- Entity
- county:new-mexico-san-juan-35045
- 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/san-juan/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 11
- PPO Plans
- 10
- HMO Plans
- 1
- HMO-POS Plans
- 0
- PFFS Plans
- 0
- Average Monthly Premium
- 17.55
- Average MOOP
- 5636.36
- Average Part D Deductible
- 451.88
- $0 Premium Plans
- 7
- Plans Without Part D Coverage
- 3
- Average CMS Star Rating
- 3.5
- $0 Premium Plan Share
- 63.64
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 27
- 3-Star Plan Share
- 64
- Below 3-Star Plan Share
- 9
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 19.3
- PPO Average MOOP
- 5780
- PPO Enrollment
- 5151
- PPO $0 Premium Plans
- 6
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 4200
- HMO Enrollment
- 1130
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- Entity
- county:new-mexico-san-juan-35045
- 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/san-juan/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-mexico-san-juan-35045-landscape-stats
- Plans Indexed
- 11
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage from UHC NM-0003
H2406-088-0 -
AARP Medicare Advantage from UHC NM-0006
H2406-091-0 -
AARP Medicare Advantage Patriot No Rx NM-MA02
H2406-092-0 -
Humana Essentials Plus Giveback H5216-435
H5216-435-3 -
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 Access
H1666-021-0 -
Blue Cross Medicare Advantage Select
H3251-002-0
-
AARP Medicare Advantage from UHC NM-0003
- Total Standard Medicare Advantage Enrollment
- 6281
2026 Medicare Advantage Plans in San Juan County, NM
Last update: .
For 2026, San Juan County, NM includes 11 Medicare Advantage plans. Enrollment across these plans totals approximately 6,281, with 7 $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 San Juan County, NM are summarized separately. Visit Medicare Options in San Juan 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
- 10
- Average Monthly Premium
- $19.30/mo
- Total PPO Enrollment
- 5,151
- $0 Premium PPO Plans
- 6
- Average MOOP
- $5,780
- Top PPO by Enrollment
- Humana Essentials Plus Giveback H5216-435 (PPO) — 1,211 enrollees
- PPO Plans Without Drug Coverage
- 3
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 average monthly premium for PPO plans in San Juan?
- PPO plans in San Juan cost $19.30 per month on average.
- Which PPO plan has the highest enrollment in San Juan?
- The most popular PPO plan in San Juan is Humana Essentials Plus Giveback H5216-435 (PPO), with 1,211 enrollees.
- How many PPO plans in San Juan do not include prescription drug coverage?
- 3 PPO plans in San Juan 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 |
|---|---|---|---|---|---|
| Blue Cross Medicare Advantage Select | $0 | $4,200 | $450 | H3251-002-0 |
What is the total number of HMO plans offered in San Juan?
There are 1 HMO plans in 2026, covering 1,130 enrollees.
How much do HMO plans cost in San Juan?
The average HMO premium in San Juan is $0.00 per month, with 1 plans offering $0 premiums.
What is the top HMO by enrollment in San Juan?
Blue Cross Medicare Advantage Select (HMO) is the top HMO in San Juan, with 1,130 enrollees.
What is the number of HMO plans without Part D coverage in San Juan?
0 HMO plans in San Juan do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in San Juan 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) | 3 | 27% |
| 3 Stars | 7 | 64% |
| Below 3 Stars | 1 | 9% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* 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.