Table of Contents

Medicare Plans by State

STATE -Select-
  • Alabama
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
Page Reviewed / Updated – December 23, 2023

Medicare Advantage was established under the original name Medicare+Choice in 1997 to offer seniors more options in their health insurance. Also known as Part C, Medicare Advantage is managed by private companies and overseen by the federal government. Medicare Advantage Plans must provide all the benefits of Original Medicare Part A and B. However, they can offer additional benefits that enhance the health of older New Mexicans, such as dental, hearing and vision coverage. Most Part C plans include prescription drug coverage as part of the plan, offering seniors more complete coverage. 

One key difference between Original Medicare and Medicare Advantage is the way out-of-pocket expenses work. Original Medicare enrollees have no annual out-of-pocket limit on health care expenses unless they purchase a separate Medicare supplement while Medicare Advantage Plans have yearly limits for Part A and Part B services. Medicare Advantage providers are also allowed to set their own premiums, copays and deductibles. An older adult’s out-of-pocket expenses will depend on their Medicare Advantage Plan, as opposed to Original Medicare enrollees who all have the same out-of-pocket costs.

The number of Medicare Advantage enrollees in New Mexico has grown by 9% from 2022 to 2023. This means that 49% of New Mexicans on Medicare currently have a Part C plan. This is a slight rise from 2022, when 46% of enrollees had a Part C plan. New Mexico’s Medicare Advantage enrollment remains close to the national average. Across the country, 48% of Medicare enrollees have chosen a Medicare Advantage Plan. This number has been growing steadily since the program was introduced.

This guide can help seniors decide whether Medicare Advantage is the right choice for their health care. It lists the top 10 Medicare Advantage providers in New Mexico and explains the types of plans available, eligibility rules and what’s covered. 

The Top 10 Medicare Advantage Plans in New Mexico

There are a variety of Medicare Advantage Plans offered to New Mexico residents. The table below lists the 12 most popular Medicare Advantage providers in the state, based on the total number of enrollments. Costs are presented as a range rather than an average, as most providers offer multiple plans. The table also shows the customer satisfaction ranking out of five stars. This information is current as of July 2023. Older adults can find up-to-date information on plans available and current pricing on



Medicare Star Rating

Monthly Cost Range

Plan Types




$0 – $186


Presbyterian Health Plan



$0 – $118





$0 – $19


Anthem HealthKeepers



$0 – $0


Wellcare by Allwell



$0 – $7


Blue Cross and Blue Shield of IL, NM



$0 – $165


Anthem Blue Cross and Blue Shield



$0 – $0


Molina Healthcare of New Mexico, Inc.



$0 – $0





$0 – $0


Amerigroup Community Care of New Mexico



$0 – $19


How Medicare Advantage Plans Work in New Mexico

Medicare Advantage providers typically offer multiple types of coverage. The plan selected affects a beneficiary’s total out-of-pocket costs and ability to seek care from out-of-network providers, so it’s important to compare Medicare Advantage Plans carefully. The graphic below describes the most common types of Medicare Advantage Plans available in New Mexico.

Medicare Advantage Plan Types Graphic

What Medicare Advantage Plans Cover in New Mexico

Although Medicare Advantage doesn’t cover hospice care, it does cover all other medically necessary services that would be covered by Medicare Part A or Part B. This includes lab tests, X-rays, doctor visits, immunizations, emergency care and services received during a hospital stay. Some New Mexico residents decide to enroll in Medicare Advantage because of the extra benefits offered by some providers. Many plans cover eyeglasses, dental cleanings, hearing aids, dentures and other things that aren’t covered under Original Medicare. Getting these extra benefits can help New Mexico’s Medicare beneficiaries reduce their out-of-pocket costs for care.

Coverage Available With Medicare Parts A & B?

Coverage Available With Medicare Advantage?

Preventive Screenings



Hospital Care



Durable Medical Equipment



Prescription Drugs



Vision Care



Dental Care



Hearing Aids



*Select plans offer this coverage

** Most plans offer this coverage

Eligibility for Medicare Advantage in New Mexico

Before enrolling in Medicare Advantage, an applicant must qualify for Medicare Part A and Part B, which requires U.S. citizenship or lawful immigrant status. To be eligible for Medicare, an individual must also be at least 65 years old or have end-stage renal disease or another type of disability that makes them eligible for Social Security disability benefits. Once an applicant meets these requirements, they may enroll in a Medicare Advantage Plan if they live in the plan’s service area.

Medicare has limited enrollment periods, which means Medicare-eligible New Mexico residents must apply for coverage within a specific timeframe. Enrollees should also be aware of deadlines for switching Medicare Advantage Plans or leaving Medicare Advantage and enrolling in Original Medicare. More information about Medicare enrollment periods is available in the list below.

