New Mexico Medicare Advantage Companies for 2024 (All Plans)
New Mexico has a lot of Medicare Advantage companies, and each has a different selection of plans available with different premiums and benefits. Medicare Advantage plans in New Mexico can differ depending on your county or city. You could even get Medicare Advantage coverage in New Mexico without paying more than your original Medicare Part B rate.
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Jeff Root
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Jeff is a well-known speaker and expert in life insurance and financial planning. He has spoken at top insurance conferences around the U.S., including the InsuranceNewsNet Super Conference, the 8% Nation Insurance Wealth Conference, and the Digital Life Insurance Agent Mastermind. He has been featured and quoted in Nerdwallet, Bloomberg, Forbes, U.S. News & Money, USA Today, and other leading...
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UPDATED: Jan 8, 2024
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UPDATED: Jan 8, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider. Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
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UPDATED: Jan 8, 2024Fact Checked
The Highlights
- If you choose Medicare Advantage, you’ll still need to pay your New Mexico original Medicare premium
- There are 17 Medicare Avantage companies in New Mexico
- You can choose from New Mexico HMO and PPO Medicare Advantage plans
There are several options in New Mexico for Medicare Advantage plans. Medicare Advantage (Medicare Part C) is offered by 17 companies in New Mexico; and options such as HMO, PPO, and POS may be available depending on which county you live in.
To make sure you’re getting the best NM Medicare provider and plan for your needs, compare rates and out-of-pocket costs to find the ideal coverage and cost combination for you.
If you’re ready to compare Medicare plans from the top companies in your county or across New Mexico, enter your ZIP code for fast, free NM Medicare quotes today.
The Complete List of New Mexico Medicare Advantage Companies
There are many companies offering Part C Medicare Advantage in NM. Below, you’ll find a complete listing of health insurance companies that offer Medicare Advantage plans in New Mexico, the counties those plans are offered in, and the number of plans each company offers.
Read More: Best New Mexico Medicare Companies and Plans
Medicare Advantage Companies in New Mexico
| Company | Number of Plans | Counties |
|---|---|---|
| Aetna Medicare | 1 | Santa Fe, Bernalillo, Rio Arriba, Valencia, Sandoval, San Miguel |
| Allwell | 6 | Torrance, Santa Fe, Bernalillo, Dona Ana, Luna, Cibola, San Juan, Taos, Chaves, Valencia, Sandoval, Curry, Roosevelt, McKinley, Quay |
| Amerigroup Community Care of New Mexico | 2 | Torrance, Santa Fe, Bernalillo, Valencia, Sandoval |
| Blue Cross | 1 | Torrance, Santa Fe, Bernalillo, Dona Ana, Valencia, Sandoval |
| Blue Cross and Blue Shield of IL, NM | 2 | Torrance, Bernalillo, Valencia, Sandoval, Santa Fe |
| Blue Cross and Blue Shield of New Mexico | 1 | Torrance, Santa Fe, Bernalillo, Dona Ana, Valencia, Sandoval |
| CHRISTUS Health Plan Generations | 2 | Santa Fe, Los Alamos, Rio Arriba, San Miguel |
| Cigna | 2 | Torrance, Bernalillo, Valencia, Sandoval |
| Humana | 7 | Torrance, Grant, DeBaca, Santa Fe, Catron, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Sierra, Eddy, Taos, Chaves, Colfax, Valencia, Lea, Otero, Sandoval, Lincoln, Curry, San Miguel, Roosevelt, McKinley, Quay |
| Imperial Insurance Companies | 1 | Bernalillo |
| Imperial Insurance Companies, Inc | 2 | Bernalillo |
