Medicare Advantage · New Mexico · 2026 plan year

Medicare Advantage in Santa Fe, NM

According to the Centers for Medicare & Medicaid Services (CMS) 2026 Landscape and Star Ratings files, every Medicare Advantage plan available in Santa Fe, NM for 2026 is ranked by CMS star rating, with premiums and benefits laid out plainly.

46
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$9.63
Avg premium/mo
RSS updates for this county

The short answer

Santa Fe has 46 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 11 reach 4★ or higher, and 33 carry a $0 monthly premium.

46
plans to compare
4.5★
highest CMS rating here
33
$0-premium plans
11
plans rated 4★ or higher

Premiums shown are the monthly plan premium (Part C + D). Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Confirm any plan's current details on Medicare.gov before enrolling.

What the CMS Plan Finder Shows for Santa Fe, NM

Santa Fe, NM (FIPS 35049): 46 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.. Plan-type mix: 26 Local PPO, 19 HMO, 1 HMO POS. Monthly plan premiums (Part C + D) range $0 – $114.00 (avg $9.63), with 33 $0-premium plans. 42 of 46 plans include Part D drug coverage. CMS Star Ratings methodology →

How to read these figures

The figures above come from the Centers for Medicare & Medicaid Services 2026 plan year file, which CMS publishes each autumn before the October 15 to December 7 open enrollment window. A county premium reflects only the Part C portion that a plan charges. Most enrollees still pay the standard Part B premium of about $202.90 a month on top of it, so a $0 plan is rarely free in practice. The CMS star rating runs from one to five and weights more than 40 measures, including how well a plan manages chronic conditions, how fast it answers member calls, and how members rate their own care. A plan that holds five stars earns a special enrollment period that lets people switch into it at almost any time of year. Premiums alone can mislead a shopper, because a low monthly cost often pairs with a higher deductible or a tighter provider network. Federal rules cap in-network out-of-pocket spending at $9,250 for 2026, which is why two plans with identical premiums can leave very different bills after a hospital stay. Read our methodology for how each value here is sourced and computed.

Where Santa Fe sits on CMS quality

Average CMS star rating across the plans sold in this county, against every county with rated plans

3.48★ Top 93% higher than 7% of 3,121 US counties

2.5★–2.75★: 19 US counties (1%). Below this entry. 2.75★–3★: 5 US counties (0%). Below this entry. 3★–3.25★: 31 US counties (1%). Below this entry. 3.25★–3.5★: 164 US counties (5%). This entry sits in this band. 3.5★–3.75★: 1,089 US counties (35%). Above this entry. 3.75★–4★: 1,344 US counties (43%). Above this entry. 4★–4.25★: 351 US counties (11%). Above this entry. 4.25★–4.5★: 37 US counties (1%). Above this entry. 4.5★–4.75★: 3 US counties (0%). Above this entry. 4.75★–5★: 78 US counties (2%). Above this entry. This county 2.5★ 5★ every rated county, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

