How to Find the Best New Mexico Medicare Advantage Plans

To choose the best Medicare Advantage Plans in New Mexico, you need to find a plan that has the benefits and coverages that you need. MoneyGeek summarized the state’s top-rated plans that provide broad benefits and widespread availability. We found that the best PPO and HMO plans are HumanaChoice H5216-196 (PPO) and Humana Gold Plus H0028-019 (HMO), respectively.

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Last Updated: 9/23/2022
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MoneyGeek discovered the plans with the highest rating based on the Centers for Medicare & Medicaid Services (CMS) five-star quality rating system that are widely available in New Mexico. We then analyzed our findings to determine the best plan based on plan type, prescription drug coverage and maximum out-of-pocket payment. Keep in mind that the recommendations found in this guide are generalizations. To find the best plan for you, shop around for options and review their network of healthcare providers before purchasing.

MoneyGeek also analyzed the best medicare supplement plans in New Mexico for those focused on covering out-of-pocket expenses.

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Best Medicare Advantage Plans in New Mexico

Best Medicare Advantage Plan in New Mexico - Overall

The best Medicare Advantage Plan in New Mexico depends on your particular needs. For instance, if you’re looking for a PPO plan with drug coverage, seven core benefits and a high star rating from the CMS, MoneyGeek found that the AARP Medicare Advantage Choice 1 (PPO), offered by UnitedHealthcare, to be the best option.

A PPO plan tends to be pricier than HMO, but it has a wider network of providers. With this plan, you won’t need a referral to see a specialist. Overall, it’s good for flexibility if you can afford it.

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MoneyGeek Top Pick
AARP

MoneyGeek found that AARP Medicare Advantage Choice 1 (PPO) could be the best plan in New Mexico for those looking for a PPO. However, the best option for you will still depend on your specific needs.

This plan offers:

  • A $0 monthly premium
  • Drug coverage with a drug deductible of $0
  • An in-network Max-Out-of-Pocket Payment of $4,300
  • A 4 out 5 star rating from the CMS

AARP Medicare Advantage Choice 1(PPO) has the six common extra benefits, including vision, dental, hearing, fitness, worldwide emergency and telehealth. It also offers Part D drug coverage and receives a high rating from the CMS. Travelers may find this plan a good option since it provides worldwide emergency benefits.

Best HMO Medicare Advantage Plan in New Mexico

The best HMO Medicare Advantage Plan will depend on a person’s needs. For a person in New Mexico who wants an HMO plan with drug coverage, seven core benefits and a high star rating from the CMS, MoneyGeek found that the Humana Gold Plus H0028-019 (HMO) from Humana is the best choice.

HMO plans are usually cheaper than other plan types. However, you have to stay within your provider network to have services covered, except in an emergency. You also need a referral to see a specialist. In general, this plan is good for lower monthly payments and if in-network providers are easily available to you.

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MoneyGeek Top Pick
Humana

MoneyGeek determined that Humana Gold Plus H0028-019 (HMO) could be the best option for those looking for an HMO in New Mexico. Having said that, the best plan will still depend on your specific needs.

This plan includes:

  • A $0 monthly premium
  • Drug coverage with $0 drug deductible
  • An in-network Max-Out-of-Pocket Payment of $4,000
  • A 4.5 out of 5 star rating from the CMS

Humana Gold Plus H0028-019 (HMO) includes the six common additional benefits: vision, dental, hearing, fitness, worldwide emergency and telehealth. It also offers Part D drug coverage. Further, this plan receives a high rating from the CMS.

Best Medicare Advantage Plan in New Mexico Without Drug Coverage

If you don’t need Part D prescription drug coverage, more plans will be available to you. For example, if you want a Medicare Advantage Plan with or without drug coverage, seven core benefits and a high star rating from the CMS, MoneyGeek discovered that Humana’s Humana Gold Plus H0028-019 (HMO) is the best plan.

