2026 Medicare Advantage Plans in San Miguel County, NM
Last update: . Enrollment data updated: May 2, 2026
For 2026, San Miguel County, NM includes 20 Medicare Advantage plans. Enrollment across these plans totals approximately 2,098, with 15 $0 premium options and 39% rated 4 stars or higher.
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.
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
- 12
- Average Monthly Premium
- $20.67/mo
- Total PPO Enrollment
- 793
- $0 Premium PPO Plans
- 7
- Average MOOP
- $5,400
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC NM-0005 (PPO) — 165 enrollees
- PPO Plans Without Drug Coverage
- 3
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Full Access H7617-069 | $64 | $3,400 | $615 | H7617-069-0 | |
| HumanaChoice H7617-068 | $9 | $4,900 | $200 | H7617-068-0 | |
| AARP Medicare Advantage from UHC NM-0002 | $31 | $4,900 | $520 | H2406-055-0 | |
| AARP Medicare Advantage from UHC NM-0005 | $0 | $5,900 | $600 | H2406-090-0 | |
| AARP Medicare Advantage Giveback from UHC NM-8 | $0 | $6,700 | $600 | H2406-097-0 | |
| AARP Medicare Advantage Patriot No Rx NM-MA01 | $0 | $6,700 | N/A | H2406-080-0 | |
| 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 H5216-223 | $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 Miguel?
PPO plans in San Miguel cost $20.67 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 from UHC NM-0005 (PPO), with 165 enrollees.
How many PPO plans in San Miguel do not include prescription drug coverage?
3 PPO plans in San Miguel do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 8
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 1,305
- $0 Premium HMO Plans 8
- Average MOOP $4,525
- Top HMO by Enrollment Humana Gold Plus H0028-019 (HMO) — 728 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Total Complete H4461-064 | $0 | $3,800 | $0 | H4461-064-0 | |
| CHRISTUS Health Medicare Guardian | $0 | $4,900 | N/A | H1189-007-0 | |
| CHRISTUS Health Medicare Plus | $0 | $4,200 | $250 | H1189-002-0 | |
| Humana Gold Plus H0028-019 | $0 | $3,800 | $0 | H0028-019-0 | |
| HealthSpring Preferred | $0 | $4,201 | $200 | H0672-005-0 | |
| 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 top HMO by enrollment in San Miguel?
Humana Gold Plus H0028-019 (HMO) is the top HMO in San Miguel, with 728 enrollees.
What is the number of HMO plans without Part D coverage in San Miguel?
1 HMO plans in San Miguel do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in San Miguel 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) | 7 | 39% |
| 3 Stars | 10 | 56% |
| Below 3 Stars | 1 | 6% |
| Not Rated | 2 | 10% |
| Average Rating | 3.64 | |
* 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, non-government informational resource and is not affiliated with or endorsed by 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.