331,959 Albuquerque, New Mexico residents have Original Medicare coverage. Of those 331,959 beneficiaries, 138,853 (41.83%) purchased a separate Medicare Advantage plan.
Albuquerque, New Mexico, Medicare Advantage plans provide numerous benefits to qualified enrollees, making specific healthcare services more affordable.
Albuquerque, New Mexico Medicare plans
Medicare Supplement plans prevent beneficiaries from paying for medical services that Albuquerque, New Mexico, Original Medicare doesn’t cover. They prevent enrollees from paying out of pocket, making specific healthcare treatments like dental, vision, and hearing more economical.
We based the following information on 65-year-old female beneficiaries.
Affordable Medicare Advantage plans in Albuquerque, New Mexico
Albuquerque residents can choose among 45 different Medicare Advantage plans, each with unique coverage and benefits. Below are some of the best Albuquerque, New Mexico, Medicare Advantage plans.
Amerigroup offers three-star HMO (Health Maintenance Organization) Medicare Advantage plan types with zero-dollar premiums and a $6,700 MOOP (Maximum Out-of-Pocket). These plans include some prescription drug coverage. While they cover basic vision and dental services, beneficiaries can add additional coverage.
Humana provides four-star local PPO (Preferred Provider Organization) Medicare Advantage plans without premiums and a $5,200 MOOP. These plans include prescription drug coverage, offering a $0 deductible on Tier 1, 2, and 3 drugs. There’s also a $0 copay for in-network doctor visits.
WellCare carries HMO Medicare Advantage plans with zero-dollar premiums and a $3,450 MOOP. Although these plans don’t have a star rating, they are prevalent among Albuquerque residents. These plans cover dental, vision, hearing, and some prescription drugs.
| PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
| 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 |
Average Medicare Supplement plans in Albuquerque, NM
Medicare Supplement plans are government-standardized plans that cover the costs of specific healthcare services not covered by Original Medicare.
Since the United States government standardized these plans nationwide, their benefits don’t change among states, private insurance providers, or zip codes. However, the monthly premiums often differ depending on the state, region, and carrier.
Medigap Plan G is an exceedingly popular Medicare Supplement plan in Albuquerque, New Mexico, due to its broad coverage and affordable cost. Monthly premiums range from $98.58 to $336.07. However, it doesn’t cover the Part B deductible.
Medigap Plan F is another front-running plan since it’s the most comprehensive policy currently available in Albuquerque. Premiums cost between $117 to $361. Plan F offers the most comprehensive coverage, including the Part B deductible.
Albuquerque beneficiaries that want extensive coverage without costly premiums can buy a high-deductible plan. Medigap HDF, commonly called High Deductible Plan F, provides nearly identical coverage as Medigap plan F with lower premiums. Monthly premiums range between $26 to $83.47.
| LETTER PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
| PLAN A | $78.00 | $306.50 |
| PLAN B | $118.00 | $301.00 |
| PLAN C | $112.00 | $358.75 |
| PLAN D | $98.38 | $199.41 |
| PLAN F | $117.00 | $361.00 |
| PLAN HDF | $26.00 | $83.47 |
| PLAN G | $98.58 | $336.07 |
| PLAN HDG | $26.00 | $51.03 |
| PLAN K | $38.56 | $97.75 |
| PLAN L | $61.33 | $196.54 |
| PLAN M | $94.80 | $210.86 |
| PLAN N | $75.23 | $329.14 |
Cheapest Medicare Part D prescription drug plans
Unfortunately, Medigap plans don’t include medication coverage, and only a handful of Albuquerque, New Mexico Medicare Advantage plans help pay for prescription drugs. To make their prescriptions more affordable, many residents purchase a standalone Medicare Part D plan to cover the cost of their prescription medications.
Aetna offers a three-star Medicare Part D plan in Albuquerque, New Mexico, with $7.60 premiums and a $480 annual deductible. These Medicare Part D plans are the most affordable currently available in Albuquerque. They offer a $0 deductible on Tier 1 prescription drugs.
