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The 2023 Medicare Advantage Plans in Dona Ana County NM.



2022 Dona Ana County New Mexico
Medicare Advantage Plans

There are 26 Medicare Advantage Plans available in Dona Ana County NM from 8 different health insurance providers. 4 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3450 and the highest out of pocket is $7550. Dona Ana County New Mexico residents can also pick from 6 Medicare Special Needs Plans. The best Medicare Advantage plan in Dona Ana County New Mexico received a 4 overall star rating from CMS and the lowest rated plan is 3.5 stars.



(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Click
for
Formulary
AARP Medicare Advantage Choice (PPO)
(H2228-023)

$0$0$3,900YesBrowse
Formulary
Blue Cross Medicare Advantage Classic (PPO)
(H8634-010)

$0$200.00$6,000YesBrowse
Formulary
Blue Cross Medicare Advantage Flex (PPO)
(H8634-015)

$146.50$480.00$-NoBrowse
Formulary
Blue Cross Medicare Advantage Select (HMO)
(H3251-002)

$0$150.00$4,500YesBrowse
Formulary
Humana Gold Choice H8145-123 (PFFS)
(H8145-123)

$90.00$300.00$-NoBrowse
Formulary
Humana Value Plus H5216-199 (PPO)
(H5216-199)

$29.40$445.00$7,550NoBrowse
Formulary
HumanaChoice H5216-137 (PPO)
(H5216-137)

$0$445.00$7,550NoBrowse
Formulary
HumanaChoice H5216-196 (PPO)
(H5216-196)

$0$0$5,500NoBrowse
Formulary
Molina Medicare Choice Care (HMO)
(H9082-009)

$34.30$480.00$7,550NoBrowse
Formulary
Molina Medicare Choice Care Plus (HMO)
(H9082-010)

$0$125.00$7,550NoBrowse
Formulary
Molina Medicare Choice Care Select (HMO)
(H9082-011)

$0$480.00$7,550NoBrowse
Formulary
Presbyterian MediCare PPO Plan 2 with Rx (PPO)
(H3206-001)

$188.00$430.00$6,700NoBrowse
Formulary
UnitedHealthcare Medicare Advantage Assure (PPO)
(H0271-011)

$24.30$480.00$7,550NoBrowse
Formulary
Wellcare Assist (HMO)
(H2134-004)

$32.50$480.00$3,450NoNABrowse
Formulary
Wellcare Assist Open (PPO)
(H9976-001)

$23.90$480.00$6,000NoToo NewBrowse
Formulary
Wellcare Giveback (HMO)
(H2134-002)

$0$150.00$7,550NoNABrowse
Formulary
Wellcare Giveback Open (PPO)
(H9976-004)

$0$200.00$6,700YesToo NewBrowse
Formulary
Wellcare Low Premium Open (PPO)
(H9976-003)

$35.00$0$4,700NoToo NewBrowse
Formulary
Wellcare No Premium (HMO)
(H2134-005)

$0$125.00$3,450NoNABrowse
Formulary
Wellcare No Premium Open (PPO)
(H9976-002)

$0$0$5,000NoToo NewBrowse
Formulary


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Eddy County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Dona Ana county New Mexico

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) $18.30$480.0No Gap CoverageDual-Eligible
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Presbyterian Dual Plus (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Chronic Complete Assure (PPO C-SNP) $6.30$480.0No Gap CoverageChronic or Disabling Condition
Wellcare Dual Access (HMO D-SNP) $34.30$480.0No Gap CoverageDual-EligibleNA
Wellcare Dual Liberty (HMO D-SNP) $34.30$480.0No Gap CoverageDual-EligibleNA



Plan Type Is the type of organization offering the Medicare Plan.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

GAP
  • Many - Many Generics and Some Brands
  • Some - Some Generics and Few Brands

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable



Source: CMS. Data as of September 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.


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MedicareHelp.org is a privately-owned Non-governmental agency. The government website can be found at HealthCare.gov.

Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.