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San Miguel County, New Mexico — 2026 Medicare Advantage plans

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

35 individual Medicare Advantage plan segments from 7 parent organizations are filed for San Miguel 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
35plans filed +2 vs prior year
30with a $0 premium +8 vs prior year
$5,900median in-network MOOP −$800 vs prior year
10on 4-star or better contracts
29report comprehensive dental
31report an OTC allowance

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PlanTypePremiumIn-network MOOPPart D deductibleStar ratingOTC allowanceSupplemental benefits reported
AARP Medicare Advantage Giveback from UHC NM-8 (PPO)
UnitedHealth Group, Inc. · H2406-097-000 · SoB ✓
PPO$0$6,700$6004.0out of 5 stars, Above average—Vision exam Eyewear Hearing aids
AARP Medicare Advantage from UHC NM-0005 (PPO)
UnitedHealth Group, Inc. · H2406-090-000 · SoB ✓
PPO$0$5,900$6004.0out of 5 stars, Above averageReportedVision exam Eyewear Hearing aids OTC allowance Meals
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)
Health Care Service Corporation · H8634-009-000 · SoB ✓
PPO D-SNP$0$9,250$6153.0out of 5 stars, Average$285Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
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 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
CHRISTUS Health Medicare Plus (HMO)
CHRISTUS Health · H1189-002-000 · SoB
HMO$0$4,200$2503.5out of 5 stars, Average$150Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
DEVOTED C-SNP 003 NM (HMO C-SNP)
Devoted Health, Inc. · H9977-003-000 · SoB ✓
HMO C-SNP$0$4,400$615Not rated$50Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
DEVOTED C-SNP PLUS 004 NM (HMO C-SNP)
Devoted Health, Inc. · H9977-004-000 · SoB ✓
HMO C-SNP$0$9,250$615Not rated$50Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
DEVOTED CORE 001 NM (HMO)
Devoted Health, Inc. · H9977-001-000 · SoB ✓
HMO$0$4,100$375Not rated$100Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
DEVOTED GIVEBACK 002 NM (HMO)
Devoted Health, Inc. · H9977-002-000 · SoB ✓
HMO$0$7,000$605Not rated$94Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
HealthSpring Preferred (HMO)
Health Care Service Corporation · H0672-005-000 · SoB ✓
HMO$0$4,201$2003.0out of 5 stars, Average$85Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Humana Essentials Plus Giveback H5216-435 (PPO)
Humana Inc. · H5216-435-003 · SoB ✓
PPO$0$7,850$03.5out of 5 stars, Average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
Humana Inc. · H0028-076-000 · SoB ✓
HMO C-SNP$0$9,250$1403.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
Humana Inc. · H4461-065-000 · SoB ✓
HMO C-SNP$0$3,250$6154.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Humana Gold Plus H0028-019 (HMO)
Humana Inc. · H0028-019-000 · SoB ✓
HMO$0$3,800$03.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
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
Humana Total Complete H4461-064 (HMO)
Humana Inc. · H4461-064-000 · SoB ✓
HMO$0$3,800$04.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Humana Value Choice H5216-078 (PPO)
Humana Inc. · H5216-078-006 · SoB ✓
PPO$0$5,000$6153.5out of 5 stars, AverageReportedVision exam Eyewear Hearing aids OTC allowance Meals
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 Complete Care NM-11 (PPO C-SNP)
UnitedHealth Group, Inc. · H2001-070-000 · SoB ✓
PPO C-SNP$0$5,900$5204.5out of 5 stars, Above averageReportedVision exam Eyewear Hearing aids OTC allowance Meals
UHC Complete Care Support NM-1A (PPO C-SNP)
UnitedHealth Group, Inc. · H2001-042-000 · SoB ✓
PPO C-SNP$0$9,250$4914.5out of 5 stars, Above averageReportedPreventive 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 H7617-068 (PPO)
Humana Inc. · H7617-068-000 · SoB ✓
PPO$9$4,900$2004.5out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
AARP Medicare Advantage from UHC NM-0002 (PPO)
UnitedHealth Group, Inc. · H2406-055-000 · SoB ✓
PPO$31$4,900$5204.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Humana Full Access H7617-069 (PPO)
Humana Inc. · H7617-069-000 · SoB ✓
PPO$64$3,400$6154.5out of 5 stars, Above average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids 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
AARP Medicare Advantage Patriot No Rx NM-MA01 (PPO)
UnitedHealth Group, Inc. · H2406-080-000 · SoB ✓
PPO—$6,700—4.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
CHRISTUS Health Medicare Guardian (HMO)
CHRISTUS Health · H1189-007-000 · SoB
HMO—$4,900—3.5out of 5 stars, Average$75Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
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 San Miguel 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 35 San Miguel County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.

Pro data Free 10-row sample

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