Humana Medicare Advantage Plans New Mexico 2025

In New Mexico, the Humana Medicare Advantage plans for 2025 come with new features and choices.

This comprehensive guide covers the essentials of the best Medicare Advantage Plans New Mexico 2025, including the healthcare options and new benefits, to ensure you’re equipped with all the information to make the best decision for your Medicare needs.


Key Takeaways

  • Humana offers a variety of Medicare Advantage plans in New Mexico for 2025, providing comprehensive coverage including hospital, medical, and prescription drugs, with additional benefits like dental, vision, hearing, and wellness programs tailored to individual healthcare needs.


  • The Humana Medicare Advantage plans support flexibility in choosing healthcare providers and emphasize preventive care and chronic condition management, with options for enhanced prescription drug coverage through various Part D plans.


  • Enrollment in Humana’s Medicare Advantage plans requires meeting certain eligibility criteria, and costs vary by plan type with premiums averaging between $0-$18 per month, while quality and performance are reflected in high CMS Star Ratings.

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Understanding Humana’s Medicare Advantage Offerings in NM for 2025

Humana provides a diverse range of Medicare Advantage plans in the Land of Enchantment, each tailored to meet the distinct needs of its beneficiaries. Offering Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Private Fee-for-Service (PFFS) plans, Humana ensures comprehensive healthcare coverage options for New Mexico residents.


Humana medicaid



These plans, unlike original Medicare, incorporate all the benefits of Original Medicare, with extended coverage for hospital, medical, and prescription drug requirements. Furthermore, Humana has incorporated improvements in their 2025 offerings, including routine dental, vision, and hearing benefits across all plans.

This ensures a more comprehensive healthcare coverage for the beneficiaries, irrespective of their national origin, age, disability, or sex.

Humana’s Medicare Advantage plans prioritize flexibility, presenting a variety of plan types with numerous benefits, varied costs, and diverse coverage options. In fact, most Medicare Advantage plans in 2025, including those offered by Humana, come with a range of benefits.

Some of the benefits offered by Humana’s Medicare Advantage plans include:


  • Eligible groceries
  • Over-the-counter products
  • Utilities
  • Rent
  • Routine dental, vision, and hearing benefits


These additional benefits are designed to provide a more personalized healthcare approach.


Discovering Humana’s Plan Types

Humana’s Medicare Advantage plan types are tailored to meet diverse healthcare needs. The HMO plan, known as Humana Gold Plus, encompasses Medicare benefits along with a prescription drug plan.

The HumanaChoice PPO plan offers the flexibility to choose healthcare providers from within and outside of Humana’s extensive network.

The PFFS plan, on the other hand, gives beneficiaries the choice to visit any provider who accepts the plan’s terms and extends emergency care coverage both domestically and internationally.


The Benefits of Choosing Humana

Opting for Humana’s Medicare Advantage plans confers multiple benefits, including:


  • Extensive coverage of original Medicare benefits, encompassing hospital, medical, and prescription drug coverage
  • Supplementary benefits for dental, vision, and hearing services
  • Prescription drug benefits and coverage for insulin at lower-cost preferred pharmacies


These plans offer comprehensive coverage and additional benefits to ensure your healthcare needs are met.

The plans also offer:


  • Dental coverage through a PPO network, covering preventive, basic, and major dental services at lower costs compared to out-of-network providers
  • Vision coverage for routine eye exams
  • Hearing services coverage, which covers diagnostic exams and potentially fittings and adjustments for advanced level hearing aids.


Network Freedom and Choices

Humana’s network system offers the flexibility to choose healthcare providers within the network or seek out-of-network care, with the potential for additional fees and charges. It’s important to realize that when seeking care from an out-of-network provider, you may be accountable for the maximum allowable fee.

Nevertheless, Humana offers a Point-of-Service (HMO-POS) plan that allows the usage of out-of-network providers under certain conditions and provides Dual Eligible Special Needs Plans for those eligible for both Medicare and Medicaid.


