Medicare Advantage Plans for Dona Ana County, New Mexico

  • 47 Total Plans
  • 45,120 Seniors Eligible for Medicare
  • 22,342 Seniors on Medicare Advantage (50%)
  • 8 plans with 915 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 21 plans with 17,651 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 41% 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
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-023-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 10,695
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 1,944
Humana HumanaChoice H5216-196 (PPO)
H5216-196-2 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 1,748
Presbyterian Health Plan Presbyterian Dual Plus (HMO D-SNP)
H3204-013-5 		HMO No $0 Yes $1,500 No No No No No 1,705
Humana Humana Value Plus H5216-199 (PPO)
H5216-199-0 		Local PPO $175 per Quarter No $700 Yes No No Yes No No 684
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 476
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 454
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 426
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 393
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 382
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 312
Humana HumanaChoice H5216-137 (PPO)
H5216-137-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 256
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 256
Humana Humana Honor (PPO)
H5216-213-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 249
Wellcare by Allwell Wellcare No Premium (HMO)
H2134-005-0 		HMO $98 per Quarter No $392 Yes $1,000 No No Yes Yes No 233
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 203
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (HMO)
H3822-802-0 		HMO No $0 No 162
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 145
Humana HumanaChoice H5216-341 (PPO)
H5216-341-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 128
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 126
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 115
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 82
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 77
Humana HumanaChoice H5216-077 (PPO)
H5216-077-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 66
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 4 (HMO-POS)
H3204-808-0 		HMOPOS No $0 No 65
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 64
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 61
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 56
Wellcare by Allwell Wellcare Assist (HMO)
H2134-004-0 		HMO $100 per Quarter No $400 Yes $1,500 No No Yes Yes Yes 51
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 49
Humana Humana Gold Choice H8145-123 (PFFS)
H8145-123-0 		PFFS $25 per Quarter No $100 Yes No No Yes No No 44
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 41
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 41
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 37
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 37
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 35
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 29
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 27
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 27
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 23
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 22
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 20
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 20
Molina Healthcare of New Mexico, Inc. Molina Medicare Choice Care Select (HMO)
H9082-011-0 		HMO $110 per Quarter No $440 No 17
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 15
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 13
Wellpoint STAR+PLUS MMP Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan)
H8786-001-0 		Medicare-Medicaid Plan HMO $51 per Quarter Yes $204 Yes $2,000 No No No Yes Yes 11
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