| Lasso Healthcare | 2 | Torrance, Grant, DeBaca, Santa Fe, Catron, Union, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Hidalgo, Sierra, Eddy, Taos, Chaves, Colfax, Valencia, Lea, Otero, Sandoval, Lincoln, Curry, Harding, San Miguel, Roosevelt, McKinley, Quay |
| Molina Healthcare | 1 | Torrance, Grant, DeBaca, Santa Fe, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Sierra, Chaves, Valencia, Otero, Sandoval, Lincoln, San Miguel, Roosevelt, McKinley |
| Molina Healthcare of New Mexico, Inc | 1 | Torrance, Grant, DeBaca, Santa Fe, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Sierra, Chaves, Valencia, Otero, Sandoval, Lincoln, San Miguel, Roosevelt, McKinley |
| Presbyterian Health Plan | 4 | Torrance, Santa Fe, Bernalillo, Socorro, Cibola, Rio Arriba, Valencia, Sandoval, Grant, DeBaca, Catron, Union, Los Alamos, Dona Ana, Luna, Guadalupe, Mora, San Juan, Hidalgo, Sierra, Eddy, Taos, Chaves, Colfax, Lea, Otero, Lincoln, Curry, Harding, San Miguel, Roosevelt, McKinley, Quay |
| Presbyterian Insurance Company, Inc | 2 | Torrance, Grant, DeBaca, Santa Fe, Catron, Union, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Hidalgo, Sierra, Eddy, Taos, Chaves, Colfax, Valencia, Lea, Otero, Sandoval, Lincoln, Curry, Harding, San Miguel, Roosevelt, McKinley, Quay |
| UnitedHealthcare | 4 | Torrance, Grant, Santa Fe, Bernalillo, Dona Ana, Luna, Rio Arriba, Mora, Hidalgo, Sierra, Valencia, Sandoval, San Miguel, Socorro, Cibola, San Juan, Chaves, Roosevelt |
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New Mexico Medicare Advantage Plans by Company
We’ve put together a list of all of plans available from each NM Medicare company to help you compare Medicare Advantage plans by company in New Mexico. Take a look at the plans here.
Medicare Plans in New Mexico Offered by Humana
Though plans can vary from county to county, Humana offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Humana Value Plus H5216-199 (PPO) | H5216-199 | Torrance, Grant, DeBaca, Santa Fe, Catron, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Sierra, Eddy, Taos, Chaves, Colfax, Valencia, Lea, Otero, Sandoval, Lincoln, Curry, San Miguel, Roosevelt, McKinley, Quay | Local PPO | $28.20 |
| HumanaChoice H5216-196 (PPO) | H5216-196 | Torrance, Grant, DeBaca, Santa Fe, Catron, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Sierra, Eddy, Taos, Chaves, Colfax, Valencia, Lea, Otero, Sandoval, Lincoln, Curry, San Miguel, Roosevelt, McKinley, Quay | Local PPO | $18.00 |
| HumanaChoice H5216-077 (PPO) | H5216-077 | Torrance, Grant, DeBaca, Santa Fe, Catron, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Sierra, Eddy, Taos, Chaves, Colfax, Valencia, Lea, Otero, Sandoval, Lincoln, Curry, San Miguel, Roosevelt, McKinley, Quay | Local PPO* | $0.00 |
| Humana Gold Choice H8145-123 (PFFS) | H8145-123 | Torrance, Grant, Santa Fe, Bernalillo, Dona Ana, Luna, Rio Arriba, Sierra, Taos, Colfax, Valencia, Otero, Sandoval, Lincoln, San Miguel | PFFS | $89.00 |
| Humana Gold Plus H0028-019 (HMO) | H0028-019 | Torrance, Santa Fe, Bernalillo, Valencia, Sandoval, San Miguel | Local HMO | $0.00 |
| Humana Honor (PPO) | H5216-213 | Torrance, Grant, DeBaca, Santa Fe, Catron, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Sierra, Eddy, Taos, Chaves, Colfax, Valencia, Lea, Otero, Sandoval, Lincoln, Curry, San Miguel, Roosevelt, McKinley, Quay | Local PPO* | $0.00 |
| HumanaChoice H5216-137 (PPO) | H5216-137 | Dona Ana, Luna, San Juan, Eddy, Chaves, Lea, Otero | Local PPO | $0.00 |
Medicare Plans in New Mexico Offered by Allwell
