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Medicare plans in Sandoval County, NM — 2027
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2027, Sandoval County, New Mexico has 46 Medicare plans (19 Medicare Advantage with drug coverage, 2 without, 10 standalone Part D, 15 Special Needs) from 9 carriers. 31 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,250.
What changed vs 2026
- 16 fewer plans than 2026
- Carriers entered: Molina Healthcare of New Mexico
- Carriers exited: CHRISTUS Health Advantage, Molina Healthcare of Arizona, SCAN Health Plan
- $0-premium plans down 11
- Average star rating up 0.4
Market snapshot
- Residents 65 and older
- 30,805
- Residents 60–64, aging in over the next five years
- 11,010
- Medicare eligibles
- 37,828
- Medicare Advantage penetration
- 56.6%
- Plans per 1,000 residents 65+
- 1.5
Carriers by number of plans
- UnitedHealthcare — 15 plans
- Humana — 14 plans
- Devoted Health — 6 plans
- Blue Cross and Blue Shield of New Mexico — 3 plans
- HealthSpring — 3 plans
- Wellcare — 2 plans
- Aetna Medicare — 1 plan
- Molina Healthcare of New Mexico — 1 plan
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|---|---|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) (H0028-076-0) | Humana | SNP | HMO C-SNP | $0 | $700 | $9,850 | 4.5 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) (H4461-065-0) | Humana | SNP | HMO C-SNP | $0 | $100 | $3,250 | 4.5 |
| Humana Gold Plus H0028-019 (HMO) (H0028-019-0) | Humana | MA-PD | HMO | $0 | $700 | $3,800 | 4.5 |
| Humana Total Complete (HMO) (H4461-064-0) | Humana | MA-PD | HMO | $0 | $700 | $3,800 | 4.5 |
| UHC Complete Care NM-11 (PPO C-SNP) (H2001-070-0) | UnitedHealthcare | SNP | PPO C-SNP | $0 | $585 | $4,900 | 4.5 |
| UHC Complete Care Support NM-1A (PPO C-SNP) (H2001-042-0) | UnitedHealthcare | SNP | PPO C-SNP | $0 | $100 | $9,850 | 4.5 |
| Humana Basic Rx Plan (PDP) (S5884-110-0) | Humana | PDP | PDP | $6.30 | $700 | 4.5 | |
| HumanaChoice H7617-068 (PPO) (H7617-068-0) | Humana | MA-PD | PPO | $20 | $300 | $4,900 | 4.5 |
| Humana Value Rx Plan (PDP) (S5884-205-0) | Humana | PDP | PDP | $49.30 | $687 | 4.5 | |
| Humana Full Access (PPO) (H7617-069-0) | Humana | MA-PD | PPO | $60 | $700 | $3,900 | 4.5 |
Showing 10 of 46 plans.
Nearby counties
- Los Alamos County
- Bernalillo County
- Santa Fe County
- Rio Arriba County
- Valencia County
- McKinley County
Agent Tools
- Estimate drug costs in this county
- Marketplace (ACA) plans in this county
- Compare with another county
- Download plan list (CSV)
- Alert me when plans change here
About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2027; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS October 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.