Medicare Advantage Plans for Bernalillo County, New Mexico
- 73 Total Plans
 - 136,205 Seniors Eligible for Medicare
 - 78,219 Seniors on Medicare Advantage (57%)
 - 9 plans with 9,078 seniors have enough OTC benefit to fully cover MDHearing hearing aids
 - 32 plans with 27,889 seniors have OTC benefits that partially cover MDHearing hearing aids
 - 27% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
 
| 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 | 14,468 | ||
| Humana | 
                    Humana Gold Plus H0028-019 (HMO) H0028-019-0  | 
                HMO | $100 per Quarter | No | $400 | Yes | No | No | Yes | No | No | 8,965 | |
| Presbyterian Health Plan | 
                    Presbyterian Dual Plus (HMO D-SNP) H3204-013-5  | 
                HMO | No | $0 | Yes | $1,500 | No | No | No | No | No | 6,204 | |
| Presbyterian Health Plan | 
                    Presbyterian Senior Care Emp Group Plan 4 (HMO-POS) H3204-808-0  | 
                HMOPOS | No | $0 | No | 6,108 | |||||||
| 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 | 4,515 | |
| UnitedHealthcare | 
                    UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0  | 
                Local PPO | No | $0 | No | 4,222 | |||||||
| 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 | 3,087 | 
| UnitedHealthcare | 
                    AARP Medicare Advantage Choice Plan 2 (PPO) H2228-047-0  | 
                Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | Yes | No | 2,449 | |
| UnitedHealthcare | 
                    AARP Medicare Advantage (HMO-POS) H6526-001-0  | 
                HMOPOS | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 1,740 | |
| Presbyterian Health Plan | 
                    Presbyterian Senior Care Plan 3 with Rx (HMO) H3204-007-0  | 
                HMO | No | $0 | Yes | No | No | Yes | No | No | 1,711 | ||
| Blue Cross and Blue Shield of IL, NM | 
                    Blue Cross Group Medicare Advantage (HMO) H3822-802-0  | 
                HMO | No | $0 | No | 1,565 | |||||||
| UnitedHealthcare | 
                    AARP Medicare Advantage Choice Plan 1 (PPO) H2228-116-0  | 
                Local PPO | $55 per Quarter | No | $220 | Yes | No | No | Yes | Yes | No | 1,515 | |
| 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 | 1,434 | 
| Presbyterian Health Plan | 
                    Presbyterian Senior Care Plan 1 (HMO) H3204-008-0  | 
                HMO | No | $0 | Yes | No | No | Yes | No | No | 1,254 | ||
| Humana | 
                    Humana Value Plus H5216-199 (PPO) H5216-199-0  | 
                Local PPO | $175 per Quarter | No | $700 | Yes | No | No | Yes | No | No | 1,090 | |
| 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 | 1,079 | 
| Blue Cross and Blue Shield of IL, NM | 
                    Blue Cross Medicare Advantage Basic (HMO) H3822-002-0  | 
                HMO | No | $0 | No | 1,067 | |||||||
| 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 | 962 | 
| Presbyterian Health Plan | 
                    Presbyterian UltraFlex (HMO-POS) H3204-015-0  | 
                HMOPOS | $215 per Quarter | Yes | $860 | Yes | No | No | Yes | No | No | 913 | |
| 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 | 899 | 
| 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 | 867 | 
| 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 | 842 | |
| 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 | 721 | 
| Blue Cross and Blue Shield of New Mexico | 
                    Blue Cross Group Medicare Advantage Plan (HMO) H3251-804-0  | 
                HMO | No | $0 | No | 647 | |||||||
| Humana | 
                    Humana Medicare Employer (PPO) H5216-805-0  | 
                Local PPO | No | $0 | No | 646 | |||||||
| Cigna Healthcare | 
                    Cigna Preferred Savings Medicare (HMO) H0672-005-0  | 
                HMO | $95 per Quarter | No | $380 | Yes | No | No | Yes | No | No | 620 | |
