AARP Medicare Advantage Patriot No Rx NM-MA02 (PPO) Medicare Advantage Plan H2406-092 • 2026 • San Juan County, NM

AARP Medicare Advantage Patriot No Rx NM-MA02 Overview

Coverage Overview for AARP Medicare Advantage Patriot No Rx NM-MA02

As a Medicare Advantage PPO plan, AARP Medicare Advantage Patriot No Rx NM-MA02 covers Medicare Part A and Part B services and allows access to Medicare-approved providers. The monthly premium is $0.00, with lower costs when using in-network providers.

Primary care visits have a $0 copay | Out-of-network: $35 copay, specialist visits come with a $0-$60 copay | Out-of-network: $85 copay, urgent care services carry a $0-$50 copay, and ambulance transportation is $290 copay | Out-of-network: $290 copay. These expenses apply toward the annual maximum out-of-pocket (MOOP) limit of $6700.00. After this limit is reached, in-network services are fully covered.

This plan is registered with CMS under Plan ID H2406-092. Cost-sharing details are outlined below.

Out-of-Pocket Costs

AARP Medicare Advantage Patriot No Rx NM-MA02 has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The table below details the most common in-network out-of-pocket expenses for plan H2406-092.

Certain preventive services are covered 100% by AARP Medicare Advantage Patriot No Rx NM-MA02 as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS 5-Star Ratings

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.