Tailoring Your Coverage: Humana Plan Options in Detail

In New Mexico, Humana’s Medicare Advantage plans can be customized to accommodate individual healthcare needs.


Humana inc



With enhanced prescription drug coverage and extra services for a holistic health care approach, Humana ensures comprehensive care for all beneficiaries.


Enhanced Prescription Drug Coverage

Humana’s Medicare Advantage plans provide extensive prescription drug coverage, offering three Part D prescription drug plans: Humana Walmart Value Rx Plan™ (PDP), Humana Premier Rx Plan™ (PDP), and Humana Basic Rx Plan, each with varying costs related to premiums, deductibles, and copayments.

The Premier Rx Plan™ offers coverage for over 3,700 prescription drugs, surpassing the standard Part D coverage requirement of including all drugs in six protected classes. Moreover, Humana provides mail order pharmacy services within its Medicare Advantage prescription drug plans, offering convenient access to medications for New Mexico residents.


Extra Services for a Holistic Approach

Humana’s Medicare Advantage plans offer additional services that promote a holistic approach to healthcare. These services include wellness programs like Go365 and SilverSneakers Fitness, which aim to help beneficiaries maintain their health and fitness.

Additionally, Humana offers over-the-counter allowances that can be utilized for various eligible expenses, including groceries, over-the-counter products, utilities, and rent, thereby offering a wider scope of coverage for diverse health-related requirements.

Furthermore, Humana provides telehealth options that allow members to remotely access care from board-certified doctors through secure video or phone services.

Also, holistic services like chiropractic, acupuncture, massage, and nutrition services are accessible at a reduced rate through the Tivity Health’s WholeHealth program.

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Leveraging Ratings and Reviews: Humana’s Performance

The performance of Humana in Medicare Advantage can be evaluated using CMS Star Ratings and feedback from beneficiaries. The CMS Star Rating system is designed to assist Medicare beneficiaries in evaluating the quality of Medicare health and prescription drug plans available to them.


When rating Medicare Advantage plans, CMS takes into account as many as 40 distinct quality and performance measures.


Interpreting CMS Star Ratings

The CMS Star Rating system provides an objective measure of Humana’s Medicare Advantage plan performance in areas like customer satisfaction and preventive care. Humana has demonstrated consistent strong performance in CMS Star Ratings.


United medicare



In 2025, 94% of Humana’s Medicare Advantage members were enrolled in plans rated 4 Stars or higher, with 61% in plans rated 4.5 Stars or higher. Furthermore, three of Humana’s contracts achieved a 5-star rating on CMS’s 5-star rating system.


Testimonials and Beneficiary Experiences

Testimonials and beneficiary experiences offer insights into the real-life experiences of Humana Medicare Advantage plan members in New Mexico. Humana’s Medicare Advantage plans have received positive reviews for their affordability, key features, and advantages.

These plans encompass all the benefits of Original Medicare, such as hospital, medical, and prescription drug coverage.

Furthermore, a majority of Humana’s Medicare Advantage members are enrolled in high-quality contracts rated 4 stars or higher.


Maximizing Your Medicare Advantage Benefits with Humana

In New Mexico, Humana Medicare Advantage plans offer the following benefits:


  • Prioritize preventive care, wellness programs, and chronic condition management
  • Include routine dental, vision, and hearing benefits
  • Offer Chronic Condition Special Needs Plans (C-SNPs)
  • Incorporate chronic care programs managed by care managers to provide support for members with ongoing health needs.


Preventive Care and Wellness Programs

Humana offers the following preventive care services and wellness programs to help beneficiaries maintain their health and well-being:


  • Go365: A wellness program that offers complimentary access to local exercise facilities and online fitness programs.
  • SilverSneakers Fitness: A program that provides access to fitness facilities and classes specifically designed for older adults.
  • Coverage for routine doctor visits.


These services aim to enhance health and promote overall well-being, taking into account factors such as sexual orientation gender identity.