| Humana | 
                    Humana Honor (PPO) H5216-213-0  | 
                Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 568 | |
| Humana | 
                    HumanaChoice H5216-078 (PPO) H5216-078-2  | 
                Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 536 | |
| 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 | 505 | 
| 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 | 487 | ||
| Humana | 
                    HumanaChoice H5216-260 (PPO) H5216-260-0  | 
                Local PPO | $60 per Quarter | Yes | $240 | Yes | No | No | Yes | No | No | 455 | |
| 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 | 427 | 
| InnovAge New Mexico PACE | 
                    Total Community Care (PACE) H5213-001-0  | 
                National PACE | No | $0 | No | 406 | |||||||
| Humana | 
                    HumanaChoice H5216-196 (PPO) H5216-196-2  | 
                Local PPO | $30 per Quarter | No | $120 | Yes | No | No | Yes | No | No | 389 | |
| 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 | 363 | 
| Humana | 
                    Humana Medicare Employer (HMO) H0028-801-0  | 
                HMO | No | $0 | No | 329 | |||||||
| UnitedHealthcare | 
                    UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0  | 
                Local PPO | No | $0 | No | 306 | |||||||
| Aetna Medicare | 
                    Aetna Medicare Plan w/Rx (PPO) H5521-802-0  | 
                Local PPO | No | $0 | No | 236 | |||||||
| UnitedHealthcare | 
                    AARP Medicare Advantage Patriot (PPO) H2228-098-0  | 
                Local PPO | $60 per Quarter | No | $240 | Yes | No | No | Yes | Yes | No | 233 | |
| Blue Cross and Blue Shield of NM, TX | 
                    Blue Cross Medicare Advantage Choice Plus (PPO) H1666-012-0  | 
                Local PPO | $100 per Quarter | Yes | $400 | Yes | No | No | Yes | No | No | 228 | |
| Blue Cross and Blue Shield of IL, NM | 
                    Blue Cross Medicare Advantage Flex (PPO) H8634-015-0  | 
                Local PPO | No | $0 | Yes | No | No | Yes | No | No | 221 | ||
| Wellcare by Allwell | 
                    Wellcare No Premium (HMO) H2134-005-0  | 
                HMO | $98 per Quarter | No | $392 | Yes | $1,000 | No | No | Yes | Yes | No | 215 | 
| Aetna Medicare | 
                    Aetna Medicare Eagle Plan (PPO) H9431-017-0  | 
                Local PPO | $105 per Quarter | No | $420 | Yes | $2,500 | No | No | Yes | No | No | 198 | 
| Aetna Medicare | 
                    Aetna Medicare Plan (PPO) H5521-801-0  | 
                Local PPO | No | $0 | No | 176 | |||||||
| UnitedHealthcare | 
                    AARP Medicare Advantage Choice Rebate (PPO) H2228-125-0  | 
                Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | Yes | No | 143 | |
| UnitedHealthcare | 
                    UnitedHealthcare Group Medicare Advantage (PPO) H2001-869-0  | 
                Local PPO | No | $0 | No | 143 | |||||||
| UnitedHealthcare | 
                    UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0  | 
                Local PPO | No | $0 | No | 138 | |||||||
| Blue Cross and Blue Shield of IL, NM | 
                    Blue Cross Medicare Advantage Classic (PPO) H8634-010-0  | 
                Local PPO | $75 per Quarter | Yes | $300 | Yes | No | No | Yes | No | No | 133 | |
| Humana | 
                    HumanaChoice H5216-137 (PPO) H5216-137-0  | 
                Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 127 | |
| Humana | 
                    HumanaChoice H5216-341 (PPO) H5216-341-0  | 
                Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 118 | |
| 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 | 103 | 
| Presbyterian Health Plan | 
                    Presbyterian Senior Care Emp Group Plan 1 with Rx (HMO) H3204-801-0  | 
