Medicare Special Needs Plans in New Mexico
Every Special Needs Plan in New Mexico for 2027, from the CMS plan landscape file. You can join one only if you fit its group: Medicare and Medicaid (D-SNP), a qualifying chronic condition (C-SNP) or nursing-home-level care (I-SNP). Pick your county to see the plans sold there.
Showing all 22 plans.
D-SNPs: Medicare and Medicaid
Sorted by CMS star rating, then by how closely the plan is integrated with New Mexico Medicaid, then by worst-case year. If Medicaid or the QMB program pays your Medicare cost sharing, the out-of-pocket maximum matters less than the network and how well the plan works with Medicaid.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Presbyterian Dual Plus (HMO D-SNP)Presbyterian Health Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing5 of 33 counties | $0 | $9,850 | $9,850 | 3★ |
| 2 | Presbyterian Dual Plus (HMO D-SNP)Presbyterian Health Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing20 of 33 counties | $0 | $9,850 | $9,850 | 3★ |
| 3 | Presbyterian Dual Plus (HMO D-SNP)Presbyterian Health Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing8 of 33 counties | $0 | $9,850 | $9,850 | 3★ |
| 4 | Blue Cross Medicare Advantage Dual Care Plus (HMO-POS D-SNP)Blue Cross and Blue Shield of IL, NM · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharingAll 33 counties | $0 | $9,850 | $9,850 | 3★ |
| 5 | UHC Dual Complete NM-S2 (PPO D-SNP)UnitedHealthcare · PPO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing5 of 33 counties | $0 | $9,850 | $9,850 | 3★ |
| 6 | UHC Dual Complete NM-S2 (PPO D-SNP)UnitedHealthcare · PPO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing28 of 33 counties | $0 | $9,850 | $9,850 | 3★ |
| 7 | UHC Dual Advantage NM-V1 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-onlyAll 33 counties | $0 | $4,900 | $4,900 | 3★ |
| 8 | Blue Cross Medicare Advantage Dual Care (HMO-POS D-SNP)Blue Cross and Blue Shield of IL, NM · HMO-POS D-SNPCoordination-onlyAll 33 counties | $0 | $5,000 | $5,000 | 3★ |
| 9 | UHC Dual Complete NM-Q1 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharingAll 33 counties | $0 | $9,850 | $9,850 | 3★ |
| 10 | Molina Medicare Complete Care (HMO D-SNP)Molina Healthcare of New Mexico · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharingAll 33 counties | $6.30 | $9,850 | $9,926 | Too new to rate |
C-SNPs: chronic conditions
Sorted by worst-case year: 12 months of premiums plus the in-network out-of-pocket maximum. Each plan lists the conditions it serves; you need one of them, confirmed by your doctor or another clinician, to join.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes6 of 33 counties | $0 | $3,250 | $3,250 | 4.5★ |
| 2 | DEVOTED C-SNP ENHANCED 003 NM (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes7 of 33 counties | $0 | $4,600 | $4,600 | Too new to rate |
| 3 | DEVOTED C-SNP ENHANCED 007 NM (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes6 of 33 counties | $0 | $4,800 | $4,800 | Too new to rate |
| 4 | UHC Complete Care NM-11 (PPO C-SNP)UnitedHealthcare · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes12 of 33 counties | $0 | $4,900 | $4,900 | 4.5★ |
| 5 | DEVOTED C-SNP GIVEBACK EXTRAS 012 NM (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes7 of 33 counties | $0 | $5,850 | $5,850 | Too new to rate |
| 6 | DEVOTED C-SNP GIVEBACK EXTRAS 013 NM (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes6 of 33 counties | $0 | $6,150 | $6,150 | Too new to rate |
| 7 | DEVOTED C-SNP PLUS 004 NM (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes13 of 33 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 8 | Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes6 of 33 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 9 | HumanaChoice - Diabetes and Heart (PPO C-SNP)Humana · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes28 of 33 counties | $0 | $9,850 | $9,850 | 4★ |
| 10 | UHC Complete Care Support EP-1A (PPO C-SNP)UnitedHealthcare · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 33 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 11 | UHC Complete Care Support NM-1A (PPO C-SNP)UnitedHealthcare · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes9 of 33 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 12 | UHC Complete Care Support NM-2A (PPO C-SNP)UnitedHealthcare · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes19 of 33 counties | $0 | $9,850 | $9,850 | 4.5★ |
Worst-case year = 12 × monthly plan premium + in-network maximum out-of-pocket, for covered Part A and B services. Many D-SNP members pay $0 in premiums with Extra Help. Star ratings are CMS’s 2027 overall ratings for the contract behind each plan. Plans under CMS sanction aren’t listed. How we sort
Before you enroll: check the plan’s network and drug list in the official Medicare Plan Finder, and ask the plan whether you qualify. Free one-on-one help: your State Health Insurance Assistance Program.
Questions
How many Special Needs Plans are in New Mexico for 2027?
CMS lists 22: 10 D-SNPs (Medicare and Medicaid), 12 C-SNPs (chronic conditions) and 0 I-SNPs (institutional), from 6 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in New Mexico are integrated with Medicaid?
7 of the 10 D-SNPs are fully integrated, highly integrated or applicable integrated plans, which cover or coordinate Medicaid benefits more closely. The rest are coordination-only plans. Integrated plans are listed first among plans with the same star rating.
Do Special Needs Plans include drug coverage?
Yes. Every Special Needs Plan must include Part D drug coverage.
Can I stay in a Special Needs Plan if I no longer qualify?
Only while you still meet the plan's rules. If you lose eligibility, you may get a Special Enrollment Period to join another plan.
Sources
- CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), Special Needs Plan rows — cms.gov; star ratings from the CMS 2027 Star Ratings Data Tables — cms.gov.
- Medicare.gov, “Special Needs Plans” — medicare.gov.
Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. Plan details can change; confirm with the plan or Medicare.gov. · Advertiser disclosure
Keep going
- How Special Needs Plans work →
- General Medicare Advantage plans in New Mexico →
- Medicare Savings Programs →
- Extra Help with drug costs →
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