Medicare Advantage Plans for Santa Fe County, New Mexico

  • 64 Total Plans
  • 43,806 Seniors Eligible for Medicare
  • 17,522 Seniors on Medicare Advantage (40%)
  • 9 plans with 1,671 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 29 plans with 8,711 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 24% 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
Humana Humana Gold Plus H0028-019 (HMO)
H0028-019-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 2,135
Presbyterian Health Plan Presbyterian Senior Care Plan 2 with Rx (HMO)
H3204-001-0 		HMO No $0 Yes No No Yes No No 1,488
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-049-0 		Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 1,454
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 1,359
Blue Cross and Blue Shield of New Mexico Blue Cross Medicare Advantage Select (HMO)
H3251-002-0 		HMO $130 per Quarter Yes $520 Yes No No Yes No No 976
Presbyterian Health Plan Presbyterian Dual Plus (HMO D-SNP)
H3204-013-5 		HMO No $0 Yes $1,500 No No No No No 868
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H9431-001-0 		Local PPO $75 per Quarter No $300 Yes $1,000 No No Yes No No 723
Humana HumanaChoice H5216-196 (PPO)
H5216-196-2 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 685
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 4 (HMO-POS)
H3204-808-0 		HMOPOS No $0 No 676
CHRISTUS Health Advantage CHRISTUS Health Plan Generations Plus (HMO)
H1189-002-0 		HMO $150 per Quarter No $600 Yes $2,000 No No No No No 598
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-117-0 		Local PPO $55 per Quarter No $220 Yes No No Yes Yes No 582
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (HMO)
H3822-802-0 		HMO No $0 No 534
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H6526-002-0 		HMOPOS No $0 Yes Yes No Yes Yes No 374
Humana HumanaChoice H5216-078 (PPO)
H5216-078-2 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 362
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Choice Plus (PPO)
H8634-002-0 		Local PPO $50 per Quarter Yes $200 Yes $1,000 No No No No No 295
Humana Humana Value Plus H5216-199 (PPO)
H5216-199-0 		Local PPO $175 per Quarter No $700 Yes No No Yes No No 276
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-028-0 		Local PPO $75 per Quarter No $300 Yes $2,000 No No No No No 267
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 260
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 224
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H2134-003-0 		HMO $65 per Month Yes $0 Yes $1,500 No No Yes Yes No 197
Amerigroup Community Care of New Mexico Amerivantage Plus (HMO)
H5746-018-0 		HMO $105 per Quarter Yes $420 Yes $3,000 No No Yes Yes No 177
Wellcare by Allwell Wellcare Dual Liberty (HMO D-SNP)
H2134-001-0 		HMO $105 per Month Yes $0 Yes $1,500 No No Yes Yes No 168
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 161
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 151
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-033-0 		Local PPO $75 per Month No $0 Yes $3,600 Yes No Yes Yes No 148
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 130
Amerigroup Community Care of New Mexico Amerivantage Care Access (HMO)
H5746-016-0 		HMO $255 per Quarter Yes $1,020 Yes $3,000 No No Yes Yes No 127
Humana Humana Honor (PPO)
H5216-213-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 118
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 107
Presbyterian Health Plan Presbyterian UltraFlex (HMO-POS)
H3204-015-0 		HMOPOS $215 per Quarter Yes $860 Yes No No Yes No No 106
Presbyterian Health Plan Presbyterian Senior Care Plan 3 with Rx (HMO)
H3204-007-0 		HMO No $0 Yes No No Yes No No 100
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 95
Blue Cross and Blue Shield of New Mexico Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
H3251-029-0 		HMO $280 per Quarter Yes $1,120 Yes $2,000 No No Yes No No 90
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Flex (PPO)
H8634-015-0 		Local PPO No $0 Yes No No Yes No No 86
Presbyterian Health Plan Presbyterian Senior Care Plan 1 (HMO)
H3204-008-0 		HMO No $0 Yes No No Yes No No 84
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H0672-005-0 		HMO $95 per Quarter No $380 Yes No No Yes No No 78
Wellcare by Allwell Wellcare No Premium (HMO)
H2134-005-0 		HMO $98 per Quarter No $392 Yes $1,000 No No Yes Yes No 78
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2228-098-0 		Local PPO $60 per Quarter No $240 Yes No No Yes Yes No 74
Blue Cross and Blue Shield of IL, NM Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)
H8634-009-0 		Local PPO $255 per Quarter Yes $1,020 Yes $2,000 No No Yes No No 71
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (PPO)
H8634-801-0 		Local PPO No $0 No 69
Humana HumanaChoice H5216-077 (PPO)
H5216-077-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 62
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 62
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 61
Humana HumanaChoice H5216-137 (PPO)
H5216-137-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 61
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 59
Humana HumanaChoice H5216-341 (PPO)
H5216-341-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 48
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2228-126-0 		Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 45
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H9431-017-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 40
Wellcare by Allwell Wellcare No Premium Open (PPO)
H9976-002-0 		Local PPO $138 per Quarter No $552 Yes $1,000 No No Yes Yes No 40
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Classic (PPO)
H8634-010-0 		Local PPO $75 per Quarter Yes $300 Yes No No Yes No No 36
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 36
Humana Humana Gold Choice H8145-123 (PFFS)
H8145-123-0 		PFFS $25 per Quarter No $100 Yes No No Yes No No 33
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 28
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Choice Plus (PPO)
H1666-012-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 26
Wellcare by Allwell Wellcare Assist (HMO)
H2134-004-0 		HMO $100 per Quarter No $400 Yes $1,500 No No Yes Yes Yes 19
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Dental Premier (PPO)
H1666-016-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 18
Wellcare by Allwell Wellcare Assist Open (PPO)
H9976-001-0 		Local PPO $75 per Quarter No $300 Yes $1,500 No No Yes Yes No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 14
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 13
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 12
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Health Choice (PPO)
H1666-014-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 12
Presbyterian Insurance Company, Inc. Presbyterian MediCare PPO Plan 1 (PPO)
H3206-003-0 		Local PPO No $0 Yes No No Yes No No 12
Wellcare by Allwell Wellcare Giveback Open (PPO)
H9976-004-0 		Local PPO $55 per Quarter No $220 Yes $1,000 No No Yes Yes No 12
Blue Cross and Blue Shield of New Mexico Blue Cross Group Medicare Advantage Plan (HMO)
H3251-804-0 		HMO No $0 No 11
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