Medicare Advantage Plans for New Mexico

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement Coverage? Covered Amount In Network Required? 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 Yes No No Yes No No 23,990
Humana HumanaChoice H5216-196 (PPO)
H5216-196-2 		Local PPO $120 Yes No No Yes No No 15,594
Humana Humana Gold Plus H0028-019 (HMO)
H0028-019-0 		HMO $400 Yes No No Yes No No 14,176
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-023-0 		Local PPO $200 Yes No No Yes Yes No 13,046
Presbyterian Health Plan Presbyterian Dual Plus (HMO D-SNP)
H3204-013-5 		HMO $0 Yes $2,000 No No No No No 12,599
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 5 (HMO-POS)
H3204-808-0 		HMOPOS $0 No 9,932
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No 8,588
Blue Cross and Blue Shield of New Mexico Blue Cross Medicare Advantage Select (HMO)
H3251-002-0 		HMO $400 Yes $1,000 No No No No No 8,172
Humana Humana Value Plus H5216-199 (PPO)
H5216-199-0 		Local PPO $960 Yes No No Yes No No 8,056
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (PPO)
H0271-010-0 		Local PPO $880 Yes $2,000 No No Yes Yes No 7,453
UnitedHealthcare AARP Medicare Advantage (HMO)
H6526-001-0 		HMO $160 Yes No No Yes Yes No 6,855
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (PPO)
H0271-011-0 		Local PPO $800 Yes $2,000 No No Yes Yes No 6,059
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H9431-001-0 		Local PPO $600 No 5,069
Wellcare by Allwell Wellcare Dual Liberty (HMO D-SNP)
H2134-001-0 		HMO $1,300 Yes $1,500 No No Yes Yes No 3,702
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage Plan (HMO)
H3822-802-0 		HMO $0 No 3,635
Presbyterian Health Plan Presbyterian Senior Care Plan 3 with Rx (HMO)
H3204-007-0 		HMO $0 Yes No No Yes No No 3,026
Humana HumanaChoice H5216-137 (PPO)
H5216-137-0 		Local PPO $200 Yes No No Yes No No 2,936
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-047-0 		Local PPO $240 Yes No No Yes Yes No 2,814
Humana Humana Honor (PPO)
H5216-213-0 		Local PPO $200 Yes No No Yes No No 2,250
Molina Healthcare of New Mexico, Inc. Molina Medicare Choice Care (HMO)
H9082-009-0 		HMO $1,860 Yes $2,500 No No No Yes No 2,082
Presbyterian Health Plan Presbyterian Senior Care Plan 1 (HMO)
H3204-008-0 		HMO $0 Yes No No Yes No No 2,022
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No 2,020
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Basic (HMO)
H3822-002-0 		HMO $0 No 1,969
Amerigroup Community Care of New Mexico Amerivantage Plus (HMO)
H5746-018-0 		HMO $376 Yes $3,000 No No Yes Yes No 1,967
Presbyterian Insurance Company, Inc. Presbyterian MediCare PPO Plan 2 with Rx (PPO)
H3206-001-0 		Local PPO $0 Yes No No Yes No No 1,765
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No 1,764
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-049-0 		Local PPO $240 Yes No No Yes Yes No 1,707
Blue Cross and Blue Shield of New Mexico Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
H3251-029-0 		HMO $1,020 No 1,365
Amerigroup Community Care of New Mexico Amerivantage Care Access (HMO)
H5746-016-0 		HMO $1,020 Yes $3,000 No No Yes Yes No 1,352
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No 1,149
Humana HumanaChoice H5216-077 (PPO)
H5216-077-0 		Local PPO $300 Yes No No Yes No No 1,021
Cigna Cigna True Choice Medicare (PPO)
H7849-028-0 		Local PPO $260 Yes $1,400 No No No No No 968
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Choice Plus (PPO)
H8634-002-0 		Local PPO $200 Yes $1,000 No No No No No 925
Cigna Cigna Preferred Medicare (HMO)
H0672-005-0 		HMO $460 Yes $1,400 No No No No No 866
Blue Cross and Blue Shield of New Mexico Blue Cross Group Medicare Advantage Plan (HMO)
H3251-804-0 		HMO $0 No 835
UnitedHealthcare AARP Medicare Advantage (HMO)
H6526-002-0 		HMO $0 Yes No No Yes Yes No 680
Wellcare by Allwell Wellcare No Premium (HMO)
H2134-005-0 		HMO $280 Yes $1,000 No No Yes Yes No 678
CHRISTUS Health Plan Generations CHRISTUS Health Plan Generations Plus (HMO)
H1189-002-0 		HMO $400 Yes No No Yes Yes Yes 633
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO $0 No 539
InnovAge New Mexico PACE Total Community Care (PACE)
H5213-001-0 		National PACE $0 No 469
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No 437
Humana Humana Medicare Employer (HMO)
H0028-801-0 		HMO $0 No 416
CHRISTUS Health Plan Generations CHRISTUS Health Plan Generations (HMO)
H1189-001-0 		HMO $200 Yes No No Yes Yes Yes 400
Humana Humana Gold Choice H8145-123 (PFFS)
H8145-123-0 		PFFS $100 Yes No No Yes No No 399
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2228-098-0 		Local PPO $200 Yes No No Yes Yes No 250
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No 202
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO $0 No 187
Presbyterian Health Plan Pres Senior Care Emp Group Plan 2 with Rx (HMO-POS)
H3204-801-0 		HMOPOS $0 No 156
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H2134-003-0 		HMO $780 Yes $1,500 No No Yes Yes No 113
Presbyterian Insurance Company, Inc. Presbyterian MediCare PPO Plan 1 (PPO)
H3206-003-0 		Local PPO $0 Yes No No Yes No No 70
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