Medicare Advantage Plans for New Mexico

339,321 Total Medicare Advantage Enrollees

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? New Mexico Enrollees
Presbyterian Health Plan Presbyterian Senior Care Plan 2 with Rx (HMO)
H3204-001-0 		HMO No $0 Yes No No Yes No No 23,807
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-023-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 16,139
Humana Humana Gold Plus H0028-019 (HMO)
H0028-019-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 15,976
Presbyterian Health Plan Presbyterian Dual Plus (HMO D-SNP)
H3204-013-5 		HMO No $0 Yes $1,500 No No No No No 15,752
Humana HumanaChoice H5216-196 (PPO)
H5216-196-2 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 10,783
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 4 (HMO-POS)
H3204-808-0 		HMOPOS No $0 No 10,195
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 8,933
Humana Humana Value Plus H5216-199 (PPO)
H5216-199-0 		Local PPO $175 per Quarter No $700 Yes No No Yes No No 8,697
Blue Cross and Blue Shield of New Mexico Blue Cross Medicare Advantage Select (HMO)
H3251-002-0 		HMO $130 per Quarter Yes $520 Yes No No Yes No No 7,233
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H9431-001-0 		Local PPO $75 per Quarter No $300 Yes $1,000 No No Yes No No 5,609
Molina Healthcare of New Mexico, Inc. Molina Medicare Choice Care Plus (HMO)
H9082-010-0 		HMO $0 per Month No $0 Yes No No No Yes No 4,208
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (HMO)
H3822-802-0 		HMO No $0 No 3,644
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-047-0 		Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 3,508
Humana HumanaChoice H5216-137 (PPO)
H5216-137-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 3,331
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-028-0 		Local PPO $75 per Quarter No $300 Yes $2,000 No No No No No 3,253
Wellcare by Allwell Wellcare Dual Liberty (HMO D-SNP)
H2134-001-0 		HMO $105 per Month Yes $0 Yes $1,500 No No Yes Yes No 3,237
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H2134-003-0 		HMO $65 per Month Yes $0 Yes $1,500 No No Yes Yes No 3,161
Humana Humana Honor (PPO)
H5216-213-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 2,853
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-034-0 		Local PPO $100 per Month No $0 Yes $3,600 Yes No Yes Yes No 2,623
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H6526-001-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 2,525
Presbyterian Health Plan Presbyterian Senior Care Plan 3 with Rx (HMO)
H3204-007-0 		HMO No $0 Yes No No Yes No No 2,508
Humana HumanaChoice H5216-078 (PPO)
H5216-078-2 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 2,499
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-116-0 		Local PPO $55 per Quarter No $220 Yes No No Yes Yes No 2,296
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 2,272
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-049-0 		Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 1,934
Presbyterian Health Plan Presbyterian Senior Care Plan 1 (HMO)
H3204-008-0 		HMO No $0 Yes No No Yes No No 1,822
Humana HumanaChoice H5216-339 (PPO)
H5216-339-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 1,807
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-118-0 		Local PPO $45 per Quarter No $180 Yes No No Yes Yes No 1,747
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-115-0 		Local PPO $65 per Quarter No $260 Yes No No Yes Yes No 1,723
Amerigroup Community Care of New Mexico Amerivantage Plus (HMO)
H5746-018-0 		HMO $105 per Quarter Yes $420 Yes $3,000 No No Yes Yes No 1,699
Presbyterian Health Plan Presbyterian UltraFlex (HMO-POS)
H3204-015-0 		HMOPOS $215 per Quarter Yes $860 Yes No No Yes No No 1,671
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,550
Blue Cross and Blue Shield of New Mexico Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
H3251-029-0 		HMO $280 per Quarter Yes $1,120 Yes $2,000 No No Yes No No 1,445
Amerigroup Community Care of New Mexico Amerivantage Care Access (HMO)
H5746-016-0 		HMO $255 per Quarter Yes $1,020 Yes $3,000 No No Yes Yes No 1,436
Humana HumanaChoice H5216-341 (PPO)
H5216-341-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 1,425
Humana HumanaChoice H5216-260 (PPO)
H5216-260-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 1,404
Presbyterian Insurance Company, Inc. Presbyterian MediCare PPO Plan 2 with Rx (PPO)
H3206-001-0 		Local PPO No $0 Yes No No Yes No No 1,397
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Basic (HMO)
H3822-002-0 		HMO No $0 No 1,340
Blue Cross and Blue Shield of IL, NM Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)
H8634-009-0 		Local PPO $255 per Quarter Yes $1,020 Yes $2,000 No No Yes No No 1,285
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H0672-005-0 		HMO $95 per Quarter No $380 Yes No No Yes No No 1,174
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-035-0 		Local PPO $100 per Month No $0 Yes $3,600 Yes No Yes Yes No 990
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-033-0 		Local PPO $75 per Month No $0 Yes $3,600 Yes No Yes Yes No 984
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 967
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-117-0 		Local PPO $55 per Quarter No $220 Yes No No Yes Yes No 873
Wellcare by Allwell Wellcare No Premium Open (PPO)
H9976-002-0 		Local PPO $138 per Quarter No $552 Yes $1,000 No No Yes Yes No 853
CHRISTUS Health Advantage CHRISTUS Health Plan Generations Plus (HMO)
H1189-002-0 		HMO $150 per Quarter No $600 Yes $2,000 No No No No No 814
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Choice Plus (PPO)
H8634-002-0 		Local PPO $50 per Quarter Yes $200 Yes $1,000 No No No No No 807
Blue Cross and Blue Shield of New Mexico Blue Cross Group Medicare Advantage Plan (HMO)
H3251-804-0 		HMO No $0 No 783
Humana HumanaChoice H5216-077 (PPO)
H5216-077-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 774
Wellcare by Allwell Wellcare No Premium (HMO)
H2134-005-0 		HMO $98 per Quarter No $392 Yes $1,000 No No Yes Yes No 631

