2026 Medicare Advantage Plans in San Juan County, NM
Last update: . Enrollment data updated: May 2, 2026
San Juan County, NM has 11 Medicare Advantage plans available in 2026. These include 7 plans with no monthly premium, and roughly 27% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in San Juan County, NM. Or explore all Medicare Options available in San Juan County, NM.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 10
- Average Monthly Premium $19.30/mo
- Total PPO Enrollment 5,157
- $0 Premium PPO Plans 6
- Average MOOP $5,780
- Top PPO by Enrollment Humana Essentials Plus Giveback H5216-435 (PPO) — 1,162 enrollees
- PPO Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC NM-0003 | $30 | $4,900 | $520 | H2406-088-0 | |
| AARP Medicare Advantage from UHC NM-0006 | $0 | $6,700 | $600 | H2406-091-0 | |
| AARP Medicare Advantage Patriot No Rx NM-MA02 | $0 | $6,700 | N/A | H2406-092-0 | |
| Humana Essentials Plus Giveback H5216-435 | $0 | $7,850 | $0 | H5216-435-3 | |
| Humana USAA Honor Giveback | $0 | $6,200 | N/A | H5216-436-3 | |
| Humana Value Choice H5216-078 | $0 | $5,000 | $615 | H5216-078-6 | |
| HumanaChoice H5216-196 | $19 | $7,200 | $615 | H5216-196-2 | |
| HumanaChoice H5216-223 | $9 | $4,900 | $200 | H5216-223-0 | |
| HumanaChoice H5216-437 | $0 | $4,150 | N/A | H5216-437-2 | |
| Blue Cross Medicare Advantage Access | $135 | $4,200 | $615 | H1666-021-0 |
What is the most popular PPO plan in San Juan?
Humana Essentials Plus Giveback H5216-435 (PPO) is the top PPO in San Juan, with 1,162 enrollees.
What is the number of PPO plans without Part D coverage in San Juan?
There are 3 PPO plans in San Juan without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 1,153
- $0 Premium HMO Plans
- 1
- Average MOOP
- $4,200
- Top HMO by Enrollment
- Blue Cross Medicare Advantage Select (HMO) — 1,153 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Blue Cross Medicare Advantage Select | $0 | $4,200 | $450 | H3251-002-0 |
What is the typical premium for HMO plans in San Juan?
HMO plans in San Juan cost $0.00 per month on average.
Which HMO plan do most beneficiaries choose in San Juan?
The most popular HMO plan in San Juan is Blue Cross Medicare Advantage Select (HMO), with 1,153 enrollees.
How many HMO options are offered without prescription drug coverage in San Juan?
There are 0 HMO plans in San Juan without prescription drug coverage.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in San Juan County, NM for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 3 | 27% |
| 3 Stars | 7 | 64% |
| Below 3 Stars | 1 | 9% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- 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
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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Data provenance documentation is maintained in alignment 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.