Medicare Plans in
Santa Fe County, NM
33 Medicare Advantage Plans Found in Santa Fe County. See Plans
Santa Fe County, NM
Medicare Information
For Santa Fe County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 33 MA plans are available in Santa Fe 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.
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 Medicare Advantage plans in Santa Fe County, New Mexico, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
Average Cost of Medicare Advantage
Plans in Santa Fe County
Average Cost of Medicare Advantage Plans in Santa Fe County, New Mexico | |
---|---|
Average Monthly Premium | $44.02 |
Average in-network out-of-pocket spending limit | $5,687.10 |
Average drug deductible in 2022 (weighted) | $320.79 |
Percentage of plans rated 4 stars or higher | 30.3% |
Average Cost of Medicare Advantage Plans in Santa Fe County, New Mexico |
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Average Monthly Premium $44.02 |
Average in-network out-of-pocket spending limit $5,687.10 |
Average drug deductible in 2021 (weighted) $320.79 |
Percentage of plans rated 4 stars or higher 30.3% |
Learn More About Medicare Advantage
Prescription Drug Plans
Plan Type | Description |
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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 |
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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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In addition to these primary types of plans, some members 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

Aetna Inc. Medicare Advantage Plans in Santa Fe County, NM
The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in New Mexico in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Aetna Medicare Choice Plan (PPO) | H9431: 001 | $0 | $200 | $6,000 | Yes | Plan too new to be measured |
Aetna Medicare Eagle Plan (PPO) | H9431: 017 | $0 | N/A | $5,000 | No | Plan too new to be measured |
Amerigroup
Amerigroup Medicare Advantage Plans in Santa Fe County, NM
The following table includes cost information and other plan details for Amerigroup Medicare Advantage plans available in New Mexico in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Amerivantage Plus (HMO) | H5746: 018 | $0 | $0 | $6,700 | Yes | 3 out of 5 |
Amerivantage Care Access (HMO) | H5746: 016 | $22 | $480 | $7,550 | Yes | 3 out of 5 |

Cigna Medicare Advantage Plans in Santa Fe County, NM
The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in New Mexico in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Cigna Preferred Medicare (HMO) | H0672: 005 | $0 | $0 | $4,600 | Yes | Plan too new to be measured |
Cigna True Choice Medicare (PPO) | H7849: 028 | $0 | $0 | $5,700 | Yes | Plan too new to be measured |
Health Care Service Corporation
Health Care Service Corporation Medicare Advantage Plans in Santa Fe County, NM
The following table includes cost information and other plan details for Health Care Service Corporation Medicare Advantage plans available in New Mexico in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Blue Cross Medicare Advantage Classic (PPO) | H8634: 010 | $0 | $200 | $6,000 | Yes | 3.5 out of 5 |
Blue Cross Medicare Advantage Select (HMO) | H3251: 002 | $0 | $150 | $4,500 | Yes | 3.5 out of 5 |
Blue Cross Medicare Advantage Choice Plus (PPO) | H8634: 002 | $30 | $200 | $5,500 | Yes | 3.5 out of 5 |
Blue Cross Medicare Advantage Flex (PPO) | H8634: 015 | $147 | $480 | $0 | Yes | 3.5 out of 5 |

Humana Inc. Medicare Advantage Plans in Santa Fe County, NM
The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in New Mexico in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Humana Gold Plus H0028-019 (HMO) | H0028: 019 | $0 | $0 | $4,000 | Yes | 4 out of 5 |
Humana Honor (PPO) | H5216: 213 | $0 | N/A | $4,400 | No | 4 out of 5 |
HumanaChoice H5216-077 (PPO) | H5216: 077 | $0 | N/A | $4,000 | No | 4 out of 5 |
HumanaChoice H5216-137 (PPO) | H5216: 137 | $0 | $445 | $7,550 | Yes | 4 out of 5 |
HumanaChoice H5216-196 (PPO) | H5216: 196 | $18 | $0 | $6,700 | Yes | 4 out of 5 |
Humana Value Plus H5216-199 (PPO) | H5216: 199 | $29 | $445 | $7,550 | Yes | 4 out of 5 |
HumanaChoice H5216-078 (PPO) | H5216: 078 | $57 | $195 | $6,700 | Yes | 4 out of 5 |
Humana Gold Choice H8145-123 (PFFS) | H8145: 123 | $90 | $300 | N/A | Yes | 3.5 out of 5 |
Molina Healthcare, Inc.,
Molina Healthcare, Inc., Medicare Advantage Plans in Santa Fe County, NM
The following table includes cost information and other plan details for Molina Healthcare, Inc., Medicare Advantage plans available in New Mexico in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Molina Medicare Choice Care Plus (HMO) | H9082: 010 | $0 | $125 | $7,550 | Yes | 3 out of 5 |
Molina Medicare Choice Care Select (HMO) | H9082: 011 | $0 | $480 | $7,550 | Yes | 3 out of 5 |
Molina Medicare Choice Care (HMO) | H9082: 009 | $34 | $480 | $7,550 | Yes | 3 out of 5 |
UnitedHealthcare Medicare Advantage Plans in Santa Fe County, NM
The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in New Mexico in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
AARP Medicare Advantage Choice Plan 1 (PPO) | H2228: 117 | $0 | $0 | $4,300 | Yes | 4 out of 5 |
AARP Medicare Advantage Patriot (PPO) | H2228: 098 | $0 | N/A | $4,300 | No | 4 out of 5 |
AARP Medicare Advantage Choice Plan 2 (PPO) | H2228: 049 | $19 | $0 | $3,800 | Yes | 4 out of 5 |
UnitedHealthcare Medicare Advantage Assure (PPO) | H0271: 010 | $34 | $480 | $7,550 | Yes | Plan too new to be measured |

WellCare Health Plans, Inc. Medicare Advantage Plans in Santa Fe County, NM
The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in New Mexico in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Wellcare Giveback (HMO) | H2134: 002 | $0 | $150 | $7,550 | Yes | Plan too new to be measured |
Wellcare Giveback Open (PPO) | H9976: 004 | $0 | $200 | $6,700 | Yes | na |
Wellcare No Premium (HMO) | H2134: 005 | $0 | $125 | $3,450 | Yes | Plan too new to be measured |
Wellcare No Premium Open (PPO) | H9976: 002 | $0 | $0 | $5,000 | Yes | na |
Wellcare Patriot No Premium (HMO) | H2134: 006 | $0 | N/A | $4,400 | No | Plan too new to be measured |
Wellcare Assist Open (PPO) | H9976: 001 | $24 | $480 | $6,000 | Yes | na |
Wellcare Assist (HMO) | H2134: 004 | $33 | $480 | $3,450 | Yes | Plan too new to be measured |
Wellcare Low Premium Open (PPO) | H9976: 003 | $35 | $0 | $4,700 | Yes | na |