Medicare Advantage Plans for New Mexico

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? New Mexico Enrollees
Presbyterian Health Plan Presbyterian Senior Care Plan 2 with Rx (HMO)
H3204-001-0 		HMO $0 No Yes No Yes No No 23,807
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-023-0 		Local PPO $200 No Yes No Yes Yes No 16,139
Humana Humana Gold Plus H0028-019 (HMO)
H0028-019-0 		HMO $400 No Yes No Yes No No 15,976
Presbyterian Health Plan Presbyterian Dual Plus (HMO D-SNP)
H3204-013-5 		HMO $0 No Yes $2,000 No No No No 15,752
Humana HumanaChoice H5216-196 (PPO)
H5216-196-2 		Local PPO $120 No Yes No Yes No No 10,783
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 4 (HMO-POS)
H3204-808-0 		HMOPOS $0 No No 10,195
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No No 8,933
Humana Humana Value Plus H5216-199 (PPO)
H5216-199-0 		Local PPO $700 No Yes No Yes No No 8,697
Blue Cross and Blue Shield of New Mexico Blue Cross Medicare Advantage Select (HMO)
H3251-002-0 		HMO $520 Yes Yes No Yes No No 7,233
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H9431-001-0 		Local PPO $420 No No 5,609
Molina Healthcare of New Mexico, Inc. Molina Medicare Choice Care Plus (HMO)
H9082-010-0 		HMO $0 No Yes No No Yes No 4,208
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (HMO)
H3822-802-0 		HMO $0 No No 3,644
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-047-0 		Local PPO $300 No Yes No Yes Yes No 3,508
Humana HumanaChoice H5216-137 (PPO)
H5216-137-0 		Local PPO $200 No Yes No Yes No No 3,331
Cigna Cigna True Choice Savings Medicare (PPO)
H7849-028-0 		Local PPO $300 No Yes $2,000 No No No No 3,253
Wellcare by Allwell Wellcare Dual Liberty (HMO D-SNP)
H2134-001-0 		HMO $1,300 No Yes $1,500 No Yes Yes Yes 3,237
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H2134-003-0 		HMO $700 No Yes $1,500 No Yes Yes Yes 3,161
Humana Humana Honor (PPO)
H5216-213-0 		Local PPO $300 No Yes No Yes No No 2,853
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-034-0 		Local PPO $1,200 No Yes $3,600 No Yes Yes No 2,623
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H6526-001-0 		HMOPOS $200 No Yes No Yes Yes No 2,525
Presbyterian Health Plan Presbyterian Senior Care Plan 3 with Rx (HMO)
H3204-007-0 		HMO $0 No Yes No Yes No No 2,508
Humana HumanaChoice H5216-078 (PPO)
H5216-078-2 		Local PPO $200 No Yes No Yes No No 2,499
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-116-0 		Local PPO $220 No Yes No Yes Yes No 2,296
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No No 2,272
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-049-0 		Local PPO $300 No Yes No Yes Yes No 1,934
Presbyterian Health Plan Presbyterian Senior Care Plan 1 (HMO)
H3204-008-0 		HMO $0 No Yes No Yes No No 1,822
Humana HumanaChoice H5216-339 (PPO)
H5216-339-0 		Local PPO $200 No Yes No Yes No No 1,807
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-118-0 		Local PPO $180 No Yes No Yes Yes No 1,747
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-115-0 		Local PPO $260 No Yes No Yes Yes No 1,723
Amerigroup Community Care of New Mexico Amerivantage Plus (HMO)
H5746-018-0 		HMO $420 Yes Yes $3,000 No Yes Yes No 1,699
Presbyterian Health Plan Presbyterian UltraFlex (HMO-POS)
H3204-015-0 		HMOPOS $860 Yes Yes No Yes No No 1,671
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No 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 $1,180 Yes Yes $2,000 No No No No 1,445
Amerigroup Community Care of New Mexico Amerivantage Care Access (HMO)
H5746-016-0 		HMO $1,020 Yes Yes $3,000 No Yes Yes No 1,436
Humana HumanaChoice H5216-341 (PPO)
H5216-341-0 		Local PPO $300 No Yes No Yes No No 1,425
Humana HumanaChoice H5216-260 (PPO)
H5216-260-0 		Local PPO $240 Yes Yes No Yes No No 1,404
Presbyterian Insurance Company, Inc. Presbyterian MediCare PPO Plan 2 with Rx (PPO)
H3206-001-0 		Local PPO $0 No Yes No Yes No No 1,397
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Basic (HMO)
H3822-002-0 		HMO $0 No 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 $820 Yes Yes $2,000 No No No No 1,285
Cigna Cigna Preferred Savings Medicare (HMO)
H0672-005-0 		HMO $460 No Yes $2,000 No No No No 1,174
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-035-0 		Local PPO $1,020 No Yes $3,600 No Yes Yes No 990
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-033-0 		Local PPO $900 No Yes $3,600 No Yes Yes No 984
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No No 967
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-117-0 		Local PPO $220 No Yes No Yes Yes No 873
Wellcare by Allwell Wellcare No Premium Open (PPO)
H9976-002-0 		Local PPO $228 No Yes $1,000 No Yes Yes No 853
CHRISTUS Health Plan Generations CHRISTUS Health Plan Generations Plus (HMO)
H1189-002-0 		HMO $460 No Yes No Yes Yes Yes 814
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Choice Plus (PPO)
H8634-002-0 		Local PPO $200 Yes Yes $1,000 No No No No 807
Blue Cross and Blue Shield of New Mexico Blue Cross Group Medicare Advantage Plan (HMO)
H3251-804-0 		HMO $0 No No 783
Humana HumanaChoice H5216-077 (PPO)
H5216-077-0 		Local PPO $300 No Yes No Yes No No 774
Wellcare by Allwell Wellcare No Premium (HMO)
H2134-005-0 		HMO $264 No Yes $1,000 No Yes Yes Yes 631

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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