Though plans can vary from county to county, Allwell offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Allwell Dual Medicare Harmony (HMO D-SNP) | H2134-003 | Torrance, Santa Fe, Bernalillo, Dona Ana, Luna, Cibola, San Juan, Taos, Chaves, Valencia, Sandoval, Curry, Roosevelt, McKinley, Quay | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Allwell Dual Medicare (HMO D-SNP) | H2134-001 | Torrance, Santa Fe, Bernalillo, Dona Ana, Luna, Cibola, San Juan, Taos, Chaves, Valencia, Sandoval, Curry, Roosevelt, McKinley, Quay | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Allwell Medicare (HMO) | H2134-005 | Santa Fe, Bernalillo, Dona Ana, Sandoval | Local HMO | $0.00 |
| Allwell Medicare Complement (HMO) | H2134-004 | Santa Fe, Bernalillo, Dona Ana, Sandoval | Local HMO | $20.80 |
| Allwell Medicare Boost (HMO) | H2134-002 | Santa Fe, Bernalillo, Dona Ana, Sandoval | Local HMO | $0.00 |
| Allwell Medicare Simple (HMO) | H2134-006 | Santa Fe, Bernalillo, Dona Ana, Sandoval | Local HMO * | $0.00 |
Medicare Plans in New Mexico Offered by Blue Cross
Though plans can vary from county to county, Blue Cross offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | H3251-029 | Torrance, Santa Fe, Bernalillo, Dona Ana, Valencia, Sandoval | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in New Mexico Offered by Presbyterian Insurance Company, Inc
Though plans can vary from county to county, Presbyterian Insurance Company, Inc offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Presbyterian MediCare PPO Plan 1 (PPO) | H3206-003 | Torrance, Grant, DeBaca, Santa Fe, Catron, Union, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Hidalgo, Sierra, Eddy, Taos, Chaves, Colfax, Valencia, Lea, Otero, Sandoval, Lincoln, Curry, Harding, San Miguel, Roosevelt, McKinley, Quay | Local PPO* | $0.00 |
| Presbyterian MediCare PPO Plan 2 with Rx (PPO) | H3206-001 | Torrance, Grant, DeBaca, Santa Fe, Catron, Union, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Hidalgo, Sierra, Eddy, Taos, Chaves, Colfax, Valencia, Lea, Otero, Sandoval, Lincoln, Curry, Harding, San Miguel, Roosevelt, McKinley, Quay | Local PPO | $188.00 |
Medicare Plans in New Mexico Offered by Amerigroup Community Care of New Mexico
Though plans can vary from county to county, Amerigroup Community Care of New Mexico offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Amerivantage Care Access (HMO) | H5746-016 | Torrance, Santa Fe, Bernalillo, Valencia, Sandoval | Local HMO | $23.10 |
| Amerivantage Plus (HMO) | H5746-018 | Torrance, Santa Fe, Bernalillo, Valencia, Sandoval | Local HMO | $0.00 |
Medicare Plans in New Mexico Offered by Cigna
Though plans can vary from county to county, Cigna offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Cigna Preferred Medicare (HMO) | H0672-005 | Torrance, Bernalillo, Valencia, Sandoval | Local HMO | $0.00 |
| Cigna True Choice Medicare (PPO) | H7849-028 | Torrance, Bernalillo, Valencia, Sandoval | Local PPO | $0.00 |
Medicare Plans in New Mexico Offered by Presbyterian Health Plan
Though plans can vary from county to county, Presbyterian Health Plan offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Presbyterian Senior Care Plan 3 with Rx (HMO) | H3204-007 | Torrance, Santa Fe, Bernalillo, Socorro, Cibola, Rio Arriba, Valencia, Sandoval | Local HMO | $120.00 |
| Presbyterian Senior Care Plan 2 with Rx (HMO) | H3204-001 | Torrance, Santa Fe, Bernalillo, Socorro, Cibola, Rio Arriba, Valencia, Sandoval | Local HMO | $0.00 |
| Presbyterian Senior Care Plan 1 (HMO) | H3204-008 | Torrance, Santa Fe, Bernalillo, Socorro, Cibola, Rio Arriba, Valencia, Sandoval | Local HMO * | $0.00 |
| Presbyterian Dual Plus (HMO D-SNP) | H3204-013 | Torrance, Grant, DeBaca, Santa Fe, Catron, Union, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Hidalgo, Sierra, Eddy, Taos, Chaves, Colfax, Valencia, Lea, Otero, Sandoval, Lincoln, Curry, Harding, San Miguel, Roosevelt, McKinley, Quay | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in New Mexico Offered by UnitedHealthcare
