Medicare Advantage Plans for Guadalupe County, New Mexico

  • 12 Total Plans
  • 1,059 Seniors Eligible for Medicare
  • 477 Seniors on Medicare Advantage (45%)
  • 0 plans with 0 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 7 plans with 243 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 23% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? New Mexico Enrollees
Presbyterian Health Plan Presbyterian Dual Plus (HMO D-SNP)
H3204-013-5
HMO No $0 Yes $1,500 No No No No No 99
Molina Healthcare of New Mexico, Inc. Molina Medicare Choice Care Plus (HMO)
H9082-010-0
HMO $0 per Month No $0 Yes No No No Yes No 87
Humana Humana Value Plus H5216-199 (PPO)
H5216-199-0
Local PPO $175 per Quarter No $700 Yes No No Yes No No 55
Humana HumanaChoice H5216-196 (PPO)
H5216-196-2
Local PPO $30 per Quarter No $120 Yes No No Yes No No 32
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (HMO)
H3822-802-0
HMO No $0 No 24
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 4 (HMO-POS)
H3204-808-0
HMOPOS No $0 No 21
Humana HumanaChoice H5216-137 (PPO)
H5216-137-0
Local PPO $50 per Quarter No $200 Yes No No Yes No No 20
Presbyterian Insurance Company, Inc. Presbyterian MediCare PPO Plan 2 with Rx (PPO)
H3206-001-0
Local PPO No $0 Yes No No Yes No No 19
Humana HumanaChoice H5216-339 (PPO)
H5216-339-0
Local PPO $50 per Quarter No $200 Yes No No Yes No No 18
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0
Local PPO No $0 No 18
Humana Humana Honor (PPO)
H5216-213-0
Local PPO $75 per Quarter No $300 Yes No No Yes No No 16
Humana HumanaChoice H5216-341 (PPO)
H5216-341-0
Local PPO $75 per Quarter No $300 Yes No No Yes No No 15
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