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MoneyGeek Top Pick
Humana

MoneyGeek found that Humana Gold Plus H0028-019 (HMO) may be the best option in New Mexico for those looking for a plan with or without drug coverage. Nonetheless, this plan includes drug coverage.

This plan includes:

  • A $0 monthly premium
  • An in-network Max-Out-of-Pocket Payment of $4,000
  • A 4.5 out of 5 star rating from the CMS

Humana Gold Plus H0028-019 (HMO) offers the six common additional benefits, including vision, dental, hearing, fitness, worldwide emergency and telehealth. This plan also receives a high rating from the CMS.

Best Medicare Advantage Plan in New Mexico for Low Max Out-of-Pocket Costs

While many Medicare Advantage Plans have low or no premiums, they may still cost you thousands of dollars out of pocket. MoneyGeek found that the AARP Medicare Advantage Choice Plan 1 (PPO) offered by UnitedHealthCare is the best option for a shopper in New Mexico looking for a Medicare Advantage Plan with or without a low in-network max-out-of-pocket (MOOP), drug coverage, seven core benefits and a high star rating from the CMS.

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MoneyGeek Top Pick
AARP

MoneyGeek deemed the AARP Medicare Advantage Choice Plan 1 (PPO) as the best choice for those who want a plan with or without a low in-network Max-Out-of-Pocket (MOOP). To determine this, we filtered out the plans with high MOOPs.

This plan includes:

  • A $0 monthly premium
  • An in-network Max-Out-of-Pocket of $4,300
  • A 4 out of 5 star rating from the CMS

Having a plan with a lower MOOP will protect you from excessive costs if you experience a very expensive year for health payments. With AARP Medicare Advantage Choice Plan 1 (PPO), you won’t have to pay for in-network coverage after reaching the Max-Out-of-Pocket of $4,300.

Keep in mind that you will have a different Max-Out-of-Pocket for out-of-network coverage if your plan is a PPO. For AARP Medicare Advantage Choice Plan 1 (PPO), the out-of-network MOOP is $10,000.

Medicare Advantage Plan in New Mexico - Statistics

In New Mexico, there are 13 healthcare organizations offering Medicare Advantage Plans. The following statistics on Medicare Advantage Plans in the state can help you determine what plan components are rare and what are common.

1

New Mexico Medicare Advantage Plans are a mix of HMO/PPO/Cost/PFFS/MSA with 69.5% offering drug coverage

In New Mexico, drug coverage is offered by 25.6% of Health Maintenance Organization (HMO) plans, 62.3% of Preferred Provider Organization (PPO) plans, 2.2% of Private Fee-for-Service (PFFS) plans and 9.9% of Medical Savings Account (MSA) plans. Cost plans, on the other hand, don’t offer drug coverage.

2

60% of Medicare Advantage Plans in New Mexico have a $0 premium

60% of Medicare Advantage Plans in New Mexico have a $0 premium. For plans that cost money, the average premium is $59.90.

3

Hearing, worldwide emergency and telehealth benefits are common in New Mexico, with most plans offering them

The common benefits offered by most plans in New Mexico are hearing, worldwide emergency, telehealth, vision, fitness and dental. On the other end of the spectrum, home safety devices & modifications, in-home support and emergency response device are the rarest benefits in the state.

Methodology

MoneyGeek collected data from the Centers for Medicare & Medicaid Services 2022 MA Landscape Source Files released in October 2021. Plans in New Mexico were filtered down to those that offer drug coverage (unless otherwise noted), offer seven of the most common Medicare Advantage coverage benefits and are available to at least 50% of the population of New Mexico based on county availability.

About the Author


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Mark Fitzpatrick is a senior content manager with MoneyGeek specializing in insurance. Mark has years of experience analyzing the insurance market and creating original research and content. He graduated from Boston College with a Bachelor of Arts and Johns Hopkins University with a Master of Arts.


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