Though plans can vary from county to county, UnitedHealthcare offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| AARP Medicare Advantage Choice (PPO) | H2228-047 | Torrance, Grant, Santa Fe, Bernalillo, Dona Ana, Luna, Rio Arriba, Mora, Hidalgo, Sierra, Valencia, Sandoval, San Miguel | Local PPO | $13.00 |
| UnitedHealthcare Medicare Advantage Assure (PPO) | H0271-010 | Torrance, Grant, Santa Fe, Bernalillo, Socorro, Dona Ana, Luna, Cibola, Rio Arriba, San Juan, Hidalgo, Sierra, Chaves, Valencia, Sandoval, San Miguel, Roosevelt | Local PPO | $17.90 |
| AARP Medicare Advantage Patriot (PPO) | H2228-098 | Torrance, Santa Fe, Bernalillo, Rio Arriba, Mora, Valencia, Sandoval, San Miguel | Local PPO* | $0.00 |
| AARP Medicare Advantage (HMO) | H6526-002 | Santa Fe, Bernalillo, Valencia, Sandoval | Local HMO | $0.00 |
Medicare Plans in New Mexico Offered by Lasso Healthcare
Though plans can vary from county to county, Lasso Healthcare offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Lasso Healthcare Growth (MSA) | H1924-001 | Torrance, Grant, DeBaca, Santa Fe, Catron, Union, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Hidalgo, Sierra, Eddy, Taos, Chaves, Colfax, Valencia, Lea, Otero, Sandoval, Lincoln, Curry, Harding, San Miguel, Roosevelt, McKinley, Quay | MSA* | MSAs do not have a monthly premium. |
| Lasso Healthcare Growth Plus (MSA) | H1924-004 | Torrance, Grant, DeBaca, Santa Fe, Catron, Union, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Hidalgo, Sierra, Eddy, Taos, Chaves, Colfax, Valencia, Lea, Otero, Sandoval, Lincoln, Curry, Harding, San Miguel, Roosevelt, McKinley, Quay | MSA* | MSAs do not have a monthly premium. |
Medicare Plans in New Mexico Offered by Molina Healthcare of New Mexico, Inc
Though plans can vary from county to county, Molina Healthcare of New Mexico, Inc offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Molina Medicare Choice Care (HMO) | H9082-009 | Torrance, Grant, DeBaca, Santa Fe, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Sierra, Chaves, Valencia, Otero, Sandoval, Lincoln, San Miguel, Roosevelt, McKinley | Local HMO | $28.20 |
Medicare Plans in New Mexico Offered by Molina Healthcare
Though plans can vary from county to county, Molina Healthcare offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Molina Medicare Complete Care (HMO D-SNP) | H9082-007 | Torrance, Grant, DeBaca, Santa Fe, Bernalillo, Los Alamos, Socorro, Dona Ana, Luna, Cibola, Guadalupe, Rio Arriba, Mora, San Juan, Sierra, Chaves, Valencia, Otero, Sandoval, Lincoln, San Miguel, Roosevelt, McKinley | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in New Mexico Offered by Blue Cross and Blue Shield of IL, NM
Though plans can vary from county to county, Blue Cross and Blue Shield of IL, NM offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Blue Cross Medicare Advantage Basic (HMO) | H3822-002 | Torrance, Bernalillo, Valencia, Sandoval | Local HMO | $10.00 |
| Blue Cross Medicare Advantage Choice Plus (PPO) | H8634-002 | Torrance, Santa Fe, Bernalillo, Valencia, Sandoval | Local PPO | $40.00 |
Medicare Plans in New Mexico Offered by Blue Cross and Blue Shield of New Mexico
Though plans can vary from county to county, Blue Cross and Blue Shield of New Mexico offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Blue Cross Medicare Advantage Select (HMO) | H3251-002 | Torrance, Santa Fe, Bernalillo, Dona Ana, Valencia, Sandoval | Local HMO | $0.00 |
Medicare Plans in New Mexico Offered by Aetna Medicare
Though plans can vary from county to county, Aetna Medicare offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Aetna Medicare Choice Plan (PPO) | H9431-001 | Santa Fe, Bernalillo, Rio Arriba, Valencia, Sandoval, San Miguel | Local PPO | $0.00 |
Medicare Plans in New Mexico Offered by CHRISTUS Health Plan Generations