All plans in Santa Fe, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$04.5★
2Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$04.5★
3Emphesys Insurance Company (SNP)HumanaLocal PPO$9.004.5★
4Emphesys Insurance Company (SNP)HumanaLocal PPO$64.004.5★
5Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-4.0★
6Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
7Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
8Cariten Health Plan Inc. (SNP)HumanaHMO$04.0★
9Cariten Health Plan Inc. (SNP)HumanaHMO$04.0★
10Unitedhealthcare OF THE Rockies, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
11Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$31.004.0★
12Christus Health Plan (SNP)CHRISTUS Health AdvantageHMO-3.5★
13Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
14Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
15CHA HMO, Inc. (SNP)HumanaHMO$03.5★
16CHA HMO, Inc. (SNP)HumanaHMO$03.5★
17Unitedhealthcare Insurance Company (SNP)UnitedHealthcareLocal PPO$03.5★
18Unitedhealthcare Insurance Company (SNP)UnitedHealthcareLocal PPO$03.5★
19Unitedhealthcare Insurance Company (SNP)UnitedHealthcareLocal PPO$03.5★
20Christus Health Plan (SNP)CHRISTUS Health AdvantageHMO$03.5★
21Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
22Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
23Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
24Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
25Humana Insurance Company (SNP)HumanaLocal PPO$9.003.5★
26Humana Insurance Company (SNP)HumanaLocal PPO$19.003.5★
27Presbyterian Health Plan (SNP)Presbyterian Health PlanHMO-3.0★
28Cigna Healthcare OF Colorado, Inc. (SNP)Cigna HealthCareHMO$03.0★
29Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$03.0★
30Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$03.0★
31Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$03.0★
32Presbyterian Health Plan (SNP)Presbyterian Health PlanHMO$03.0★
33Presbyterian Health Plan (SNP)Presbyterian Health PlanHMO$03.0★
34Presbyterian Health Plan (SNP)Presbyterian Health PlanHMO$03.0★
35Health Care Service Corporation (SNP)Blue Cross and Blue Shield of IL, NM, OK, TXLocal PPO$03.0★
36Health Care Service Corporation (SNP)Blue Cross and Blue Shield of IL, NM, OK, TXLocal PPO$03.0★
37Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$59.003.0★
38Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$90.003.0★
39Presbyterian Health Plan (SNP)Presbyterian Health PlanHMO$114.003.0★
40Health Care Service Corporation (SNP)Blue Cross and Blue Shield of New MexicoHMO$02.5★
41Health Care Service Corporation (SNP)Blue Cross and Blue Shield of New MexicoHMO$02.5★
42Molina Healthcare OF Arizona, Inc. (SNP)Molina Healthcare of ArizonaHMO$0N/R
43Devoted Health Plan OF NEW Mexico, Inc. (SNP)Devoted HealthHMO$0N/R
44Devoted Health Plan OF NEW Mexico, Inc. (SNP)Devoted HealthHMO$0N/R
45Devoted Health Plan OF NEW Mexico, Inc. (SNP)Devoted HealthHMO$0N/R
46Devoted Health Plan OF NEW Mexico, Inc. (SNP)Devoted HealthHMO$0N/R

Nationwide counties with similar Medicare Advantage markets

Data-derived peers across the CMS county landscape file: nearest enrollable plan count and nearest county-wide average CMS star rating. Not same-state neighbors or geographic containment.

Similar plan availability

Similar average CMS star rating

Choosing a plan in this county

Star rating first, then total cost, not the premium alone.

  • Shortlist the 4★+ plans above (11 here) - higher-rated plans manage chronic care and member service better. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
  • Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan

Premiums shown are the monthly plan premium (Part C + D) from the CMS CY2026 Landscape file. Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Always confirm current premiums, copays, and networks on Medicare.gov before enrolling.

Frequently Asked Questions

How many Medicare Advantage plans are available in Santa Fe, NM?

There are 46 Medicare Advantage plans available in Santa Fe, NM for the 2026 plan year, including 26 Local PPO, 19 HMO, 1 HMO POS. Counts are individual consumer plans (employer-group / EGHP offerings excluded). Plan availability is determined by CMS and individual insurers.

What is the best-rated Medicare Advantage plan in Santa Fe?

The highest-rated plan in Santa Fe has a CMS star rating of 4.5 out of 5 - SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Santa Fe?

Monthly plan premiums (Part C + D combined) in Santa Fe range from $0 to $114.00, averaging $9.63. 33 plans offer a $0 monthly premium. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026) on top of the plan premium. Premiums are from the CMS CY2026 Landscape file; always confirm current details on Medicare.gov.

What types of Medicare Advantage plans are offered in Santa Fe?

Santa Fe has 26 Local PPO, 19 HMO, 1 HMO POS. HMO plans require in-network providers, PPO plans allow out-of-network visits at higher cost, and PFFS plans let you see any Medicare-accepting provider.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Plan availability, premiums, and benefits change annually. Always verify with Medicare.gov or call 1-800-MEDICARE before enrolling.
Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainMedicare