2026 Medicare Advantage Plans in Rio Arriba County, NM
Last update: . Enrollment data updated: May 2, 2026
For 2026, Rio Arriba County, NM includes 24 Medicare Advantage plans. Enrollment across these plans totals approximately 3,104, with 19 $0 premium options and 18% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Rio Arriba County, NM are summarized separately. Visit Medicare Options in Rio Arriba 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
- 14
- Average Monthly Premium
- $13.86/mo
- Total PPO Enrollment
- 2,060
- $0 Premium PPO Plans
- 10
- Average MOOP
- $6,057
- Top PPO by Enrollment
- HumanaChoice H5216-223 (PPO) — 389 enrollees
- PPO Plans Without Drug Coverage
- 3
- What is the average monthly premium for PPO plans in Rio Arriba?
- PPO plans in Rio Arriba cost $13.86 per month on average.
- Which PPO plan has the highest enrollment in Rio Arriba?
- The most popular PPO plan in Rio Arriba is HumanaChoice H5216-223 (PPO), with 389 enrollees.
- How many PPO plans in Rio Arriba do not include prescription drug coverage?
- 3 PPO plans in Rio Arriba 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 |
|---|---|---|---|---|---|
| CHRISTUS Health Medicare Guardian | $0 | $4,900 | N/A | H1189-007-0 | |
| CHRISTUS Health Medicare Plus | $0 | $4,200 | $250 | H1189-002-0 | |
| 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 |
What is the total number of HMO plans offered in Rio Arriba?
There are 10 HMO plans in 2026, covering 1,044 enrollees.
How much do HMO plans cost in Rio Arriba?
The average HMO premium in Rio Arriba is $11.40 per month, with 9 plans offering $0 premiums.
What is the top HMO by enrollment in Rio Arriba?
Presbyterian Senior Care Plan 2 with Rx (HMO) is the top HMO in Rio Arriba, with 527 enrollees.
What is the number of HMO plans without Part D coverage in Rio Arriba?
2 HMO plans in Rio Arriba do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Rio Arriba 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) | 4 | 18% |
| 3 Stars | 17 | 77% |
| Below 3 Stars | 1 | 5% |
| Not Rated | 2 | 8% |
| Average Rating | 3.34 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
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.