In this article we rank New Mexico Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
CHRISTUS Health Medicare Guardian (HMO)
New Mexico Medicare Advantage Plan (2024 Plan)
Overall Government Star Rating3.0
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CHRISTUS Health Medicare Guardian (HMO) is a Medicare Advantage Plan Without Prescription Drugs, which is available in New Mexico and offered by the health insurance company CHRISTUS Health Advantage. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
CHRISTUS Health Medicare Guardian (HMO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $4,900 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for CHRISTUS Health Medicare Guardian (HMO) are defined below.
Additional Benefits and Coverage
CHRISTUS Health Medicare Guardian (HMO) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. CHRISTUS Health Medicare Guardian (HMO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. CHRISTUS Health Medicare Guardian (HMO) includes coverage for the following additional benefits:
Comparing the Quality Score of CHRISTUS Health Medicare Guardian (HMO) to Other Plans in New Mexico
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, CHRISTUS Health Medicare Guardian (HMO) received an overall government quality rating of 3.0 stars out of 5 stars.
CHRISTUS Health Medicare Guardian (HMO) performed worse than New Mexico’s State average overall quality score of 3.5 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
CHRISTUS Health Medicare Guardian (HMO) received 3.5 stars for its health plan quality score which is worse than the New Mexico State average health plan quality score of 3.6 stars.
Plan Benefits and Coverage Details
Tests, labs, & imaging
$0 per day for days 7 through 90
$295 per day for days 90 through 100
Skilled nursing facility
$167.50 per day for days 21 through 100
Mental health services
Opioid treatment services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
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The Medicare landscape in New Mexico is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in New Mexico.