2026 Medicare Advantage Plans in Sandoval County, NM
Last update: . Enrollment data updated: May 2, 2026
For 2026, Sandoval County, NM includes 34 Medicare Advantage plans. Enrollment across these plans totals approximately 15,011, with 25 $0 premium options and 27% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Sandoval County, NM are provided separately. Or you can discover all Medicare Options in Sandoval County, NM.
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
- 18
- Average Monthly Premium
- $15.72/mo
- Total PPO Enrollment
- 4,433
- $0 Premium PPO Plans
- 11
- Average MOOP
- $5,959
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC NM-0004 (PPO) — 1,005 enrollees
- PPO Plans Without Drug Coverage
- 3
What is the typical premium for PPO plans available in Sandoval?
PPO plans in Sandoval cost $15.72 per month on average.
Which PPO plan do most beneficiaries choose in Sandoval?
The most popular PPO plan in Sandoval is AARP Medicare Advantage from UHC NM-0004 (PPO), with 1,005 enrollees.
How many PPO options are offered without drug coverage in Sandoval?
3 PPO plans in Sandoval 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 15
- Average Monthly Premium $8.93/mo
- Total HMO Enrollment 10,230
- $0 Premium HMO Plans 13
- Average MOOP $4,450
- Top HMO by Enrollment Presbyterian Senior Care Plan 2 with Rx (HMO) — 4,941 enrollees
- HMO Plans Without Drug Coverage 2
| 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 | |
| Blue Cross Medicare Advantage Basic | $20 | $4,200 | $450 | H3822-002-0 | |
| HealthSpring Preferred | $0 | $4,201 | $200 | H0672-005-0 | |
| Presbyterian Senior Care Extra Health Plan with Rx | $0 | $6,000 | $615 | H3204-017-0 | |
| Presbyterian Senior Care Plan 1 | $0 | $4,250 | N/A | H3204-008-0 | |
| Presbyterian Senior Care Plan 2 with Rx | $0 | $6,000 | $0 | H3204-001-0 | |
| Presbyterian Senior Care Plan 3 with Rx | $114 | $4,000 | $0 | H3204-007-0 | |
| 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 | |
| SCAN Classic | $0 | $2,800 | $0 | H5244-001-0 | |
| SCAN MyChoice | $0 | $3,300 | $0 | H5244-005-0 |
What is the total number of HMO plans offered in Sandoval?
In 2026, Sandoval County has 15 HMO plans with 10,230 enrollees.
How much do HMO plans cost in Sandoval?
The typical HMO premium in Sandoval is $8.93, and 13 plans have no monthly premium.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 348
- $0 Premium HMO-POS Plans
- 1
- Average MOOP
- $5,900
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NM-0009 (HMO-POS) — 348 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC NM-0009 | $0 | $5,900 | $600 | H4604-027-0 |
- What is the average monthly premium for HMO-POS plans?
- HMO-POS plans in Sandoval cost $0.00 per month on average.
- Which HMO-POS plan is most popular in Sandoval?
- The most popular HMO-POS plan in Sandoval is AARP Medicare Advantage from UHC NM-0009 (HMO-POS), with 348 enrollees.
- How many HMO-POS plans in Sandoval do not include drug coverage?
- There are 0 HMO-POS plans in Sandoval without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Sandoval 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) | 8 | 27% |
| 3 Stars | 21 | 70% |
| Below 3 Stars | 1 | 3% |
| Not Rated | 4 | 12% |
| Average Rating | 3.43 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- 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, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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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.