Top 20 Medicare Advantage Insurance Companyes for New Mexico

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
Presbyterian Health Plan 55,903 3,267 46,364
Humana 52,830 103,181 103,181
UnitedHealthcare 48,465 52,740 53,064
Blue Cross and Blue Shield of New Mexico 9,473 9,117 9,185
Wellcare by Allwell 8,721 10,808 10,808
Blue Cross and Blue Shield of IL, NM 8,134 3,064 3,816
Aetna Medicare 7,603 5,535 5,535
Molina Healthcare of New Mexico, Inc. 4,440 4,332 4,074
Cigna Healthcare 4,427 5,067 5,067
Amerigroup Community Care of New Mexico 3,135 2,663 2,663
Presbyterian Insurance Company, Inc. 1,458 0 1,422
CHRISTUS Health Advantage 814 722 722
Blue Cross and Blue Shield of NM, TX 735 1,652 1,934
InnovAge New Mexico PACE 452 0 0
Anthem Blue Cross and Blue Shield 382 0 0
Blue Cross and Blue Shield of Montana 248 0 0
Blue Cross Blue Shield of Michigan 189 0 0
Highmark Blue Cross Blue Shield or Highmark Blue Shield 13 0 0
Wellpoint STAR+PLUS MMP 11 7,444 7,444

Counties in New Mexico

County Medicare Advantage Enrolless
Bernalillo 106,532
Catron 902
Chaves 9,526
Cibola 3,389
Colfax 2,689
Curry 5,582
DeBaca 260
Dona Ana 35,301
Eddy 7,523
Grant 6,996
Guadalupe 750
Harding 54
Hidalgo 764
Lea 7,280
Lincoln 4,991
Los Alamos 935
Luna 5,386
McKinley 7,673
Mora 1,005
Otero 8,994
Quay 1,833
Rio Arriba 6,367
Roosevelt 2,268
Sandoval 25,979
San Juan 16,533
San Miguel 5,680
Santa Fe 33,570
Sierra 3,266
Socorro 2,900
Taos 7,948
Torrance 2,847
Union 552
Valencia 13,046
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