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Medicare Plans in
Santa Fe County, NM
25 Medicare Advantage Plans Found in Santa Fe County. See Plans
Santa Fe County, NM
Medicare Information
For Santa Fe 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, 25 private Medicare 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.
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 Santa Fe County, New Mexico, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.
For Santa Fe 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, 25 private Medicare plans are available in Santa Fe County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.
HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.
Average Cost of Medicare
Plans in Santa Fe County
| Average Cost of Medicare Advantage Plans in Santa Fe County, New Mexico | |
|---|---|
| Average Monthly Premium | $41 |
| Average in-network out-of-pocket spending limit | $6,070.45 |
| Average drug deductible in 2027 (weighted) | $494.41 |
| Percentage of plans rated 4 stars or higher | 0 % |
Learn More About Medicare
Prescription Drug Plans
Santa Fe County Medicare beneficiaries who are interested in a private Medicare policy may choose among the following types of plans, depending on their needs and circumstances.
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. 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. 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. 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. 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
Description
Plan Type and Description
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
Devoted Health
Devoted Health Medicare Plans in Santa Fe County, NM
The following table includes cost information and other plan details for Devoted Health private Medicare plans available in New Mexico in 2027.
Scroll to the right to continue reading the chart
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| DEVOTED C-SNP GIVEBACK EXTRAS 012 NM (HMO C-SNP) | H9977-012 | $0 | $700 | $5,850 | Yes | |
| DEVOTED CORE 001 NM (HMO) | H9977-001 | $0 | $650 | $4,100 | Yes | |
| DEVOTED GIVEBACK 002 NM (HMO) | H9977-002 | $0 | $461 | $8,000 | Yes | |
| DEVOTED GIVEBACK EXTRAS 015 NM (HMO) | H9977-015 | $0 | $700 | $5,850 | Yes | |
| DEVOTED C-SNP ENHANCED 003 NM (HMO C-SNP) | H9977-003 | $0 | $461 | $4,600 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Humana Inc. Medicare Plans in Santa Fe County, NM
The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in New Mexico in 2027.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | H0028-076 | $0 | $700 | $9,850 | Yes | |
| Humana Full Access (PPO) | H7617-069 | $60 | $700 | $3,900 | Yes | |
| HumanaChoice H7617-068 (PPO) | H7617-068 | $20 | $300 | $4,900 | Yes | |
| Humana Total Complete (HMO) | H4461-064 | $0 | $700 | $3,800 | Yes | |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | H4461-065 | $0 | $100 | $3,250 | Yes | |
| HumanaChoice - Diabetes and Heart (PPO C-SNP) | H5216-443 | $0 | $700 | $9,850 | Yes | |
| Humana USAA Honor Giveback (PPO) | H5216-436 | $0 | N/A | $6,200 | No | |
| Humana Gold Plus H0028-019 (HMO) | H0028-019 | $0 | $700 | $3,800 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Molina Healthcare, Inc.,
Molina Healthcare, Inc., Medicare Plans in Santa Fe County, NM
The following table includes cost information and other plan details for Molina Healthcare, Inc., private Medicare plans available in New Mexico in 2027.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| Molina Medicare Complete Care (HMO D-SNP) | H7318-001 | $0 | $0 | $ | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
UnitedHealthcare Medicare Plans in Santa Fe County, NM
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in New Mexico in 2027.
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| 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 | $7,150 | No | |
| AARP Medicare Advantage Essentials from UHC NM-5 (PPO) | H2406-090 | $0 | $595 | $5,900 | Yes | |
| UHC Complete Care NM-11 (PPO C-SNP) | H2001-070 | $0 | $585 | $4,900 | Yes | |
| AARP Medicare Advantage from UHC NM-0010 (HMO-POS) | H4604-028 | $0 | $595 | $6,700 | Yes | |
| UHC Complete Care Support NM-1A (PPO C-SNP) | H2001-042 | $0 | $100 | $9,850 | Yes | |
| UHC Dual Advantage NM-V1 (PPO D-SNP) | H0294-051 | $0 | $480 | $4,900 | Yes | |
| AARP Medicare Advantage Extras from UHC NM-13 (PPO) | H2406-141 | $0 | $685 | $7,150 | Yes | |
| UHC Dual Complete NM-Q1 (PPO D-SNP) | H0294-050 | $0 | $75 | $ | Yes | |
| AARP Medicare Advantage Giveback from UHC NM-8 (PPO) | H2406-097 | $0 | $220 | $7,150 | Yes | |
| AARP Medicare Advantage from UHC NM-0002 (PPO) | H2406-055 | $43 | $595 | $5,900 | Yes | |
| UHC Dual Complete NM-S2 (PPO D-SNP) | H0294-052 | $0 | $75 | $ | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
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