Medicare Plans in
Los Alamos County, NM
23 Medicare Advantage Plans Found in Los Alamos County. See Plans
Los Alamos County, NM
Medicare Information
For Los Alamos County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.
Currently, 23 private Medicare plans are available in Los Alamos County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.
MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.
Part D plans, also referred to as PDPs, cover retail prescription drugs.
Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.
Learn more about some of the Medicare plans in Los Alamos County, New Mexico, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
The following is HelpAdvisor Editorial Team analysis of data from the 2024 MA Landscape Source Files as well as carrier-provided plan data supplied by SunFire Inc.
Average Cost of Medicare
Plans in Los Alamos County
| Average Cost of Medicare Advantage Plans in Los Alamos County, New Mexico | |
|---|---|
| Average Monthly Premium | $49.31 |
| Average in-network out-of-pocket spending limit | $5,768.18 |
| Average drug deductible in 2024 (weighted) | $459.38 |
| Percentage of plans rated 4 stars or higher | 52.2% |
| Average Cost of Medicare Advantage Plans in Los Alamos County, New Mexico |
|---|
|
Average Monthly Premium $49.31 |
|
Average in-network out-of-pocket spending limit $5,768.18 |
|
Average drug deductible in 2021 (weighted) $459.38 |
|
Percentage of plans rated 4 stars or higher 52.2% |
Learn More About Medicare
Prescription Drug Plans
| Plan Type | Description |
|---|---|
| HMO | HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. |
| PPO | Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. |
| PFFS | Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. |
| SNP | Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage. |
| Plan Type and Description |
|---|
|
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
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Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
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Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
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Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
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Some beneficiaries may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.
Medicare Advantage Plans
Centene Corporation
Centene Corporation Medicare Plans in Los Alamos County, NM
The following table includes cost information and other plan details for Centene Corporation private Medicare plans available in New Mexico in 2024.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Wellcare No Premium Open (PPO) | H9976: 002 | $0 | $300 | $6,350 | Yes | 2 out of 5 |
| Wellcare No Premium (HMO) | H2134: 005 | $0 | $150 | $3,650 | Yes | 3 out of 5 |
| Wellcare Dual Liberty (HMO D-SNP) | H2134: 001 | $0 | $0 | $8,850 | Yes | 3 out of 5 |
| Wellcare All Dual (HMO D-SNP) | H2134: 003 | $26 | $0 | $8,850 | Yes | 3 out of 5 |
Health Care Service Corporation
Health Care Service Corporation Medicare Plans in Los Alamos County, NM
The following table includes cost information and other plan details for Health Care Service Corporation private Medicare plans available in New Mexico in 2024.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Blue Cross Medicare Advantage Choice Premier (PPO) | H1666: 012 | $0 | $0 | $3,900 | Yes | 3 out of 5 |
| Blue Cross Medicare Advantage Saver Plus (PPO) | H1666: 015 | $0 | $545 | $6,000 | Yes | 3 out of 5 |
| Blue Cross Medicare Advantage Select (HMO) | H3251: 002 | $0 | $0 | $3,900 | Yes | 3 out of 5 |
| Blue Cross Medicare Advantage Health Choice (PPO) | H1666: 014 | $0 | $545 | $4,900 | Yes | 3 out of 5 |
| Blue Cross Medicare Advantage Dental Premier (PPO) | H1666: 016 | $0 | $545 | $7,550 | Yes | 3 out of 5 |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | H3251: 029 | $36 | $0 | $8,850 | Yes | 3 out of 5 |
| Blue Cross Medicare Advantage Flex Access (PPO) | H1666: 013 | $197 | $545 | N/A | Yes | 3 out of 5 |
Humana Inc. Medicare Plans in Los Alamos County, NM
The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in New Mexico in 2024.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| HumanaChoice H5216-078 (PPO) | H5216: 078 | $0 | $0 | $4,900 | Yes | 4.5 out of 5 |
| Humana USAA Honor (PPO) | H5216: 213 | $0 | N/A | $4,900 | No | 4.5 out of 5 |
| HumanaChoice H5216-077 (PPO) | H5216: 077 | $0 | N/A | $3,900 | No | 4.5 out of 5 |
| HumanaChoice H5216-137 (PPO) | H5216: 137 | $0 | $500 | $7,350 | Yes | 4.5 out of 5 |
| HumanaChoice H5216-341 (PPO) | H5216: 341 | $29 | $0 | $3,900 | Yes | 4.5 out of 5 |
| HumanaChoice H5216-223 (PPO) | H5216: 223 | $34 | $0 | $4,900 | Yes | 4.5 out of 5 |
| HumanaChoice H5216-196 (PPO) | H5216: 196 | $35 | $0 | $6,700 | Yes | 4.5 out of 5 |
UnitedHealthcare Medicare Plans in Los Alamos County, NM
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in New Mexico in 2024.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx NM-MA01 (PPO) | H2406: 080 | $0 | N/A | $4,300 | No | 4 out of 5 |
| AARP Medicare Advantage from UHC NM-0008 (PPO) | H2406: 097 | $0 | $0 | $6,300 | Yes | 4 out of 5 |
| AARP Medicare Advantage from UHC NM-0005 (PPO) | H2406: 090 | $0 | $0 | $4,300 | Yes | 4 out of 5 |
| UHC Complete Care NM-001A (PPO C-SNP) | H0271: 033 | $13 | $545 | $8,850 | Yes | 4 out of 5 |
| AARP Medicare Advantage from UHC NM-0002 (PPO) | H2406: 055 | $25 | $0 | $3,800 | Yes | 4 out of 5 |
