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2027 Medicare Advantage Plans in San Miguel County, NM

Last update: .

For 2027, San Miguel County, NM includes 18 Medicare Advantage plans. Enrollment across these plans totals approximately 1,608, with 14 $0 premium options and 100% rated 4 stars or higher.

At a Glance

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in San Miguel County, NM are summarized separately. Visit Medicare Options in San Miguel County, NM to see more options. For a broader perspective, explore New Mexico Medicare Advantage plans, including statewide premiums, out-of-pocket costs, CMS ratings, and enrollment comparisons.

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
13
Average Monthly Premium
$11.00/mo
Total PPO Enrollment
809
$0 Premium PPO Plans
9
Average MOOP
$6,054
Top PPO by Enrollment
AARP Medicare Advantage Essentials from UHC NM-5 (PPO) — 170 enrollees
PPO Plans Without Drug Coverage
2

2027 PPO Medicare Advantage plans in San Miguel County, New Mexico (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Humana Full Access
☆☆☆☆☆
 $60 $3,900 $700 H7617-069-0
HumanaChoice H7617-068
☆☆☆☆☆
 $20 $4,900 $300 H7617-068-0
AARP Medicare Advantage Direct OTC from UHC NM-16
☆☆☆☆☆
 $0 $5,900 $595 H2406-144-0
AARP Medicare Advantage Direct Plus from UHC NM-17
☆☆☆☆☆
 $0 $5,900 $595 H2406-145-0
AARP Medicare Advantage Essentials from UHC NM-5
☆☆☆☆☆
 $0 $5,900 $595 H2406-090-0
AARP Medicare Advantage Extras from UHC NM-13
☆☆☆☆☆
 $0 $7,150 $685 H2406-141-0
AARP Medicare Advantage from UHC NM-0002
☆☆☆☆☆
 $43 $5,900 $595 H2406-055-0
AARP Medicare Advantage Giveback from UHC NM-8
☆☆☆☆☆
 $0 $7,150 $220 H2406-097-0
AARP Medicare Advantage Patriot No Rx NM-MA01
☆☆☆☆☆
 $0 $7,150 N/A H2406-080-0
Humana Essentials Plus Giveback
☆☆☆☆☆
 $0 $7,850 $450 H5216-435-3
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,200 N/A H5216-436-3
Humana Value Choice
☆☆☆☆☆
 $0 $5,900 $400 H5216-078-6
HumanaChoice H5216-223
☆☆☆☆☆
 $20 $4,900 $300 H5216-223-0
What is the average monthly premium for PPO plans in San Miguel?
PPO plans in San Miguel cost $11.00 per month on average.
Which PPO plan has the highest enrollment in San Miguel?
The most popular PPO plan in San Miguel is AARP Medicare Advantage Essentials from UHC NM-5 (PPO), with 170 enrollees.
How many PPO plans in San Miguel do not include prescription drug coverage?
2 PPO plans in San Miguel 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.

Total HMO Plans
5
Average Monthly Premium
$0.00/mo
Total HMO Enrollment
799
$0 Premium HMO Plans
5
Average MOOP
$5,110
Top HMO by Enrollment
Humana Gold Plus H0028-019 (HMO) — 695 enrollees
HMO Plans Without Drug Coverage
0

2027 HMO Medicare Advantage plans in San Miguel County, New Mexico (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Humana Gold Plus H0028-019
☆☆☆☆☆
 $0 $3,800 $700 H0028-019-0
Humana Total Complete
☆☆☆☆☆
 $0 $3,800 $700 H4461-064-0
DEVOTED CORE 001 NM
☆☆☆☆☆
 $0 $4,100 $650 H9977-001-0
DEVOTED GIVEBACK 002 NM
☆☆☆☆☆
 $0 $8,000 $461 H9977-002-0
DEVOTED GIVEBACK EXTRAS 015 NM
☆☆☆☆☆
 $0 $5,850 $700 H9977-015-0
What is the total number of HMO plans offered in San Miguel?

There are 5 HMO plans in 2027, covering 799 enrollees.

How much do HMO plans cost in San Miguel?

The average HMO premium in San Miguel is $0.00 per month, with 5 plans offering $0 premiums.

What is the top HMO by enrollment in San Miguel?

Humana Gold Plus H0028-019 (HMO) is the top HMO in San Miguel, with 695 enrollees.

What is the number of HMO plans without Part D coverage in San Miguel?

0 HMO plans in San Miguel do not include prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in San Miguel County, NM (2027) are summarized below.

Medicare Advantage Plan Ratings in San Miguel County, NM (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 15 100%
3 Stars 0 0%
Below 3 Stars 0 0%
Not Rated 3 17%
Average Rating 4.13

* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.

Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in San Miguel County, New Mexico, including communities such as Pecos, Las Vegas, and other areas throughout the county. Plan availability is determined by county of residence, not by city.

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 .

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 .