New Mexico MedicareAdvantage Plans
HEALTH PLANS FOR SENIORS
Medicare Advantage Plans in New Mexico
Medicare Advantage plans in New Mexico are similar to an HMO and PPO and provide seniors with another Medicare insurance option for coverage.New Mexico Medicare Advantage plans, also called Part C or MA Plans are offered by private companies approved by Medicare. You can join, switch, or drop a Medicare Advantage Plan at these times:
- When you first become eligible for Medicare (3 months before you turn age 65 to 3 months after the month you turn age 65). If you get Medicare due to a disability, you can join during the 3 months before to 3 months after your 25th month of disability.
- Between November 15 – December 31 each year. If you sign up during this period your coverage will begin on January 1 of the following year.
- Between January 1 – March 31 of each year. However, you can't join or switch to a plan with prescription drug coverage during this time unless you already have Medicare prescription drug coverage (Part D). You also can't drop a plan with prescription drug coverage or join, switch, or drop a Medicare Medical Savings Account Plan during this period.
In most cases, you must stay enrolled for that calendar year starting the date your coverage begins. However, in certain situations, you may be able to join, switch, or drop a Medicare Advantage Plan at other times. Some of these situations include the following: If you move out of your plan's service area in New Mexico, or if you have both Medicare and Medicaid.
Medicare Advantage Health Plans in New Mexico
Below are Medicare Advantage plans available to residents of New Mexico. 10 carriers offer 25 plans throughout the state of New Mexico. Residents may choose plans from carriers such as Humana Health Plan Inc., Presbyterian Senior Care (HMO) and Presbyterian MediCare PPO. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas.
| Carrier | Plan Title | Plan Type |
|---|---|---|
| Humana Health Plan Inc. | Humana Gold Plus H3028-001 (HMO) (H3028-001) | HMO |
| Presbyterian Senior Care (HMO) | Presbyterian Senior Care Plan 2 with Rx (HMO) (H3204-001) | HMO |
| Presbyterian Senior Care (HMO) | Presbyterian Senior Care Plan 3 with Rx (HMO) (H3204-007) | HMO |
| Presbyterian Senior Care (HMO) | Presbyterian Senior Care Plan 1 (HMO) (H3204-008) | HMO |
| Presbyterian MediCare PPO | Presbyterian MediCare PPO Plan 2 with Rx (PPO) (H3206-001) | Local Preferred Provider Organization |
| Presbyterian MediCare PPO | Presbyterian MediCare PPO Plan 3 with Rx (PPO) (H3206-002) | Local Preferred Provider Organization |
| Presbyterian MediCare PPO | Presbyterian MediCare PPO Plan 1 (PPO) (H3206-003) | Local Preferred Provider Organization |
| Evercare® by UnitedHealthcare | Evercare Plan IP (PPO SNP) (H3209-001) | Local Preferred Provider Organization |
| Evercare® by UnitedHealthcare | Evercare Plan DP (PPO SNP) (H3209-002) | Local Preferred Provider Organization |
| Lovelace Senior Plan | Lovelace Senior Plan -- Standard Plan (HMO) (H3251-002) | HMO |
| Lovelace Senior Plan | Lovelace Senior Plan -- Enhanced Plan (HMO-POS) (H3251-021) | HMO with POS Option |
| Lovelace Senior Plan | Lovelace Senior Plan - Medical Only (HMO) (H3251-023) | HMO |
| Lovelace Senior Plan | San Juan Medicare Plus - Standard (HMO) (H3251-024) | HMO |
| Lovelace Senior Plan | San Juan Medicare Plus - Enhanced (HMO-POS) (H3251-025) | HMO with POS Option |
| SecureHorizons by UnitedHealthcare | AARP MedicareComplete Choice (PPO) (H4522-001) | Local Preferred Provider Organization |
| SecureHorizons by UnitedHealthcare | Evercare Plan DP (PPO SNP) (H4522-007) | Local Preferred Provider Organization |
| Total Community Care | Total Community Care (PACE) (H5213-001) | National PACE |
| Total Community Care | Total Community Care (PACE) (H5213-002) | National PACE |
| Amerigroup Community Care of New Mexico | Amerivantage Specialty + Rx (HMO SNP) (H5746-006) | HMO |
| Amerigroup Community Care of New Mexico | Amerivantage Choice + Rx (HMO-POS) (H5746-012) | HMO with POS Option |
| Humana Insurance Company | HumanaChoice H6411-002 (PPO) (H6411-002) | Local Preferred Provider Organization |
| Humana Insurance Company | HumanaChoice H6411-007 (PPO) (H6411-007) | Local Preferred Provider Organization |
| Humana Insurance Company | HumanaChoice H6411-008 (PPO) (H6411-008) | Local Preferred Provider Organization |
| Humana Insurance Company | Humana Gold Choice H8145-078 (PFFS) (H8145-078) | Private Fee for Service |
| Molina Healthcare of New Mexico Inc. | Molina Medicare Options (HMO) (H9082-002) | HMO |
New Mexico Plan Data by County
- Bernalillo, NM Medicare Advantage Plans
- Catron, NM Medicare Advantage Plans
- Chaves, NM Medicare Advantage Plans
- Cibola, NM Medicare Advantage Plans
- Colfax, NM Medicare Advantage Plans
- Curry, NM Medicare Advantage Plans
- De Baca, NM Medicare Advantage Plans
- Dona Ana, NM Medicare Advantage Plans
- Eddy, NM Medicare Advantage Plans
- Grant, NM Medicare Advantage Plans
- Guadalupe, NM Medicare Advantage Plans
- Harding, NM Medicare Advantage Plans
- Hidalgo, NM Medicare Advantage Plans
- Lea, NM Medicare Advantage Plans
- Lincoln, NM Medicare Advantage Plans
- Los Alamos, NM Medicare Advantage Plans
- Luna, NM Medicare Advantage Plans
- Mckinley, NM Medicare Advantage Plans
- Mora, NM Medicare Advantage Plans
- Otero, NM Medicare Advantage Plans
- Quay, NM Medicare Advantage Plans
- Rio Arriba, NM Medicare Advantage Plans
- Roosevelt, NM Medicare Advantage Plans
- San Juan, NM Medicare Advantage Plans
- San Miguel, NM Medicare Advantage Plans
- Sandoval, NM Medicare Advantage Plans
- Santa Fe, NM Medicare Advantage Plans
- Sierra, NM Medicare Advantage Plans
- Socorro, NM Medicare Advantage Plans
- Taos, NM Medicare Advantage Plans
- Torrance, NM Medicare Advantage Plans
- Union, NM Medicare Advantage Plans
- Valencia, NM Medicare Advantage Plans

