- Entity
- county:new-mexico-valencia-35061
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/new-mexico/valencia/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 24
- PPO Plans
- 14
- HMO Plans
- 9
- HMO-POS Plans
- 1
- PFFS Plans
- 0
- Average Monthly Premium
- 17.38
- Average MOOP
- 5214.63
- Average Part D Deductible
- 351.5
- $0 Premium Plans
- 15
- Plans Without Part D Coverage
- 4
- Average CMS Star Rating
- 3.5
- $0 Premium Plan Share
- 62.5
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 33
- 3-Star Plan Share
- 63
- Below 3-Star Plan Share
- 4
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 20.21
- PPO Average MOOP
- 5628.57
- PPO Enrollment
- 1807
- PPO $0 Premium Plans
- 7
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 14.89
- HMO Average MOOP
- 4494.56
- HMO Enrollment
- 5068
- HMO $0 Premium Plans
- 7
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 5900
- HMO-POS Enrollment
- 283
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:new-mexico-valencia-35061
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/new-mexico/valencia/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-mexico-valencia-35061-landscape-stats
- Plans Indexed
- 24
- Standard Medicare Advantage Plans
-
-
Humana Full Access H7617-069
H7617-069-0 -
HumanaChoice H7617-068
H7617-068-0 -
AARP Medicare Advantage from UHC NM-0001
H2406-054-0 -
AARP Medicare Advantage from UHC NM-0004
H2406-089-0 -
AARP Medicare Advantage from UHC NM-0009
H4604-027-0 -
AARP Medicare Advantage Giveback from UHC NM-7
H2406-096-0 -
AARP Medicare Advantage Patriot No Rx NM-MA01
H2406-080-0 -
Humana Total Complete H4461-064
H4461-064-0 -
Humana Essentials Plus Giveback H5216-435
H5216-435-3 -
Humana Gold Plus H0028-019
H0028-019-0 -
Humana USAA Honor Giveback
H5216-436-3 -
Humana Value Choice H5216-078
H5216-078-6 -
HumanaChoice H5216-196
H5216-196-2 -
HumanaChoice H5216-223
H5216-223-0 -
HumanaChoice H5216-437
H5216-437-2 -
Blue Cross Medicare Advantage Balance
H1666-019-0 -
Blue Cross Medicare Advantage Basic
H3822-002-0 -
Blue Cross Medicare Advantage Optimum
H1666-020-0 -
HealthSpring Preferred
H0672-005-0 -
Presbyterian Senior Care Extra Health Plan with Rx
H3204-017-0 -
Presbyterian Senior Care Plan 1
H3204-008-0 -
Presbyterian Senior Care Plan 2 with Rx
H3204-001-0 -
Presbyterian Senior Care Plan 3 with Rx
H3204-007-0 -
Blue Cross Medicare Advantage Select
H3251-002-0
-
Humana Full Access H7617-069
- Total Standard Medicare Advantage Enrollment
- 7158
2026 Medicare Advantage Plans in Valencia County, NM
Last update: .
For 2026, Valencia County, NM includes 24 Medicare Advantage plans. Enrollment across these plans totals approximately 7,158, with 15 $0 premium options and 33% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Valencia County, NM are provided separately. Or you can discover all Medicare Options in Valencia 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
- 14
- Average Monthly Premium
- $20.21/mo
- Total PPO Enrollment
- 1,807
- $0 Premium PPO Plans
- 7
- Average MOOP
- $5,629
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC NM-0004 (PPO) — 581 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-0001 | $33 | $4,900 | $520 | H2406-054-0 | |
| AARP Medicare Advantage from UHC NM-0004 | $0 | $5,900 | $600 | H2406-089-0 | |
| AARP Medicare Advantage Giveback from UHC NM-7 | $0 | $6,700 | $600 | H2406-096-0 | |
| 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 H5216-196 | $19 | $7,200 | $615 | H5216-196-2 | |
| 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 Balance | $59 | $6,750 | $450 | H1666-019-0 | |
| Blue Cross Medicare Advantage Optimum | $90 | $4,250 | $300 | H1666-020-0 |
What is the typical premium for PPO plans available in Valencia?
PPO plans in Valencia cost $20.21 per month on average.
Which PPO plan do most beneficiaries choose in Valencia?
The most popular PPO plan in Valencia is AARP Medicare Advantage from UHC NM-0004 (PPO), with 581 enrollees.
How many PPO options are offered without drug coverage in Valencia?
3 PPO plans in Valencia 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 9
- Average Monthly Premium $14.89/mo
- Total HMO Enrollment 5,068
- $0 Premium HMO Plans 7
- Average MOOP $4,495
- Top HMO by Enrollment Presbyterian Senior Care Plan 2 with Rx (HMO) — 1,987 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 | |
| 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 total number of HMO plans offered in Valencia?
In 2026, Valencia County has 9 HMO plans with 5,068 enrollees.
How much do HMO plans cost in Valencia?
The typical HMO premium in Valencia is $14.89, and 7 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
- 283
- $0 Premium HMO-POS Plans
- 1
- Average MOOP
- $5,900
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC NM-0009 (HMO-POS) — 283 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 Valencia cost $0.00 per month on average.
- Which HMO-POS plan is most popular in Valencia?
- The most popular HMO-POS plan in Valencia is AARP Medicare Advantage from UHC NM-0009 (HMO-POS), with 283 enrollees.
- How many HMO-POS plans in Valencia do not include drug coverage?
- There are 0 HMO-POS plans in Valencia without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Valencia 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 | 33% |
| 3 Stars | 15 | 63% |
| Below 3 Stars | 1 | 4% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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
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.