New Mexico · 2026 plan year

Medicare Advantage HMO plans in New Mexico

There are 46 Medicare Advantage HMO plans in New Mexico from 10 carriers, averaging 3.22 out of 5 stars across the 29 plans CMS has rated. Nearly all charge no monthly plan premium, so what separates them is network, drug coverage and how much you could owe in a bad year.

46
HMO plans
10
Carriers
33
Counties covered
3.2
Avg stars (29 of 46 rated)
$6,736
Avg out-of-pocket max
A $0 plan premium is not a free plan. You still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. Star ratings are published by CMS per contract, so every plan a carrier files under the same contract shares one rating — it describes the carrier’s performance, not this specific plan’s benefits. Estimate your real costs.

HMO plans in New Mexico rate below the national average.

The 29 rated HMO plans here average 3.22 stars against a national median of 3.82. That is a reason to compare carefully rather than to rule the state out — 4 plans here still rate 4 stars or better, and the rating describes the contract, not any one plan's benefits.

17 of New Mexico's HMO plans carry no star rating yet.

CMS rates a contract, not a plan, and does not rate one that is too new or has too little data — so 17 plans here shows no rating at all. Unrated is not the same as badly rated; it usually means a new contract, and those plans have to be judged on benefits and network instead.

Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.

Highest rated

Top-rated HMO plans in New Mexico

Showing 5 of 46. See all New MexicoMedicare Advantage plans →

Who sells here

HMO plans by carrier

CarrierPlansAvg starsSNPs
Presbyterian Health PlanPresbyterian Healthcare Services133.03
SCAN Health PlanSCAN Group82
Devoted HealthDevoted Health, Inc.73
Blue Cross and Blue Shield of IL, NMHealth Care Service Corporation43.5
HumanaHumana Inc.43.82
Blue Cross and Blue Shield of New MexicoHealth Care Service Corporation32.51
CHRISTUS Health AdvantageCHRISTUS Health23.5
Molina Healthcare of ArizonaMolina Healthcare, Inc.22
UnitedHealthcareUnitedHealth Group, Inc.24.0
Cigna HealthCareHealth Care Service Corporation13.0
Other plan types in New Mexico

How HMO compares

All New MexicoMedicare Advantage plans →

Nearby on quality

States with similar HMO star ratings

Common questions

New Mexico Medicare Advantage HMO plans, answered

How much do Medicare Advantage HMO plans cost in New Mexico?
Of the New Mexico HMO plans with a published premium, 94% charge $0 a month. A $0 premium does not mean the plan is free: you still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. The number that actually caps a bad year is the in-network out-of-pocket maximum, which averages $6,736 across these plans.
What are the star ratings for New Mexico HMO plans?
The 29 rated HMO plans in New Mexico average 3.22 out of 5 stars, with 4 rating 4 or better. CMS rates a contract rather than an individual plan, so every plan a carrier files under the same contract shares one score. A contract that is too new or has too little data is not rated at all, which is different from rating badly.
How many Medicare Advantage HMO plans are available in New Mexico?
There are 46 HMO plans from 10 carriers, sold across 33 counties. Availability is set by county, so the plans you can actually join depend on where you live — the full list is rarely available in any one place. 13 of them are Special Needs Plans with extra eligibility rules (see below).
Do New Mexico HMO plans include prescription drug coverage?
46 of the 46 HMO plans here bundle Part D drug coverage into the plan. That is the usual arrangement for Medicare Advantage and there is no separate drug premium for it — the plan premium covers both. If you join a Medicare Advantage plan without drug coverage, you generally cannot add a standalone Part D plan alongside it.
What is a Special Needs Plan, and are there any in New Mexico?
13 of the 46 HMO plans in New Mexico are Special Needs Plans. SNPs limit enrollment to people who also have Medicaid, live in a nursing home or similar institution, or have a qualifying chronic condition. They often carry richer benefits for that group, but if you do not meet the criteria you cannot join one — so the real number of plans open to you may be lower than the total.

A $0 premium is not the whole cost.
See what a year really looks like.

Simplivera models your actual annual costs across New Mexico Medicare Advantage plans.

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