- Entity
- county:new-mexico-bernalillo-35001
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/new-mexico/bernalillo/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 34
- PPO Plans
- 18
- HMO Plans
- 15
- HMO-POS Plans
- 1
- PFFS Plans
- 0
- Average Monthly Premium
- 12.26
- Average MOOP
- 5291.35
- Average Part D Deductible
- 363.97
- $0 Premium Plans
- 25
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 3.43
- $0 Premium Plan Share
- 73.53
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 27
- 3-Star Plan Share
- 70
- Below 3-Star Plan Share
- 3
- Not-Rated Plan Share
- 12
- PPO Average Monthly Premium
- 15.72
- PPO Average MOOP
- 5958.61
- PPO Enrollment
- 14387
- PPO $0 Premium Plans
- 11
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 8.93
- HMO Average MOOP
- 4450.07
- HMO Enrollment
- 37346
- HMO $0 Premium Plans
- 13
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 5900
- HMO-POS Enrollment
- 1382
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:new-mexico-bernalillo-35001
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/new-mexico/bernalillo/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-mexico-bernalillo-35001-landscape-stats
- Plans Indexed
- 34
- Standard Medicare Advantage Plans
-
-
Humana Full Access H7617-069
H7617-069-0 -
HumanaChoice H7617-068
H7617-068-0 -
AARP Medicare Advantage from UHC NM-0001
H2406-054-0 -
AARP Medicare Advantage from UHC NM-0004
H2406-089-0 -
AARP Medicare Advantage from UHC NM-0009
H4604-027-0 -
AARP Medicare Advantage Giveback from UHC NM-7
H2406-096-0 -
AARP Medicare Advantage Patriot No Rx NM-MA01
H2406-080-0 -
Humana Total Complete H4461-064
H4461-064-0 -
CHRISTUS Health Medicare Guardian
H1189-007-0 -
CHRISTUS Health Medicare Plus
H1189-002-0 -
Humana Essentials Plus Giveback H5216-435
H5216-435-3 -
Humana Gold Plus H0028-019
H0028-019-0 -
Humana USAA Honor Giveback
H5216-436-3 -
Humana Value Choice H5216-078
H5216-078-6 -
HumanaChoice H5216-196
H5216-196-2 -
HumanaChoice H5216-223
H5216-223-0 -
HumanaChoice H5216-437
H5216-437-2 -
Blue Cross Medicare Advantage Balance
H1666-019-0 -
Blue Cross Medicare Advantage Basic
H3822-002-0 -
Blue Cross Medicare Advantage Choice Premier
H1666-012-0 -
Blue Cross Medicare Advantage Classic
H8634-010-0 -
Blue Cross Medicare Advantage Dental Premier
H1666-016-0 -
Blue Cross Medicare Advantage Health Choice
H1666-014-0 -
Blue Cross Medicare Advantage Optimum
H1666-020-0 -
HealthSpring Preferred
H0672-005-0 -
Presbyterian Senior Care Extra Health Plan with Rx
H3204-017-0 -
Presbyterian Senior Care Plan 1
H3204-008-0 -
Presbyterian Senior Care Plan 2 with Rx
H3204-001-0 -
Presbyterian Senior Care Plan 3 with Rx
H3204-007-0 -
Blue Cross Medicare Advantage Select
H3251-002-0 -
DEVOTED CORE 001 NM
H9977-001-0 -
DEVOTED GIVEBACK 002 NM
H9977-002-0 -
SCAN Classic
H5244-001-0 -
SCAN MyChoice
H5244-005-0
-
Humana Full Access H7617-069
- Total Standard Medicare Advantage Enrollment
- 53115
2026 Medicare Advantage Plans in Bernalillo County, NM
Last update: .
For 2026, Bernalillo County, NM includes 34 Medicare Advantage plans. Enrollment across these plans totals approximately 53,115, with 25 $0 premium options and 27% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Bernalillo County, NM are summarized separately. Visit Medicare Options in Bernalillo County, NM to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 18
- Average Monthly Premium
- $15.72/mo
- Total PPO Enrollment
- 14,387
- $0 Premium PPO Plans
- 11
- Average MOOP
- $5,959
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC NM-0004 (PPO) — 3,150 enrollees
- PPO Plans Without Drug Coverage
- 3
- What is the average monthly premium for PPO plans in Bernalillo?
- PPO plans in Bernalillo cost $15.72 per month on average.
- Which PPO plan has the highest enrollment in Bernalillo?
- The most popular PPO plan in Bernalillo is AARP Medicare Advantage from UHC NM-0004 (PPO), with 3,150 enrollees.
- How many PPO plans in Bernalillo do not include prescription drug coverage?
- 3 PPO plans in Bernalillo do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Humana Total Complete H4461-064 | $0 | $3,800 | $0 | H4461-064-0 | |
| CHRISTUS Health Medicare Guardian | $0 | $4,900 | N/A | H1189-007-0 | |
| CHRISTUS Health Medicare Plus | $0 | $4,200 | $250 | H1189-002-0 | |
| Humana Gold Plus H0028-019 | $0 | $3,800 | $0 | H0028-019-0 | |
| Blue Cross Medicare Advantage Basic | $20 | $4,200 | $450 | H3822-002-0 | |
| HealthSpring Preferred | $0 | $4,201 | $200 | H0672-005-0 | |
| Presbyterian Senior Care Extra Health Plan with Rx | $0 | $6,000 | $615 | H3204-017-0 | |
| Presbyterian Senior Care Plan 1 | $0 | $4,250 | N/A | H3204-008-0 | |
| Presbyterian Senior Care Plan 2 with Rx | $0 | $6,000 | $0 | H3204-001-0 | |
| Presbyterian Senior Care Plan 3 with Rx | $114 | $4,000 | $0 | H3204-007-0 | |
| Blue Cross Medicare Advantage Select | $0 | $4,200 | $450 | H3251-002-0 | |
| DEVOTED CORE 001 NM | $0 | $4,100 | $375 | H9977-001-0 | |
| DEVOTED GIVEBACK 002 NM | $0 | $7,000 | $605 | H9977-002-0 | |
| SCAN Classic | $0 | $2,800 | $0 | H5244-001-0 | |
| SCAN MyChoice | $0 | $3,300 | $0 | H5244-005-0 |
What is the total number of HMO plans offered in Bernalillo?
There are 15 HMO plans in 2026, covering 37,346 enrollees.
How much do HMO plans cost in Bernalillo?
The average HMO premium in Bernalillo is $8.93 per month, with 13 plans offering $0 premiums.
What is the top HMO by enrollment in Bernalillo?
Presbyterian Senior Care Plan 2 with Rx (HMO) is the top HMO in Bernalillo, with 15,923 enrollees.
What is the number of HMO plans without Part D coverage in Bernalillo?
2 HMO plans in Bernalillo do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 1,382
- $0 Premium HMO-POS Plans
- 1
- Average MOOP
- $5,900
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NM-0009 (HMO-POS) — 1,382 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC NM-0009 | $0 | $5,900 | $600 | H4604-027-0 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Bernalillo cost $0.00 per month on average.
Which HMO-POS plan is most popular in Bernalillo?
The most popular HMO-POS plan in Bernalillo is AARP Medicare Advantage from UHC NM-0009 (HMO-POS), with 1,382 enrollees.
How many HMO-POS plans in Bernalillo do not include drug coverage?
There are 0 HMO-POS plans in Bernalillo without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Bernalillo County, NM (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 8 | 27% |
| 3 Stars | 21 | 70% |
| Below 3 Stars | 1 | 3% |
| Not Rated | 4 | 12% |
| Average Rating | 3.43 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.