2026 Medicare Special Needs Plans in Valencia County, NM
Last update: . Enrollment data updated: May 2, 2026
In Valencia County, NM, there are 13 Medicare Special Needs Plans available for 2026. Approximately 2,552 beneficiaries are enrolled, and about 25% are rated 4 stars or higher based on CMS quality ratings.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Valencia County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| UHC Dual Complete NM-S1 | $0 | 9250.00 | $615 | H0294-050-0 | |
| UHC Dual Complete NM-V1 | $0 | 4900.00 | $615 | H0294-051-0 | |
| UHC Dual Complete NM-Y1 | $0 | 9250.00 | $615 | H0294-049-0 | |
| Blue Cross MA Dual Care Plus Preferred | $0 | 9250.00 | $615 | H8634-009-0 | |
| Presbyterian Dual Plus | $0 | 9250.00 | $550 | H3204-013-4 | |
| Blue Cross Medicare Advantage Dual Care Plus | $0 | 9250.00 | $615 | H3251-029-0 | |
| Molina Medicare Complete Care | $0 | 9250.00 | $615 | H8845-007-1 |
What is the total number of D-SNP plans in Valencia County?
Valencia County has 7 D-SNP plans for 2026, with 2,046 enrollees.
How much do D-SNP plans cost in Valencia County?
The typical D-SNP premium in Valencia County is $0.00, and 7 plans have no monthly premium.
I-SNP Plans (Institutional Special Needs Plans)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in long-term or institutional care settings. Plan availability varies by county.
- Total I-SNP Plans: 1
- Average Monthly Premium: $0.00/mo
- Beneficiaries Enrolled: 0
- $0 Premium Plans: 1
- Zero Cost Plans:
- Top I-SNP by Enrollment: — 0 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Humana Together in Health | $0 | 9250.00 | $570 | H5216-444-0 |
What is the total number of I-SNP plans in Valencia County?
There are 1 I-SNP plans in 2026, covering 0 enrollees.
How much do I-SNP plans cost in Valencia County?
The average I-SNP premium in Valencia County is $0.00 per month, with 1 plans offering $0 premiums.
What is the most popular I-SNP plan in Valencia County?
is the top I-SNP in Valencia County, with 0 enrollees.
What is the total number of I-SNP plans in Valencia County?
There are 1 I-SNP plans in 2026, covering 0 enrollees.
C-SNP Plans (Chronic Condition Special Needs Plans)
Chronic Condition Special Needs Plans (C-SNPs) are a category of Medicare Advantage plans offered to beneficiaries with qualifying chronic conditions, as defined by CMS program rules.
- Total C-SNP Plans 5
- Average Monthly Premium $0.00/mo
- Beneficiaries Enrolled 506
- $0 Premium C-SNPs 5
- Average MOOP $14,760
- Most Popular C-SNP UHC Complete Care NM-11 (C-SNP) with 156 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care NM-11 | $0 | 5900.00 | $520 | H2001-070-0 | |
| UHC Complete Care Support NM-1A | $0 | 9250.00 | $491 | H2001-042-0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | 3250.00 | $615 | H4461-065-0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | 9250.00 | $140 | H0028-076-0 | |
| HumanaChoice - Diabetes and Heart | $0 | 9250.00 | $235 | H5216-443-0 |
- What is the average monthly premium for C-SNP plans in Valencia County?
- C-SNP plans in Valencia County cost $0.00 per month.
- Which C-SNP plan has the highest enrollment in Valencia County?
- The most popular C-SNP plan in Valencia County is UHC Complete Care NM-11 (C-SNP), with 156 enrollees.
- How many C-SNP plans are available in Valencia County?
- In 2026, Valencia County offers 5 C-SNP plans with 506 enrollees.
- 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
This page presents county-level Medicare Special Needs Plans (SNP) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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 23 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 20 May, 2025
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Data provenance documentation is maintained in alignment 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.