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Medicare Advantage Plans in San Juan County, New Mexico

Below are Medicare Advantage plans available to residents of San Juan county, New Mexico. 3 carriers offer 5 plans throughout the county of San Juan. Residents may choose plans from Presbyterian MediCare PPO, Lovelace Medicare Plan or Molina Healthcare of New Mexico Inc.. 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. To speak to an advisor and find the Medicare Advantage plan in San Juan county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of San Juan

Carrier	Plan Title	Plan Type
Presbyterian MediCare PPO	Presbyterian MediCare PPO Plan 2 with Rx (PPO) (H3206-001)	Local Preferred Provider Organization
Premium and Other Important Information $3 400 out-of-pocket limit. All plan services included. $7 500 out-of-pocket limit. All plan services included. $86 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits. $35 copay for each primary care doctor visit $55 copay for each specialist visit
Presbyterian MediCare PPO	Presbyterian MediCare PPO Plan 3 with Rx (PPO) (H3206-002)	Local Preferred Provider Organization
Premium and Other Important Information $3 000 out-of-pocket limit. All plan services included. $7 500 out-of-pocket limit. All plan services included. $107 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $35 copay for each primary care doctor visit $55 copay for each specialist visit
Presbyterian MediCare PPO	Presbyterian MediCare PPO Plan 1 (PPO) (H3206-003)	Local Preferred Provider Organization
Premium and Other Important Information $3 000 out-of-pocket limit. All plan services included. $7 500 out-of-pocket limit. All plan services included. $49.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $35 copay for each primary care doctor visit $55 copay for each specialist visit
Lovelace Medicare Plan	Lovelace Medicare Plan (HMO) (H3251-024)	HMO
Premium and Other Important Information $2 800 out-of-pocket limit for Medicare-covered services. $15.3 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $20 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Molina Healthcare of New Mexico Inc.	Molina Medicare Options (HMO) (H9082-002)	HMO
Premium and Other Important Information $2 800 out-of-pocket limit for Medicare-covered services. $16 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $5 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits.

New Mexico Plan Data by County

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New Mexico Plan Data by City

• Albuquerque, NM Medicare Advantage Plans