Skip to main content

Independent; not a government site. Official answers: Medicare.gov, 1-800-MEDICARE.

Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026

UHC Dual Complete NM-Y1 is not offered under this ID in 2027

H0294Contract049Plan

PPO D-SNP · served 33 counties in New Mexico in 2026

Run by UnitedHealthcare Insurance Company (contract H0294), sold as UnitedHealthcare, owned by UnitedHealth Group, Inc.

CMS crosswalk: members move into H0294-052

Folds into H0294-052

UHC Dual Complete NM-Y1 (H0294-049) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into UHC Dual Complete NM-S2 (H0294-052), which is sold in every county it served. 1,599 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026. The crosswalk also lists part of the plan as terminated without saying which members; your Annual Notice of Change says whether you move to a new plan or your coverage ends.

What changes for its members in UHC Dual Complete NM-S2?

For its members: this plan's 2026 amounts beside UHC Dual Complete NM-S2 (H0294-052) in 2027. The changed lines are marked and come first.
What you pay or get20262027Change
Plan nameUHC Dual Complete NM-Y1UHC Dual Complete NM-S2renamed
In-network out-of-pocket limit$9,250$9,850up $600
Drug deductible$615$75down $540
Hospital stay, in network (best in its area)$1,640 a stay$1,530 a staydown $110for a 5-day stay
Eyewear, yearly limit (best in its area)$200 a year$300 a yearup $100
Drug tier 2, generic25% of the cost$0changed
Drug tier 5, specialty tier25% of the cost32% of the costup 7 points
15 lines do not change
Monthly premium$0$0no change
Part B premium reduction, monthly (best in its area)nonenoneno change
Primary care visit (best in its area)0% of the cost0% of the costno change
Specialist visit (best in its area)0% of the cost0% of the costno change
Emergency room (best in its area)$115 copay$115 copayno change
Medical deductible, in network (best in its area)nonenoneno change
Skilled nursing facility, in network (best in its area)not filednot filedno change
Ground ambulance, in network (best in its area)20% of the cost20% of the costno change
Comprehensive dental, yearly limit (best in its area)not offerednot offeredno change
Hearing aids, yearly limit for both ears (best in its area)$1,100 a year$1,100 a yearno change
Over-the-counter items, yearly (best in its area)not offerednot offeredno change
Counties served3333no change
Drug tier 1, preferred generic$0$0no change
Drug tier 3, preferred brand25% of the cost25% of the costno change
Drug tier 4, non-preferred drug25% of the cost25% of the costno change

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.

What can members do, and by when?

If your notice says you move to a new plan

If you do nothing
You are moved into UHC Dual Complete NM-S2 on January 1, 2027.
October 15 to December 7, 2026
Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.

If your notice says your plan is ending

Your coverage
Ends December 31, 2026.
October 15 to December 7, 2026
Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
December 8, 2026 to the end of February 2027
A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
If you do nothing
You are enrolled in Original Medicare when the plan ends, and because you have Medicaid, Medicare enrolls you in a drug plan.
If you have Medicaid or Extra Help
You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.

Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).

Where did its members live?

Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.

All 33 counties, most members first; CMS hides counts under 11 per county, so the counties add up to a little less than the plan's total
CountyMembers, Sept. 2026For 2027
Bernalillo, NM367moves into H0294-052
Dona Ana, NM364moves into H0294-052
Luna, NM126moves into H0294-052
San Juan, NM73moves into H0294-052
Otero, NM70moves into H0294-052
McKinley, NM65moves into H0294-052
Santa Fe, NM61moves into H0294-052
Chaves, NM54moves into H0294-052
Sandoval, NM53moves into H0294-052
Valencia, NM43moves into H0294-052
Grant, NM37moves into H0294-052
Sierra, NM37moves into H0294-052
Curry, NM31moves into H0294-052
Lea, NM26moves into H0294-052
Cibola, NM23moves into H0294-052
Rio Arriba, NM19moves into H0294-052
Roosevelt, NM19moves into H0294-052
San Miguel, NM19moves into H0294-052
Taos, NM17moves into H0294-052
Socorro, NM15moves into H0294-052
Show the other 13 counties
CountyMembers, Sept. 2026For 2027
Colfax, NM12moves into H0294-052
Eddy, NM12moves into H0294-052
Torrance, NM12moves into H0294-052
Catron, NMfewer than 11moves into H0294-052
DeBaca, NMfewer than 11moves into H0294-052
Guadalupe, NMfewer than 11moves into H0294-052
Harding, NMfewer than 11moves into H0294-052
Hidalgo, NMfewer than 11moves into H0294-052
Lincoln, NMfewer than 11moves into H0294-052
Los Alamos, NMfewer than 11moves into H0294-052
Mora, NMfewer than 11moves into H0294-052
Quay, NMfewer than 11moves into H0294-052
Union, NMfewer than 11moves into H0294-052

Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

What else should you check?