Wellcare medicare



Engaging in Humana’s preventive care services and wellness programs presents numerous advantages, such as:


  • Access to immunizations and vaccines for disease prevention
  • Screening and tests for early detection of health issues
  • The chance to receive rewards for completing preventive care actions through the Go365 program.


Managing Chronic Conditions with Humana

Humana provides resources and support for managing chronic conditions, ensuring comprehensive care for beneficiaries with ongoing health needs. Humana offers:


  • A Chronic Condition Special Needs Plan (C-SNP)
  • Chronic care programs designed to provide care management for members facing complex medical situations or chronic conditions
  • Tools and resources to assist in managing health conditions and attaining wellness objectives.


Navigating Health Care with Humana’s Resources

Humana Insurance Company provides the following digital resources and support aids to facilitate beneficiaries in effortlessly navigating their healthcare journey:


  • Mobile applications for healthcare management
  • Tools for health condition management and wellness goal achievement
  • Medicare plan coverage and cost comparison tools
  • Insurance coverage verification
  • Advanced care plan creation


Additionally, Humana provides a personalized support structure that includes a team of health professionals tailored to the unique needs of each beneficiary. This team may consist of:


  • Nurses
  • Pharmacists
  • Social workers
  • Behavioral/integrated medical health professionals


These professionals are there to effectively navigate the healthcare system.


Digital Tools for Easy Access

Humana’s digital tools, such as the MyHumana app, provide easy access to plan information, claims, and provider networks. The MyHumana app provides access to plan information through the process of signing into your MyHumana account. Upon signing in, users can review plan coverage details, obtain Humana ID cards, and handle account management tasks.

Moreover, the app offers the ability to:


  • Review coverage
  • Check claims
  • Access your digital Humana member ID
  • Track and manage your health through self-reporting biometrics


Additionally, it provides features for tracking and managing your health through self-reporting biometrics.


Support When You Need It

Humana offers support through customer service, care managers, and nurse advice lines, ensuring beneficiaries have assistance when needed.


Does New Mexico have Medicare Advantage plans



Humana provides a comprehensive range of customer support options for Medicare Advantage plan holders, including resources, tools, a Group Medicare team, and licensed Humana Medicare agents to assist beneficiaries in effectively utilizing their plan.

Furthermore, Humana offers telephonic care management at no additional cost to Medicare Advantage beneficiaries, particularly those enrolled in a Medicare Advantage Special Needs Plan (SNP).


In conclusion, Humana’s Medicare Advantage plans in New Mexico for 2025 offer a wide array of options to meet diverse healthcare needs. With an array of plan types, comprehensive coverage options, personalized healthcare, preventive care services, wellness programs, and resources for managing chronic conditions, Humana provides a holistic approach to healthcare.

With easy-to-understand cost considerations, a strong performance in CMS Star Ratings, and positive testimonials, Humana stands as a reliable choice for Medicare Advantage plans.

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Frequently Asked Questions


What is new for Humana 2025?

In 2025, every Humana USAA Honor plan offers a $0 monthly plan premium, Part B giveback, dental, vision, and hearing coverage, alongside VA health care support, plus access to specially trained Humana Customer Care specialists. These changes are aimed at enhancing the overall coverage and support for members.


Who has the best Medicare Advantage plans for 2025?

Our top picks for the best Medicare Advantage plans in 2025 are…


How much is Humana OTC allowance for 2025?

Humana’s OTC allowance for 2025 is $100 per quarter for purchasing approved over-the-counter health and wellness products through their mail order provider, with any unused amount expiring at the end of the quarter.


Why are people leaving Medicare Advantage plans?

People are leaving Medicare Advantage plans due to excessive prior authorization denial rates and slow payments from insurers. These issues have led to dissatisfaction and prompted many to seek alternative options.


What types of Medicare Advantage plans does Humana offer in New Mexico for 2025?

Humana offers HMO, PPO, and PFFS plans in New Mexico for 2025, providing a range of options for Medicare Advantage coverage.

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