331,959 Albuquerque, New Mexico residents have Original Medicare coverage. Of those 331,959 beneficiaries, 138,853 (41.83%) purchased a separate Medicare Advantage plan.
Albuquerque, New Mexico, Medicare Advantage plans provide numerous benefits to qualified enrollees, making specific healthcare services more affordable.
Medicare plans in Albuquerque, New Mexico
Medicare Supplement plans prevent beneficiaries from paying for medical services that Albuquerque, New Mexico, Original Medicare doesn’t cover. They prevent enrollees from paying out of pocket, making specific healthcare treatments like dental, vision, and hearing more economical.
We based the following information on 65-year-old female beneficiaries.
Medicare Advantage plans
Albuquerque residents can choose among 45 different Medicare Advantage plans, each with unique coverage and benefits. Below are some of the best Albuquerque, New Mexico, Medicare Advantage plans.
Amerigroup offers three-star HMO (Health Maintenance Organization) Medicare Advantage plan types with zero-dollar premiums and a $6,700 MOOP (Maximum Out-of-Pocket). These plans include some prescription drug coverage. While they cover basic vision and dental services, beneficiaries can add additional coverage.
Humana provides four-star local PPO (Preferred Provider Organization) Medicare Advantage plans without premiums and a $5,200 MOOP. These plans include prescription drug coverage, offering a $0 deductible on Tier 1, 2, and 3 drugs. There’s also a $0 copay for in-network doctor visits.
WellCare carries HMO Medicare Advantage plans with zero-dollar premiums and a $3,450 MOOP. Although these plans don’t have a star rating, they are prevalent among Albuquerque residents. These plans cover dental, vision, hearing, and some prescription drugs.
The average cost of Medicare Advantage plans in Albuquerque, New Mexico
| PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
| Amerigroup | $0 | $6,700 | HMO | 3 |
| Humana | $0 | $5,200 | LOCAL PPO | 4 |
| Wellcare | $0 | $3,450 | HMO | N/A |
| Presbyterian Health | $0 | $4,500 | HMO | 3 |
| Cigna | $0 | $5,700 | LOCAL PPO | 4 |
Medicare Supplement plans
Medicare Supplement plans are government-standardized plans that cover the costs of specific healthcare services not covered by Original Medicare.
Since the United States government standardized these plans nationwide, their benefits don’t change among states, private insurance providers, or zip codes. However, the monthly premiums often differ depending on the state, region, and carrier.
Medigap Plan G is an exceedingly popular Medicare Supplement plan in Albuquerque, New Mexico, due to its broad coverage and affordable cost. Monthly premiums range from $98.58 to $336.07. However, it doesn’t cover the Part B deductible.
Medigap Plan F is another front-running plan since it’s the most comprehensive policy currently available in Albuquerque. Premiums cost between $117 to $361. Plan F offers the most comprehensive coverage, including the Part B deductible.
Albuquerque beneficiaries that want extensive coverage without costly premiums can buy a high-deductible plan. Medigap HDF, commonly called High Deductible Plan F, provides nearly identical coverage as Medigap plan F with lower premiums. Monthly premiums range between $26 to $83.47.
The average cost of Medicare Supplement plans in Albuquerque, New Mexico
| LETTER PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
| PLAN A | $78.00 | $306.50 |
| PLAN B | $118.00 | $301.00 |
| PLAN C | $112.00 | $358.75 |
| PLAN D | $98.38 | $199.41 |
| PLAN F | $117.00 | $361.00 |
| PLAN HDF | $26.00 | $83.47 |
| PLAN G | $98.58 | $336.07 |
| PLAN HDG | $26.00 | $51.03 |
| PLAN K | $38.56 | $97.75 |
| PLAN L | $61.33 | $196.54 |
| PLAN M | $94.80 | $210.86 |
| PLAN N | $75.23 | $329.14 |
Medicare Part D prescription drug plans
Unfortunately, Medigap plans don’t include medication coverage, and only a handful of Albuquerque, New Mexico Medicare Advantage plans help pay for prescription drugs. To make their prescriptions more affordable, many residents purchase a standalone Medicare Part D plan to cover the cost of their prescription medications.
Aetna offers a three-star Medicare Part D plan in Albuquerque, New Mexico, with $7.60 premiums and a $480 annual deductible. These Medicare Part D plans are the most affordable currently available in Albuquerque. They offer a $0 deductible on Tier 1 prescription drugs.
Humana offers four-star Part D plans with $22.70 monthly premiums and $480 deductibles. This deductible shrinks to $0 for Tier 1 and 2 drugs. Drug copays are also relatively low, starting at just $10.
Elixir carries three-star Medicare Part D plans with $31.40 premiums and a $480 annual deductible. Copays start low with these plans, coming in at just $1 for Tier 1 drugs. These plans have a three-star rating.
The average cost of Medicare Part D plans in Albuquerque, New Mexico
| PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
| Aetna | $7.60 | $480 | 3 |
| Wellcare | $8.70 | $480 | 3 |
| Humana | $22.70 | $480 | 4 |
| UnitedHealthcare | $29.40 | $310 | 4 |
| Elixir | $31.40 | $480 | 3 |
Special Needs plans
Albuquerque, New Mexico residents on Medicare with chronic disabilities or special needs qualify for Medicare Special Needs Plans (SNPs). These plans are a subset of Medicare Advantage plans designed for people with specific medical conditions and handicaps. However, SNPs aren’t available in every Albuquerque zip code.
WellCare offers beneficiaries with dual eligibility (enrolled in Medicare and Medicaid simultaneously) HMO Special Needs Plans with zero-dollar premiums and a $3,450 MOOP. These plans cover Parts A, B, and D, which also covers prescription drugs. For Tier 1 drugs, there is no deductible.
Amerigroup also carries HMO SNPs with zero-dollar premiums and a $36,700 MOOP. Enrollees must have a chronic or disabling condition to qualify. These plans cover vision, dental, and hearing, along with offering special fitness programs.
Blue Cross Blue Shield offers local PPO Special Needs Plans with $18.30 monthly premiums and a $7,550 MOOP. Beneficiaries must have Medicaid and Medicare to qualify. For those who qualify for the Extra Help program, there are $0 copays on many prescription drugs.
The average cost of Medicare Special Needs plans in Albuquerque, New Mexico
| PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
| Wellcare | $0 | $3,450 | HMO | Dual |
| Amerigroup | $0 | $6,700 | HMO | Chronic/Disabling |
| UnitedHealthcare | $4.20 | $7,550 | LOCAL PPO | Chronic/Disabling |
| Blue Cross Blue Shield | $18.30 | $7,550 | LOCAL PPO | Dual |
| Presbyterian Health | $34.30 | $7,550 | HMO | Dual |
How to sign up for Medicare plans in Albuquerque
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