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Medicare Advantage Plans in Santa Fe County, New Mexico

Below are Medicare Advantage plans available to residents of Santa Fe county, New Mexico. 8 carriers offer 18 plans throughout the county of Santa Fe. 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. To speak to an advisor and find the Medicare Advantage plan in Santa Fe county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Santa Fe

Carrier	Plan Title	Plan Type
Humana Health Plan Inc.	Humana Gold Plus H3028-001 (HMO) (H3028-001)	HMO
Premium and Other Important Information Humana Health Plan Inc. will reduce your monthly Medicare Part B premium by up to $ 25.00. Package: 1 - MyOption Enhanced Dental HMO: $24 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $2 900 out-of-pocket limit for Medicare-covered services. $0 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. $0 copay for each primary care doctor visit for Medicare-covered benefits. $20 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits.
Presbyterian Senior Care (HMO)	Presbyterian Senior Care Plan 2 with Rx (HMO) (H3204-001)	HMO
Premium and Other Important Information $3 000 out-of-pocket limit. All plan services included. $0 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 $5 copay for each primary care doctor visit for Medicare-covered benefits. $5 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
Presbyterian Senior Care (HMO)	Presbyterian Senior Care Plan 3 with Rx (HMO) (H3204-007)	HMO
Premium and Other Important Information $2 500 out-of-pocket limit. All plan services included. $59 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 $5 copay for each primary care doctor visit for Medicare-covered benefits. $5 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits.
Presbyterian Senior Care (HMO)	Presbyterian Senior Care Plan 1 (HMO) (H3204-008)	HMO
Premium and Other Important Information $2 500 out-of-pocket limit. All plan services included. $0.00 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 Doctor Office Visits $5 copay for each primary care doctor visit for Medicare-covered benefits. $5 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits.
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
UnitedHealthcare	UnitedHealthcare Dual Complete (PPO SNP) (H3209-002)	Local Preferred Provider Organization
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply. ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services.* In 2012 the annual Part B deductible amount is $0 or $140 .** Contact the plan for services that apply. $10 000 out-of-pocket limit for Medicare-covered services.* $21.3 monthly plan premium in addition to your monthly Medicare Part B premium.* 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 0% or 20% of the cost for each primary care doctor visit for Medicare-covered benefits.* 0% or 20% of the cost for each in-area network urgent care Medicare-covered visit* 0% or 20% of the cost for each specialist visit for Medicare-covered benefits.* 30% of the cost for each primary care doctor visit** 30% of the cost for each specialist visit**
Lovelace Medicare Plan	Lovelace Medicare Plan -- Standard Plan (HMO) (H3251-002)	HMO
Premium and Other Important Information $2 500 out-of-pocket limit for Medicare-covered services. $0 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 $25 copay for each specialist visit for Medicare-covered benefits.
Lovelace Medicare Plan	Lovelace Medicare Plan -- Enhanced Plan (HMO-POS) (H3251-021)	HMO with POS Option
Premium and Other Important Information $3 350 out-of-pocket limit for Medicare-covered services. $500 annual deductible. Contact the plan for services that apply. $3 400 out-of-pocket limit for Medicare-covered services. $55.3 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.
Lovelace Medicare Plan	Lovelace Medicare Plan - Medical Only (HMO) (H3251-023)	HMO
Premium and Other Important Information $2 800 out-of-pocket limit for Medicare-covered services. $0.00 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 Doctor Office Visits $5 copay for each primary care doctor visit for Medicare-covered benefits. $20 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits.
Amerigroup Community Care of New Mexico	Amerivantage Specialty + Rx (HMO SNP) (H5746-006)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. $0 monthly plan premium* Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.*
Amerigroup Community Care of New Mexico	Amerivantage Choice + Rx (HMO-POS) (H5746-012)	HMO with POS Option
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0 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 $5 copay for each primary care doctor visit for Medicare-covered benefits. $5 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
Humana Insurance Company	HumanaChoice H6411-007 (PPO) (H6411-007)	Local Preferred Provider Organization
Premium and Other Important Information Package: 1 - MyOption Dental High PPO: Package: 2 - MyOption Dental Low PPO: $23 monthly premium in addition to your $16 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $14 monthly premium in addition to your $16 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $1 500 plan coverage limit every year for these benefits. $1 000 plan coverage limit every year for these benefits. $4 000 out-of-pocket limit for Medicare-covered services. $500 annual deductible. Contact the plan for services that apply. $5 000 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 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 $15 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. 30% of the cost for each primary care doctor visit 30% of the cost for each specialist visit
Humana Insurance Company	HumanaChoice H6411-008 (PPO) (H6411-008)	Local Preferred Provider Organization
Premium and Other Important Information Package: 1 - MyOption Enhanced Dental: $21 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $3 400 out-of-pocket limit for Medicare-covered services. $500 annual deductible. Contact the plan for services that apply. $5 000 out-of-pocket limit for Medicare-covered services. $0.00 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 $15 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. 30% of the cost for each primary care doctor visit 30% of the cost for each specialist visit
Humana Insurance Company	Humana Gold Choice H8145-078 (PFFS) (H8145-078)	Private Fee for Service
Premium and Other Important Information $5 000 out-of-pocket limit for Medicare-covered services. $38 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 This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $35 copay for each specialist visit
Humana Insurance Company	Humana Gold Choice H8145-131 (PFFS) (H8145-131)	Private Fee for Service
Premium and Other Important Information $5 000 out-of-pocket limit for Medicare-covered services. $0.00 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 This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $35 copay for each specialist visit
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

• 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

New Mexico Plan Data by City

• Albuquerque, NM Medicare Advantage Plans