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Lea County, New Mexico — 2026 Medicare Advantage plans

Contract year 2026 · data updated October 01, 2026 · source files

17 individual Medicare Advantage plan segments from 5 parent organizations are filed for Lea County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.

CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
17plans filed +2 vs prior year
14with a $0 premium +5 vs prior year
$7,200median in-network MOOP +$300 vs prior year
0on 4-star or better contracts
13report comprehensive dental
16report an OTC allowance

Tick Compare on up to three plans to see them side by side.

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PlanTypePremiumIn-network MOOPPart D deductibleStar ratingOTC allowanceSupplemental benefits reported
Blue Cross Medicare Advantage Choice Premier (PPO)
Health Care Service Corporation · H1666-012-000 · SoB ✓
PPO$0$5,100$4503.0out of 5 stars, Average$50Vision exam Eyewear Hearing aids OTC allowance
Blue Cross Medicare Advantage Dental Premier (PPO)
Health Care Service Corporation · H1666-016-000 · SoB ✓
PPO$0$9,250$6153.0out of 5 stars, Average$105Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
Health Care Service Corporation · H3251-029-000 · SoB ✓
HMO D-SNP$0$9,250$6152.5out of 5 stars, Below average$285Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Blue Cross Medicare Advantage Health Choice (PPO)
Health Care Service Corporation · H1666-014-000 · SoB ✓
PPO$0$6,750$6153.0out of 5 stars, Average$85Vision exam Eyewear Hearing aids OTC allowance
Blue Cross Medicare Advantage Select (HMO)
Health Care Service Corporation · H3251-002-000 · SoB ✓
HMO$0$4,200$4502.5out of 5 stars, Below average$80Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Humana Together in Health (PPO I-SNP)
Humana Inc. · H5216-444-000 · SoB ✓
PPO I-SNP$0$9,250$5703.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
HumanaChoice - Diabetes and Heart (PPO C-SNP)
Humana Inc. · H5216-443-000 · SoB ✓
PPO C-SNP$0$9,250$2353.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Molina Medicare Complete Care (HMO D-SNP)
Molina Healthcare, Inc. · H8845-007-001 · SoB ✓
HMO D-SNP$0$9,250$615Not ratedReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Presbyterian Dual Plus (HMO D-SNP)
Presbyterian Healthcare Services · H3204-013-006 · SoB
HMO D-SNP$0$9,250$5503.0out of 5 stars, Average$50Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
UHC Dual Complete NM-S1 (PPO D-SNP)
UnitedHealth Group, Inc. · H0294-050-000 · SoB ✓
PPO D-SNP$0$9,250$6153.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
UHC Dual Complete NM-V1 (PPO D-SNP)
UnitedHealth Group, Inc. · H0294-051-000 · SoB ✓
PPO D-SNP$0$4,900$6153.5out of 5 stars, AverageReportedVision exam Eyewear Hearing aids Transportation OTC allowance Meals
UHC Dual Complete NM-Y1 (PPO D-SNP)
UnitedHealth Group, Inc. · H0294-049-000 · SoB ✓
PPO D-SNP$0$9,250$6153.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
HumanaChoice H5216-223 (PPO)
Humana Inc. · H5216-223-000 · SoB ✓
PPO$9$4,900$2003.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
HumanaChoice H5216-196 (PPO)
Humana Inc. · H5216-196-002 · SoB ✓
PPO$19$7,200$6153.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Blue Cross Medicare Advantage Access (PPO)
Health Care Service Corporation · H1666-021-000 · SoB ✓
PPO$135$4,200$6153.0out of 5 stars, Average—Vision exam Hearing aids
Humana USAA Honor Giveback (PPO)
Humana Inc. · H5216-436-003 · SoB ✓
PPO—$6,200—3.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
HumanaChoice H5216-437 (PPO)
Humana Inc. · H5216-437-002 · SoB ✓
PPO—$4,150—3.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance

What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.

5 Excellent4 Above average3 Average2 Below average1 Poor

Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.

How to read this table

Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.

Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.

Is a drug covered by plans in Lea County?

Shows the tier, prior-authorization / step-therapy / quantity-limit flags and tier cost sharing for every plan above, plus the 11 stand-alone Part D plans in the New Mexico region. From the CMS monthly formulary file.

Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.

Download all 17 Lea County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.

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