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The 2023 Medicare Advantage Plans in Grant County NM.
2022 Grant County New Mexico
Medicare Advantage Plans
There are 15 Medicare Advantage Plans available in Grant County NM from 5 different health insurance providers. 1 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3900 and the highest out of pocket is $7550. Grant County New Mexico residents can also pick from 2 Medicare Special Needs Plans. The best Medicare Advantage plan in Grant County New Mexico received a 4 overall star rating from CMS and the lowest rated plan is 3.5 stars.
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| Name ⇅ | Premium | Deductible | MOOP | Gap | Plan Rating |
Click for Formulary |
|---|---|---|---|---|---|---|
| AARP Medicare Advantage Choice (PPO) (H2228-023) | $0 | $0 | $3,900 | Yes | Browse Formulary | |
| Humana Gold Choice H8145-123 (PFFS) (H8145-123) | $90.00 | $300.00 | $- | No | Browse Formulary | |
| Humana Value Plus H5216-199 (PPO) (H5216-199) | $29.40 | $445.00 | $7,550 | No | Browse Formulary | |
| HumanaChoice H5216-137 (PPO) (H5216-137) | $0 | $445.00 | $7,550 | No | Browse Formulary | |
| HumanaChoice H5216-196 (PPO) (H5216-196) | $18.00 | $0 | $6,700 | No | Browse Formulary | |
| Molina Medicare Choice Care (HMO) (H9082-009) | $34.30 | $480.00 | $7,550 | No | Browse Formulary | |
| Molina Medicare Choice Care Plus (HMO) (H9082-010) | $0 | $125.00 | $7,550 | No | Browse Formulary | |
| Molina Medicare Choice Care Select (HMO) (H9082-011) | $0 | $480.00 | $7,550 | No | Browse Formulary | |
| Presbyterian MediCare PPO Plan 2 with Rx (PPO) (H3206-001) | $188.00 | $430.00 | $6,700 | No | Browse Formulary | |
| UnitedHealthcare Medicare Advantage Assure (PPO) (H0271-011) | $24.30 | $480.00 | $7,550 | No | Browse Formulary |
Return to 2022 Medicare Advantage Plans in New Mexico
Guadalupe County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| Humana Honor (PPO) (H5216-213) | $0 | Local PPO * | $4,400 | |
| HumanaChoice H5216-077 (PPO) (H5216-077) | $0 | Local PPO * | $4,000 | |
| Lasso Healthcare Growth (MSA) (H1924-001) | MSA * | $- | NA | |
| Lasso Healthcare Growth Plus (MSA) (H1924-004) | MSA * | $- | NA | |
| Presbyterian MediCare PPO Plan 1 (PPO) (H3206-003) | $43.00 | Local PPO * | $6,700 |
2022 Medicare Special Needs Plans in Grant county New Mexico
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| Presbyterian Dual Plus (HMO D-SNP) | $34.30 | $480.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Chronic Complete Assure (PPO C-SNP) | $6.30 | $480.0 | No Gap Coverage | Chronic or Disabling Condition |
Plan Type Is the type of organization offering the Medicare Plan.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescription Drug Plan
- SNP - Special Needs Plan
- POS - Point of Service
- PFFS - Private Fee For Service
Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.
Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.
Benefit Type- (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
- (DS) Defined Standard Benefit
- (BA) Basic Alternative
- (AE) Actuarially Equivalent Standard
GAP
- Many - Many Generics and Some Brands
- Some - Some Generics and Few Brands
Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable
Source: CMS.
Data as of September 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.