Though plans can vary from county to county, CHRISTUS Health Plan Generations offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| CHRISTUS Health Plan Generations Plus (HMO) | H1189-002 | Santa Fe, Los Alamos, Rio Arriba, San Miguel | Local HMO | $20.00 |
| CHRISTUS Health Plan Generations (HMO) | H1189-001 | Santa Fe, Los Alamos, Rio Arriba, San Miguel | Local HMO | $0.00 |
Medicare Plans in New Mexico Offered by Imperial Insurance Companies, Inc
Though plans can vary from county to county, Imperial Insurance Companies, Inc offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Imperial Insurance Traditional Plus (HMO) | H2793-007 | Bernalillo | Local HMO | $32.40 |
| Imperial Insurance Company Traditional (HMO) | H2793-003 | Bernalillo | Local HMO | $0.00 |
Medicare Plans in New Mexico Offered by Imperial Insurance Companies
Though plans can vary from county to county, Imperial Insurance Companies offers these Medicare plans in New Mexico.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Imperial Insurance Value (HMO C-SNP) | H2793-005 | Bernalillo | Local HMO | $0.00 |
New Mexico Medicare Advantage Plans With No Additional Cost
If you decide to get Medicare Advantage in New Mexico, you still have to pay your original Medicare Part B premium. Many NM Medicare companies offer Advantage plans that don’t cost any more than your original Medicare premium. Take a look at your options.
Zero-Cost {?{?state}} Medicare Advantage Plans
| Plan Name | County | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|
| Lasso Healthcare Growth (MSA) – H1924-001-0 | Lea, Hidalgo, Bernalillo, San Miguel, McKinley, Guadalupe, Lincoln, Colfax, Los Alamos, Dona Ana, DeBaca, Sierra, Torrance, Santa Fe, San Juan, Sandoval, Curry, Quay, Luna, Socorro, Union, Eddy, Otero, Roosevelt, Cibola, Taos, Valencia, Grant, Harding, Catron, Mora, Chaves, Rio Arriba | This Plan does NOT include prescription drug coverage. | N/A |
| Lasso Healthcare Growth Plus (MSA) – H1924-004-0 | Lea, Hidalgo, Bernalillo, San Miguel, McKinley, Guadalupe, Lincoln, Colfax, Los Alamos, Dona Ana, DeBaca, Sierra, Torrance, Santa Fe, San Juan, Sandoval, Curry, Quay, Luna, Socorro, Union, Eddy, Otero, Roosevelt, Cibola, Taos, Valencia, Grant, Harding, Catron, Mora, Chaves, Rio Arriba | This Plan does NOT include prescription drug coverage. | N/A |
| Humana Honor (PPO) – H5216-213-0 | Santa Fe | This Plan does NOT include prescription drug coverage. | $4,400 |
| HumanaChoice H5216-077 (PPO) – H5216-077-0 | Bernalillo, San Miguel, Torrance, Santa Fe, Sandoval, Valencia, Mora, Rio Arriba | This Plan does NOT include prescription drug coverage. | $4,000 |
| HumanaChoice H5216-137 (PPO) – H5216-137-0 | San Miguel, Los Alamos, Santa Fe, Rio Arriba | Preferred Generic: $7.00, Generic: $17.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 25% | $6,700 |
| Presbyterian Dual Plus (HMO D-SNP) – H3204-013-4 | Bernalillo, Dona Ana, Santa Fe, Sandoval | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | N/A |
| AARP Medicare Advantage Choice (PPO) – H2228-023-0 | Santa Fe | Preferred Generic: $2.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $3,900 |
| AARP Medicare Advantage (HMO) – H6526-001-0 | Santa Fe | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $4,300 |
| AARP Medicare Advantage Patriot (PPO) – H2228-098-0 | Bernalillo, San Miguel, Torrance, Santa Fe, Sandoval, Valencia, Mora, Rio Arriba | This Plan does NOT include prescription drug coverage. | $4,300 |
| Aetna Medicare Choice Plan (PPO) – H9431-001-0 | San Miguel, Los Alamos, Santa Fe, Rio Arriba | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $6,000 |
| Allwell Medicare (HMO) – H2134-005-0 | Bernalillo, Dona Ana, Santa Fe, Sandoval | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 30%, Select Care Drugs: $0.00 | $3,450 |