Humana offers four-star Part D plans with $22.70 monthly premiums and $480 deductibles. This deductible shrinks to $0 for Tier 1 and 2 drugs. Drug copays are also relatively low, starting at just $10.
Elixir carries three-star Medicare Part D plans with $31.40 premiums and a $480 annual deductible. Copays start low with these plans, coming in at just $1 for Tier 1 drugs. These plans have a three-star rating.
| PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
| Aetna | $7.60 | $480 | 3 |
| Wellcare | $8.70 | $480 | 3 |
| Humana | $22.70 | $480 | 4 |
| UnitedHealthcare | $29.40 | $310 | 4 |
| Elixir | $31.40 | $480 | 3 |
Medicare Special Needs plans
Albuquerque, New Mexico residents on Medicare with chronic disabilities or special needs qualify for Medicare Special Needs Plans (SNPs). These plans are a subset of Medicare Advantage plans designed for people with specific medical conditions and handicaps. However, SNPs aren’t available in every Albuquerque zip code.
WellCare offers beneficiaries with dual eligibility (enrolled in Medicare and Medicaid simultaneously) HMO Special Needs Plans with zero-dollar premiums and a $3,450 MOOP. These plans cover Parts A, B, and D, which also covers prescription drugs. For Tier 1 drugs, there is no deductible.
Amerigroup also carries HMO SNPs with zero-dollar premiums and a $36,700 MOOP. Enrollees must have a chronic or disabling condition to qualify. These plans cover vision, dental, and hearing, along with offering special fitness programs.
Blue Cross Blue Shield offers local PPO Special Needs Plans with $18.30 monthly premiums and a $7,550 MOOP. Beneficiaries must have Medicaid and Medicare to qualify. For those who qualify for the Extra Help program, there are $0 copays on many prescription drugs.
| PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
| Wellcare | $0 | $3,450 | HMO | Dual |
| Amerigroup | $0 | $6,700 | HMO | Chronic/Disabling |
| UnitedHealthcare | $4.20 | $7,550 | LOCAL PPO | Chronic/Disabling |
| Blue Cross Blue Shield | $18.30 | $7,550 | LOCAL PPO | Dual |
| Presbyterian Health | $34.30 | $7,550 | HMO | Dual |
FAQs
When does Medicare coverage start in Albuquerque, NM?
Medicare’s Initial Enrollment Period starts three months before your 65th birthday. Potential beneficiaries have seven months to enroll in Albuquerque, New Mexico, Medicare. Failing to sign up during the Initial Enrollment Period often carries a financial penalty.
Does getting a Medicare Advantage plan make you lose Original Medicare in Albuquerque, NM?
No. However, suppose you enroll in an Albuquerque, New Mexico Medicare Advantage plan. You’ll receive most of your Part A and Part B benefits through your purchased policy instead of Original Medicare. Keep this in mind before committing to a specific plan.
What are Medigap premiums based on in Albuquerque, NM?
The private insurance carrier determines your Medigap premiums. They typically price Medigap premiums one of three ways:
- Community-rated
- Issue-age-rated
- Attained-age-rated
It’s best to research each policy to find the best plan that doesn’t surpass your financial means.
What is Medicare Part D in Albuquerque, NM?
Medicare Part D is an independent plan provided by private insurance carriers. These plans cover the costs of medications not covered by Original Medicare. Contact your local insurance provider to find Medicare Part D plans within your zip code.
How much does a Medigap policy cost in Albuquerque, NM?
It depends on which Medigap policy you purchase. Most Medigap plan A, N, and G beneficiaries pay between $68 to $329 monthly. However, these rates can differ among carriers and zip codes.
How to Sign Up for Supplemental Medicare in Albuquerque
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Please don’t wait until it’s too late. Give us a call or complete our online rate form to get the best Albuquerque rates today!