                HMO | No | $0 | No | 102 | |||||||
| Anthem Blue Cross and Blue Shield | 
                    Anthem Medicare Preferred (PPO) H4036-802-0  | 
                Local PPO | No | $0 | No | 101 | |||||||
| Humana | 
                    HumanaChoice H5216-077 (PPO) H5216-077-0  | 
                Local PPO | $100 per Quarter | Yes | $400 | Yes | No | No | Yes | No | No | 100 | |
| UnitedHealthcare | 
                    UnitedHealthcare Group Medicare Advantage (PPO) H2001-847-0  | 
                Local PPO | No | $0 | No | 96 | |||||||
| Blue Cross and Blue Shield of NM, TX | 
                    Blue Cross Medicare Advantage Dental Premier (PPO) H1666-016-0  | 
                Local PPO | $50 per Quarter | Yes | $200 | Yes | No | No | Yes | No | No | 90 | |
| Wellcare by Allwell | 
                    Wellcare Assist Open (PPO) H9976-001-0  | 
                Local PPO | $75 per Quarter | No | $300 | Yes | $1,500 | No | No | Yes | Yes | No | 76 | 
| Blue Cross and Blue Shield of NM, TX | 
                    Blue Cross Medicare Advantage Health Choice (PPO) H1666-014-0  | 
                Local PPO | $50 per Quarter | Yes | $200 | Yes | No | No | Yes | No | No | 73 | |
| Wellcare by Allwell | 
                    Wellcare Assist (HMO) H2134-004-0  | 
                HMO | $100 per Quarter | No | $400 | Yes | $1,500 | No | No | Yes | Yes | Yes | 72 | 
| Aetna Medicare | 
                    Aetna Medicare Plan w/Rx $75 Buy-Down (PPO) H5521-812-0  | 
                Local PPO | No | $0 | No | 55 | |||||||
| Blue Cross Blue Shield of Michigan | 
                    Medicare Plus Blue PPO Employer CY (PPO) H9572-802-0  | 
                Local PPO | No | $0 | No | 50 | |||||||
| Humana | 
                    Humana Gold Choice H8145-123 (PFFS) H8145-123-0  | 
                PFFS | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 46 | |
| Blue Cross and Blue Shield of NM, TX | 
                    Blue Cross Medicare Advantage Saver Plus (PPO) H1666-015-0  | 
                Local PPO | No | $0 | Yes | No | No | Yes | No | No | 42 | ||
| Wellcare by Allwell | 
                    Wellcare Giveback Open (PPO) H9976-004-0  | 
                Local PPO | $55 per Quarter | No | $220 | Yes | $1,000 | No | No | Yes | Yes | No | 38 | 
| Presbyterian Insurance Company, Inc. | 
                    Presbyterian MediCare PPO Plan 1 (PPO) H3206-003-0  | 
                Local PPO | No | $0 | Yes | No | No | Yes | No | No | 36 | ||
| Blue Cross and Blue Shield of Montana | 
                    Blue Cross Group Medicare Advantage (PPO) H0107-803-0  | 
                Local PPO | No | $0 | No | 35 | |||||||
| Anthem Blue Cross and Blue Shield | 
                    Anthem Medicare Preferred (PPO) H4036-801-0  | 
                Local PPO | No | $0 | No | 32 | |||||||
| Blue Cross and Blue Shield of IL, NM | 
                    Blue Cross Group Medicare Advantage (PPO) H8634-813-0  | 
                Local PPO | No | $0 | No | 23 | |||||||
| Molina Healthcare of New Mexico, Inc. | 
                    Molina Medicare Choice Care Select (HMO) H9082-011-0  | 
                HMO | $110 per Quarter | No | $440 | No | 21 | ||||||
| UnitedHealthcare | 
                    UnitedHealthcare Group Medicare Advantage (PPO) H2001-870-0  | 
                Local PPO | No | $0 | No | 17 | |||||||
| UnitedHealthcare | 
                    UnitedHealthcare Group Medicare Advantage (PPO) H2001-866-0  | 
                Local PPO | No | $0 | No | 17 | |||||||
| Blue Cross and Blue Shield of New Mexico | 
                    Blue Cross Medicare Advantage Dental Value (HMO) H3251-030-0  | 
                HMO | No | $0 | Yes | No | No | Yes | No | No | 12 | ||
| Wellcare by Allwell | 
                    Wellcare Patriot No Premium (HMO) H2134-006-0  | 
                HMO | $100 per Quarter | No | $400 | Yes | $1,500 | No | No | Yes | Yes | Yes | 12 |