| Allwell Medicare Boost (HMO) – H2134-002-0 | Bernalillo, Dona Ana, Santa Fe, Sandoval | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 30%, Select Care Drugs: $0.00 | $7,550 |
| Allwell Medicare Simple (HMO) – H2134-006-0 | Bernalillo, Dona Ana, Santa Fe, Sandoval | This Plan does NOT include prescription drug coverage. | $4,400 |
| Amerivantage Plus (HMO) – H5746-018-0 | San Miguel, Santa Fe, Mora, Rio Arriba | Preferred Generic: $5.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,700 |
| Blue Cross Medicare Advantage Select (HMO) – H3251-002-0 | Bernalillo, Dona Ana, Torrance, Santa Fe, Sandoval, Valencia | Preferred Generic: $0.00, Generic: $13.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 30% | $4,500 |
| Cigna Preferred Medicare (HMO) – H0672-005-0 | Dona Ana, Luna, Otero | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $4,600 |
| Cigna True Choice Medicare (PPO) – H7849-028-0 | San Miguel, Los Alamos, Santa Fe, Rio Arriba | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,700 |
| Humana Gold Plus H0028-019 (HMO) – H0028-019-0 | San Juan, Curry, Quay, Roosevelt, Chaves | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $4,000 |
| Imperial Insurance Company Traditional (HMO) – H2793-003-0 | Bernalillo | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $2,999 |
| Imperial Insurance Value (HMO C-SNP) – H2793-005-0 | Bernalillo | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | N/A |
| Presbyterian Senior Care Plan 1 (HMO) – H3204-008-0 | Bernalillo, Torrance, Santa Fe, Sandoval, Socorro, Cibola, Valencia, Rio Arriba | This Plan does NOT include prescription drug coverage. | $4,000 |
| Presbyterian Senior Care Plan 2 with Rx (HMO) – H3204-001-0 | Bernalillo, Torrance, Santa Fe, Sandoval, Socorro, Cibola, Valencia, Rio Arriba | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $4,500 |
| Allwell Dual Medicare Harmony (HMO D-SNP) – H2134-003-0 | Bernalillo, McKinley, Dona Ana, Torrance, Santa Fe, San Juan, Sandoval, Curry, Quay, Luna, Roosevelt, Cibola, Taos, Valencia, Chaves | Preferred Generic: $1.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 25% | N/A |
| Allwell Dual Medicare (HMO D-SNP) – H2134-001-0 | Bernalillo, McKinley, Dona Ana, Torrance, Santa Fe, San Juan, Sandoval, Curry, Quay, Luna, Roosevelt, Cibola, Taos, Valencia, Chaves | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 25% | N/A |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) – H3251-029-0 | Bernalillo, Dona Ana, Torrance, Santa Fe, Sandoval, Valencia | Tier 1: 15% | N/A |
| Molina Medicare Complete Care (HMO D-SNP) – H9082-007-0 | Bernalillo, San Miguel, McKinley, Guadalupe, Lincoln, Los Alamos, Dona Ana, DeBaca, Sierra, Torrance, Santa Fe, San Juan, Sandoval, Luna, Socorro, Otero, Roosevelt, Cibola, Valencia, Grant, Mora, Chaves, Rio Arriba | Tier 1: tbd | N/A |
| CHRISTUS Health Plan Generations (HMO) – H1189-001-0 | San Miguel, Los Alamos, Santa Fe, Rio Arriba | Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $35.00, Non-Preferred Drug: 30%, Specialty Tier: 29% | $4,900 |
| HumanaChoice H5216-196 (PPO) – H5216-196-1 | Dona Ana, Luna, Otero | Preferred Generic: $5.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,500 |
| AARP Medicare Advantage (HMO) – H6526-002-0 | Santa Fe | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $4,900 |
| Presbyterian Dual Plus (HMO D-SNP) – H3204-013-5 | San Juan, Curry, Quay, Roosevelt, Chaves | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | N/A |
Standalone Medicare Part D Plans in New Mexico
There is a wide variety of Medicare Part D plans available in every state, and New Mexico is no exception. Keep in mind that plans vary by county, and don’t forget to check that your NM Medicare Advantage plan doesn’t already include Part D prescription drug coverage.