  • Initial Coverage Election Period: This is the initial 7-month period, coinciding with one’s 65th birthday, during which everyone is eligible to enroll in a Medicare Advantage plan.
  • Annual Election Period (AEP): Also referred to as the Open Enrollment Period, this the time of year when anyone over 65 can enroll in Medicare Advantage for the first time or change to a new plan.
  • Medicare Advantage Open Enrollment Period: During this period, those who are already enrolled in Medicare Advantage can switch to a different plan or switch back to Original Medicare.

Start Date

End Date

Initial Coverage Election

3 Months Before One’s
65th Birth Month

3 Months After One’s
65th Birth Month

Annual Election Period

October 15th

December 7th

Medicare Advantage Open
Enrollment Period

January 1st

March 31st

Additionally, Medicare Advantage plan participants can change their plan outside of these enrollment periods under certain qualifying circumstances, such as moving to a new state.

How to Find & Choose a Medicare Advantage Plan in New Mexico

Navigating the many intricacies of Medicare Advantage plan types, insurers, and the specific plan options available by region can be a difficult and time-consuming task. Below are several resources we’ve created to help you through the process.

First is a downloadable PDF that you can use as a guide to help you compare plans as you research. Finally, we have listed a number of organizations that you can contact with experts that will help you determine whether Medicare Advantage is right for you and what plans you should consider.

Choose a Medicare Advantage Plan

State-Wide Medicare Advantage Resources

New Mexico Aging and Long-Term Services Department

The New Mexico Aging and Long-Term Services Department is the headquarters for the state’s senior services, working with public and private agencies to inform, support and protect seniors and adults with disabilities in regards to aging-related resources, including various Medicare and Medicaid programs. The department collaborates with other programs and agencies, such as the Long-Term Care Ombudsman, Aging and Disability Resource Center and Area Agencies on Aging.

Contact Info

You can visit the Department’s home page to contact a representative via live chat, or call 1-800-432-280 for assistance.

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Aging and Disability Resource Center 

New Mexico’s Aging and Disability Resource Center (ADRC) is a centralized source for information and assistance with health care programs such as Medicare Advantage, long-term options counseling, prescription drug assistance and various local resources. Its Resource Directory provides the latest information about national, state and community programs.

Contact Info

ADRC assistance is available by phone at 1-800-432-2080 or 505-476-4937 (TTY). There is a live chat option on the center’s website, as well.

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Long-Term Care Ombudsman Program

New Mexico’s Long-Term Care Ombudsman Program advocates for residents of long-term care facilities. Volunteer ombudsmen work through grievances between residents, families and facilities to secure individual rights. They help clarify long-term care options and investigate Medicaid, Medicare and Social Security concerns. Ombudsmen also offer guidance on Medicaid and Medicare coverage stipulations, the application process and services covered.

Contact Info

Confidential help from an ombudsman can be arranged by calling 1-866-451-2091 toll free from anywhere in New Mexico.

State Health Insurance Assistance Program 

New Mexico’s State Health Insurance Assistance Program (SHIP) program is available to address questions and concerns about Medicare and Medicaid. SHIP representatives provide seniors, family members and caregivers with up-to-date, unbiased information and do not promote or endorse any insurance plans.

Contact Info

To access free help with understanding or choosing a Medicare Advantage plan, call the ADRC at 1-800-432-2080 and ask for a SHIP representative.

Local Medicare Advantage Resources

Area Agencies on Aging 

New Mexico has four Area Agencies on Aging (AAAs) that plan, support and oversee community-based initiatives for people ages 60 and older, or aged 55 and older in tribal communities. Most of these services are available locally. Each AAA acts as an information and referral hub to help seniors and their families make the most of benefits at their disposal, including Medicare and Medicaid programs. These agencies place a priority on minorities with low incomes, seniors who reside in rural areas, those with limited English proficiency, older citizens with dementia and individuals at risk of being institutionalized in a nursing home or other facility. Each AAA assists older New Mexicans in one of the state’s six regional Planning and Service Areas (PSAs).

Contact Info

For more information about New Mexico’s Area Agencies on Aging and the PSAs each covers, call 1-800-432-2080. A list of the AAAs, their addresses and contact details is available on the New Mexico Aging & Long-Term Care Services website.

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Senior Information and Assistance Program

The Senior Information and Assistance Program is a referral service for residents aged 50 and older in the city of Albuquerque and Bernalillo County. It connects seniors and their family members and caregivers with resources and programs regarding health insurance options and costs, including those of Medicare Advantage. The agency also publishes a free Quick Guide to Senior Services that offers information about key community-based services in the Albuquerque area.

Contact Info

Senior Information Representatives can assist you by phone at 505-764-6400 or email at [email protected].

Deming Luna County Senior Citizens Center

The Deming Luna County Senior Citizens Center strives to be a one-stop information resource for seniors aged 60 and older living in Deming, Columbus and Luna County. The staff provides information and counseling about  Medicare, Medicaid and other local, state and federal services and programs that benefit the senior population.

Contact Info

The staff of the Deming Luna County Senior Citizens Center is available to help you by phone at 575-546-8823 or by email at [email protected]. You can also use the contact form on the center’s website.

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