2026 Medicare Advantage Plans in Valencia County, NM
Last update: . Enrollment data updated: August 15, 2026
In Valencia County, NM, there are 24 Medicare Advantage plans available for 2026. Of these, 15 offer a $0 monthly premium, and about 33% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Valencia County, NM. Or explore all Medicare Options available in Valencia County, NM.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 14
- Average Monthly Premium $20.21/mo
- Total PPO Enrollment 1,795
- $0 Premium PPO Plans 7
- Average MOOP $5,629
- Top PPO by Enrollment AARP Medicare Advantage from UHC NM-0004 (PPO) — 583 enrollees
- PPO Plans Without Drug Coverage 3
What is the total number of PPO plans offered in Valencia?
There are 14 PPO plans in 2026, covering 1,795 beneficiaries.
How much do PPO plans cost in Valencia?
The average PPO premium in Valencia is $20.21 per month, with 7 plans offering $0 premiums.
What is the most popular PPO plan in Valencia?
AARP Medicare Advantage from UHC NM-0004 (PPO) is the top PPO in Valencia, with 583 enrollees.
What is the number of PPO plans without Part D coverage in Valencia?
There are 3 PPO plans in Valencia without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 9
- Average Monthly Premium
- $14.89/mo
- Total HMO Enrollment
- 5,072
- $0 Premium HMO Plans
- 7
- Average MOOP
- $4,495
- Top HMO by Enrollment
- Presbyterian Senior Care Plan 2 with Rx (HMO) — 2,009 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Total Complete H4461-064 | $0 | $3,800 | $0 | H4461-064-0 | |
| 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 |
What is the average monthly premium for HMO plans?
HMO plans in Valencia cost $14.89 per month on average.
Which HMO plan is most popular in Valencia?
The most popular HMO plan in Valencia is Presbyterian Senior Care Plan 2 with Rx (HMO), with 2,009 enrollees.
How many HMO plans in Valencia do not include drug coverage?
There are 1 HMO plans in Valencia without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC NM-0009 | $0 | $5,900 | $600 | H4604-027-0 |
What is the leading HMO-POS plan in Valencia?
AARP Medicare Advantage from UHC NM-0009 (HMO-POS) is the top HMO-POS in Valencia, with 280 enrollees.
What is the number of HMO-POS plans without Part D coverage in Valencia?
0 HMO-POS plans in Valencia do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Valencia County, NM for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 8 | 33% |
| 3 Stars | 15 | 63% |
| Below 3 Stars | 1 | 4% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed August 15, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed August 15, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed August 15, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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