Standalone Medicare Part D Plans in New Mexico
| Plan | Details | Tiers |
|---|---|---|
| AARP MedicareRx Preferred (PDP) S5820 – 025 – 0 by UnitedHealthcare |
Monthly Premium: $90.20 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 371 – 0 by UnitedHealthcare |
Monthly Premium: $22.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 40% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 407 – 0 by UnitedHealthcare |
Monthly Premium: $33.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Blue Cross MedicareRx Basic (PDP) S5715 – 013 – 0 by Blue Cross and Blue Shield of New Mexico |
Monthly Premium: $70.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 12% Tier 4: 42% Tier 5: 25% |
| Blue Cross MedicareRx Plus (PDP) S5715 – 004 – 0 by Blue Cross and Blue Shield of New Mexico |
Monthly Premium: $136.10 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 40% Tier 5: 33% |
| Blue Cross MedicareRx Value (PDP) S5715 – 003 – 0 by Blue Cross and Blue Shield of New Mexico |
Monthly Premium: $88.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $8.00 Tier 3: $40.00 Tier 4: 38% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 128 – 0 by Cigna |
Monthly Premium: $22.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 305 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 45% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 271 – 0 by Cigna |
Monthly Premium: $50.50 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Elixir RxPlus (PDP) S7694 – 026 – 0 by Elixir Insurance |
Monthly Premium: $23.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 26% Tier 5: 25% |
| Express Scripts Medicare – Choice (PDP) S5660 – 196 – 0 by Express Scripts Medicare |
Monthly Premium: $65.30 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Express Scripts Medicare – Saver (PDP) S5660 – 242 – 0 by Express Scripts Medicare |
Monthly Premium: $30.40 Annual Deductible: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| Express Scripts Medicare – Value (PDP) S5660 – 128 – 0 by Express Scripts Medicare |
Monthly Premium: $50.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $8.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 110 – 0 by Humana |
Monthly Premium: $25.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
| Humana Premier Rx Plan (PDP) S5884 – 172 – 0 by Humana |
Monthly Premium: $61.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 205 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 19% Tier 4: 35% Tier 5: 25% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 025 – 0 by Mutual of Omaha Rx |
Monthly Premium: $85.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 36% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 095 – 0 by Mutual of Omaha Rx |
Monthly Premium: $25.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 40% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 052 – 0 by Aetna Medicare |
Monthly Premium: $23.30 Annual Deductible: $320 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 43% Tier 5: 27% |
| SilverScript Plus (PDP) S5601 – 053 – 0 by Aetna Medicare |
Monthly Premium: $62.90 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| SilverScript SmartRx (PDP) S5601 – 201 – 0 by Aetna Medicare |
Monthly Premium: $6.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 49% Tier 5: 25% |
| WellCare Classic (PDP) S4802 – 090 – 0 by WellCare |
Monthly Premium: $23.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 40% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 060 – 0 by WellCare |
Monthly Premium: $25.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $39.00 Tier 4: 40% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 303 – 0 by WellCare |
Monthly Premium: $23.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 25% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 149 – 0 by WellCare |
Monthly Premium: $76.90 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 44% Tier 5: 33% |
| WellCare Value Script (PDP) S4802 – 159 – 0 by WellCare |
Monthly Premium: $14.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $8.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 195 – 0 by WellCare |
Monthly Premium: $14.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $4.00 Tier 3: $39.00 Tier 4: 47% Tier 5: 25% |
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Jeff Root
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Jeff is a well-known speaker and expert in life insurance and financial planning. He has spoken at top insurance conferences around the U.S., including the InsuranceNewsNet Super Conference, the 8% Nation Insurance Wealth Conference, and the Digital Life Insurance Agent Mastermind. He has been featured and quoted in Nerdwallet, Bloomberg, Forbes, U.S. News & Money, USA Today, and other leading...
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