Best New Mexico Medicare Advantage Plans

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.

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.

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.

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.

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.

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.

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.