Medicare Advantage Plans in Taos County, New Mexico
Below are Medicare Advantage plans available to residents of Taos county, New Mexico.
2 carriers offer 7 plans throughout the county of Taos.
Residents may choose plans from
Presbyterian MediCare PPO or Humana Insurance Company. 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 Taos county that is right for you complete the form at the top of the page.
Medicare Advantage Health Plans in the county of Taos
| 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
|
| 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
|
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