $300 once per member per calendar year (January 1 to December 31). This Value Added Service is only available to Native American Turquoise Care members and is to be used for traditional medicine or ceremonial purposes only. You can apply online by visiting the Turquoise Care for Native Americans webpage at www.phs.org/health -plans/turquoise-care-medicaid/ native-american-communities. You can also download and print the application form. Fully completed forms can then be mailed or faxed. All instructions are on the form. It will take about five to six weeks to process applications. You can call the Presbyterian Customer Service Center at (505) 923-5200 or 1-888-977-2333 for help or to check the status of a request. We’re here for you In addition to your Native American team, you also have the Presbyterian Customer Service Center (PCSC). We know that you need information about healthcare that is just for you. That is why we are here! The PCSC staff is located in New Mexico, and language interpreter services are available. They can help you: • Find community resources • Connect with a care coordinator • Get transportation — we have Native American transportation providers who know your community and can give you rides to your medical and behavioral health appointments to and from Tribal areas • Understand your benefits • Find translation or interpreter services You can reach our Presbyterian Customer Service Center Monday through Friday, 8 a.m. to 6 p.m., Mountain Standard Time, at: •(505) 923-5200 or 1-888-977-2333 (toll-free) • TTY users: 711 • Navajo/Diné members: (505) 923-5157 or 1-888-806-8793 (toll-free) • Email: info@phs.org For additional resources, you can go to Share New Mexico, New Mexico’s largest resource directory. Find resources by location or topic (food, clothing, shelter) and learn more about Share New Mexico by going to www.sharenm.org.
Your Story is published for members of Presbyterian Health Plan, Inc., and Presbyterian Insurance Company, Inc. Information in Your Story comes from a wide range of medical experts. Models may be used in photos and illustrations. If you have any concerns or questions about specific content that may affect your health, please contact your healthcare provider. Such services are funded in part with the State of New Mexico. Yourstory P.O. Box 27489 Albuquerque, NM 87125-7489 www.phs.org Managing editor: fluentqc@phs.org 2025 © Coffey Communications, Inc. All rights reserved. FALL 2025 for Native Americans MPC052536 Medicaid #TC7189 The Native American team is here to help you: • Answer health plan coverage questions • Find health plan resources you might need • Find services you can access through Presbyterian Turquoise Care • Locate healthcare providers in New Mexico • Apply for the Traditional Medicine Value Added Service • And much more Contact us Scott Atole, Director, Native American Affairs Email: satole@phs.org Phone: (505) 228-1191 Jessica Chavez, Director, Medicaid Outreach and Retention Email: jchavez112@phs.org Office phone: (505) 923-8341 Anabell Cadena, Manager, Medicaid Outreach and Retention Email: acadena2@phs.org Business mobile phone: (505) 627-2581 Freda Begay, Medicaid Outreach and Retention Representative – Western Region Email: fbegay4@phs.org Business mobile phone: (505) 534-0317 Kennedy Chavez-Silver, Medicaid Outreach and Retention Representative – Albuquerque Metro Area/Eastern Region Email: kchavezsi@phs.org Business mobile phone: (505) 607-2968 Esbeidy Vargas, Medicaid Outreach and Retention Representative – Albuquerque Metro Area/ Southwest Region Email: ebargas6@phs.org Business mobile phone: (505) 607-5231 You have a team to help you! Native American Member Advisory Board (NAMAB) Presbyterian Native American Affairs hosts quarterly Native American Member Advisory Board (NAMAB) meetings to help us better serve Native American members and communities. These meetings are a great way for Turquoise Care members to learn about their services and benefits. The meetings rotate through Native American communities around the state. This allows for different members to attend each quarterly meeting. At the meetings, you can: • Give meaningful feedback • Ask specific questions • Talk directly with various health plan departments and the Presbyterian Health Plan Native American team If you would like to attend or would like more details, please call the Presbyterian Native American team at (505) 228-1191. Presbyterian complies with civil rights laws and does not discriminate on the basis of protected status including but not limited to race, color, national origin, age, disability, or sexual orientation or gender expression. Free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 1-855-592-7737 (TTY: 711) or speak to your provider. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 1-855-592-7737 (TTY: 711) o hable con su proveedor. SHOOH: Diné bee yáníłti’gogo, saad bee aná’awo’ bee áka’anída’awo’ít’áá jiik’eh ná hóló̜. Bee ahił hane’go bee nida’anishí t’áá ákodaat’éhígíí dóó bee áka’anída’wo’í áko bee baa hane’í bee hadadilyaa bich’į’ ahoot’i’ígíí éí t’áá jiik’eh hóló̜. Kohjį’ 1-855-592-7737 (TTY:711) hodíilnih doodago nika’análwo’í bich’į’ hanidziih. For more information, visit www.phs.org/nondiscrimination. Like us on Facebook: Facebook.com/PresHealth
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