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
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?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | UHC Dual Complete NM-Y1 | UHC Dual Complete NM-S2 | renamed |
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $75 | ▼down $540 |
| Hospital stay, in network (best in its area) | $1,640 a stay | $1,530 a stay | ▼down $110for a 5-day stay |
| Eyewear, yearly limit (best in its area) | $200 a year | $300 a year | ▲up $100 |
| Drug tier 2, generic | 25% of the cost | $0 | changed |
| Drug tier 5, specialty tier | 25% of the cost | 32% of the cost | ▲up 7 points |
| 15 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Part B premium reduction, monthly (best in its area) | none | none | no change |
| Primary care visit (best in its area) | 0% of the cost | 0% of the cost | no change |
| Specialist visit (best in its area) | 0% of the cost | 0% of the cost | no change |
| Emergency room (best in its area) | $115 copay | $115 copay | no change |
| Medical deductible, in network (best in its area) | none | none | no change |
| Skilled nursing facility, in network (best in its area) | not filed | not filed | no change |
| Ground ambulance, in network (best in its area) | 20% of the cost | 20% of the cost | no change |
| Comprehensive dental, yearly limit (best in its area) | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears (best in its area) | $1,100 a year | $1,100 a year | no change |
| Over-the-counter items, yearly (best in its area) | not offered | not offered | no change |
| Counties served | 33 | 33 | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 3, preferred brand | 25% of the cost | 25% of the cost | no change |
| Drug tier 4, non-preferred drug | 25% of the cost | 25% of the cost | no 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.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Bernalillo, NM | 367 | moves into H0294-052 |
| Dona Ana, NM | 364 | moves into H0294-052 |
| Luna, NM | 126 | moves into H0294-052 |
| San Juan, NM | 73 | moves into H0294-052 |
| Otero, NM | 70 | moves into H0294-052 |
| McKinley, NM | 65 | moves into H0294-052 |
| Santa Fe, NM | 61 | moves into H0294-052 |
| Chaves, NM | 54 | moves into H0294-052 |
| Sandoval, NM | 53 | moves into H0294-052 |
| Valencia, NM | 43 | moves into H0294-052 |
| Grant, NM | 37 | moves into H0294-052 |
| Sierra, NM | 37 | moves into H0294-052 |
| Curry, NM | 31 | moves into H0294-052 |
| Lea, NM | 26 | moves into H0294-052 |
| Cibola, NM | 23 | moves into H0294-052 |
| Rio Arriba, NM | 19 | moves into H0294-052 |
| Roosevelt, NM | 19 | moves into H0294-052 |
| San Miguel, NM | 19 | moves into H0294-052 |
| Taos, NM | 17 | moves into H0294-052 |
| Socorro, NM | 15 | moves into H0294-052 |
Show the other 13 counties
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Colfax, NM | 12 | moves into H0294-052 |
| Eddy, NM | 12 | moves into H0294-052 |
| Torrance, NM | 12 | moves into H0294-052 |
| Catron, NM | fewer than 11 | moves into H0294-052 |
| DeBaca, NM | fewer than 11 | moves into H0294-052 |
| Guadalupe, NM | fewer than 11 | moves into H0294-052 |
| Harding, NM | fewer than 11 | moves into H0294-052 |
| Hidalgo, NM | fewer than 11 | moves into H0294-052 |
| Lincoln, NM | fewer than 11 | moves into H0294-052 |
| Los Alamos, NM | fewer than 11 | moves into H0294-052 |
| Mora, NM | fewer than 11 | moves into H0294-052 |
| Quay, NM | fewer than 11 | moves into H0294-052 |
| Union, NM | fewer than 11 | moves into H0294-052 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Bernalillo, NMThe plans you can join instead
- UnitedHealthcare plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans