New Mexico Medicare Advantage enrollees make up 138,853 of total Medicare Advantage beneficiaries. The participation rate for this figure is 41.83%, and most enrollees are age 71. All-in-one Medicare Advantage plans cover Original Medicare and provide further benefits.

The following sections will explain the available Medicare Advantage plans for New Mexico as of 2023.

New Mexico Medicare Advantage Plans Work

Medicare Advantage plans include coverage for Original Medicare Parts A and B, and many feature prescription drug coverage. Private carriers offer these plans to help you save on Medicare expenses.

Plans and their carriers vary between states, so understanding your coverage is essential. Not all include prescription coverage, while others may have extra inclusions. Between four and 45 plans are available to New Mexico residents, depending on their location. This level of availability is standard across many states.

Medicare Advantage Plans Offers in New Mexico

New Mexico Medicare Advantage plans are dissimilar to Medigap and other supplemental options as they don’t offer the same benefits in every location. Instead, patients receive certain benefits depending on their ZIP code. Plan inclusions may change per location.

The following sections list the available Medicare Advantage plans in New Mexico. Many have zero-dollar premiums, some have a zero-dollar drug deductible, and others include a decreased Part B premium.

Medicare Advantage Plans with a Zero-dollar Premium in New Mexico

Medicare Advantage plans with no-cost premiums are plentiful in New Mexico. However, the downside is that these plans often include higher deductibles.

Getting an Amerigroup (HMO) plan costs New Mexicans nothing per month. However, beneficiaries may pay up to $6,700 MOOP. This three-star plan gives patients extra drug coverage and additional fitness perks.

Choose Presbyterian Health (HMO) for three-star coverage and no premium. Patients may pay no more than $4,500 MOOP. With this choice, patients receive highly affordable dental benefits and other services.

United Healthcare (Local PPO) offers a four-star plan for no monthly charge. New Mexico beneficiaries can pay up to $4,300 MOOP.

PLAN PREMIUM MOOP PLAN TYPE STAR RATINGS
Amerigroup $0 $6,700 HMO 3
Humana $0 $5,200 LOCAL PPO 4
Wellcare $0 $3,450 HMO N/A
Presbyterian Health $0 $4,500 HMO 3
Cigna $0 $5,700 LOCAL PPO 4

Medicare Advantage Plans with a Zero-dollar Drug Deductible in New Mexico

Several New Mexico Medicare Advantage plans feature no drug deductible, so you can begin saving as soon as you have coverage. These plans usually have higher premiums to compensate for having no deductible.

Presbyterian Health (HMO) features no drug deductible and no premium. Patients pay $4,500 maximum out-of-pocket for this plan. Patients indicate satisfaction with a three-star plan rating.

Humana (HMO) costs zero dollars monthly for the premium and deductible. However, you may pay up to $4,000 MOOP annually for its four-star coverage.

Another excellent option, Cigna (Local PPO), features a zero-dollar drug deductible and no monthly premium. This plan also has a star rating of three. Patients spend as much as $5,700 MOOP.

PLAN PREMIUM MOOP PLAN TYPE STAR RATINGS
Amerigroup $0 $6,700 HMO 3
Presbyterian Health $0 $4,500 HMO 3
Humana $0 $4,000 HMO 4
Cigna $0 $5,700 LOCAL PPO 3
United Healthcare $0 $4,300 LOCAL PPO 4

Medicare Advantage Plans with a Part B Reduction in New Mexico

Medicare Advantage plans with Part B reductions aren’t available everywhere. They may only be available in select parts of New Mexico. Depending on your state and ZIP code, your carriers may offer a Part B giveback.

Humana offers no monthly premium but requires up to $7,550 MOOP. Patients receive a Part B reduction of $45 off their Original Medicare premium. The plan’s four stars indicate beneficiaries enjoy its offerings.

Molina Healthcare also features a premium at no cost. Patients may get up to $74 off their monthly Part B premium. The plan’s three-star rating indicates general satisfaction.

A Part B reduction from Aetna brings beneficiaries a $40 giveback. They pay no premium but can pay up to $5,000 in maximum out-of-pocket costs.

PLAN PREMIUM MOOP PART B REDUCTION STAR RATINGS
Humana $0 $7,550 $45.00 4
Cigna $0 $5,700 $30.00 3
United Healthcare $0 $4,300 $50.00 4
Molina Healthcare $0 $7,550 $74.00 3
Aetna $0 $5,000 $40.00 3

Ancillary/DVH

Medicare Advantage does offer more benefits than just coverage for Original Medicare. Many plans include benefits like prescription drug coverage, fitness club memberships, dental, vision, and hearing coverage.

FAQs

Do Medicare Advantage plans increase with age in New Mexico?

Medicare Advantage are annual contracts, the plans dont have annual increases. You’ll recive and annual notice of change outlineing what the costs will be for the following year prior to the Annual Enrollment Period.

What are the four types of Medicare Advantage plans in New Mexico?

The four types of Medicare Advantage plans in New Mexico include Health Maintenance Organization plans, Preferred Provider Organization plans, Private Fee-for-Service Plans, and Special Needs Plans. These plans come with restrictions regarding service providers.

What is the difference between regular Medicare and Medicare Advantage in New Mexico?

The difference between regular Medicare and Medicare Advantage is that Original Medicare doesn’t include extra benefits or Part D coverage. You can add supplemental coverage like Medigap with an Original Medicare plan, but not with Medicare Advantage.

Who qualifies for Medicare Advantage in New Mexico?

Those qualifying for New Mexico Medicare Advantage are New Mexico residents already eligible for Medicare’s Part A and Part B. Beneficiaries must live in the ZIP code for their chosen plan and carrier.

Which type of coverage might a Medicare Advantage plan exclude?

Coverage insurance companies may exclude from a Medicare Advantage plan includes cosmetic procedures, non-medical services, some preventative services, and personal care. They may also exclude vision care and dental care. It’s essential to understand your benefits before choosing a plan.

How to Get Help Enrolling in a New Mexico Medicare Advantage Plan

With our team, you can get help enrolling in a New Mexico Medicare Advantage plan today. Before applying, see what plans are available in your area through Medigap.com. Professionals here have the knowledge and experience to assist you in your plan selection.

We track the state’s top carriers and plans to help you find worthwhile coverage. Whether you need to compare multiple plans or already have one in mind, we’ll help you make the right decision.

Our team offers plan comparison services completely free. Speak to our experts or complete our online rate form to be paired with the best rates in your area.

Written By:
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Lindsay Malzone, Lindsay Malzone is the Medicare editor for Medigap.com. She's been contributing to many well-known publications since 2017. Her passion is educating Medicare beneficiaries on all their supplemental Medicare options so they can make an informed decision on their healthcare coverage.
Reviewed By:
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Rodolfo Marrero, Rodolfo Marrero is one of the co-founders at Medigap.com. He has been helping consumers find the right coverage since the site was founded in 2013. Rodolfo is a licensed insurance agent that works hand-in-hand with the team to ensure the accuracy of the content.