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New Mexico Medicare Coverage Guide

Find dental, vision, hearing aid, and nursing home Medicare benefits available to New Mexico residents.

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New Mexico Dental Coverage

Moderate

New Mexico Medicaid (Centennial Care) covers dental for dual-eligible beneficiaries. University of New Mexico Health Sciences Center provides dental education and care.

Available Programs

  • Centennial Care Dental
  • Medicare Advantage dental plans
  • UNM Division of Dental Services

Typical Out-of-Pocket Cost

$500โ€“$2,000/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for New Mexico Residents

  1. UNM dental clinics offer low-cost care in Albuquerque
  2. New Mexico SHIP (1-800-432-2080) for plan guidance
  3. Tribal dental programs available for eligible Native American residents
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New Mexico Vision Coverage

Moderate

Centennial Care covers vision for dual-eligible members. Limited MA plan options outside Albuquerque.

Available Programs

  • Centennial Care vision
  • Medicare Advantage vision
  • NM Commission for the Blind

Typical Out-of-Pocket Cost

$150โ€“$400/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for New Mexico Residents

  1. NMCB: 505-827-4479 for vision rehabilitation
  2. Diabetic eye exam very important given high NM diabetes rates
  3. New Mexico SHIP: 1-800-432-2080
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New Mexico Hearing Aids Coverage

Limited

Medicare does not cover hearing aids. New Mexico has limited audiology resources outside Albuquerque and Santa Fe.

Available Programs

  • Medicare Advantage hearing plans
  • New Mexico Commission for the Deaf and Hard of Hearing
  • New Mexico Assistive Technology Program

Typical Out-of-Pocket Cost

$1,000โ€“$6,500 per pair

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for New Mexico Residents

  1. NMCDHH: 505-827-7584 for resources
  2. OTC hearing aids available in Albuquerque and online
  3. New Mexico SHIP: 1-800-432-2080
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New Mexico Nursing Home Coverage

Not Covered

Medicare Part A covers SNF. New Mexico Medicaid covers long-term care. New Mexico has a strong emphasis on home and community-based services.

Available Programs

  • Medicare Part A SNF
  • NM Medicaid LTC
  • Mi Via HCBS waiver
  • New Mexico SHIP (1-800-432-2080)

Typical Out-of-Pocket Cost

$200โ€“$280/day semi-private

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for New Mexico Residents

  1. Mi Via waiver supports self-directed home-based care
  2. Tribal options for Native American seniors
  3. SHIP: 1-800-432-2080
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๐Ÿ“Š Live CMS Data New Mexico Medicare Snapshot

Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 โ€” public data from data.cms.gov

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462,873
Total Medicare Beneficiaries (2024)
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230,063
Enrolled in Medicare Advantage (2024) 49.7% of total
๐Ÿ“‹
232,810
Original Medicare (Parts A & B) Only
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106,336
Dual Eligible (Medicare + Medicaid)
2025 Medicare Advantage Plans
52
Plans available in New Mexico
Average Monthly Premium (2025)
$9.4
Weighted avg across all MA plans
Top Medicare Advantage Insurers
  1. UnitedHealth
  2. Lovelace Health Plan
  3. Molina Healthcare
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New Mexico SHIP
1-800-432-2080
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Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.

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Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in New Mexico by ZIP code.

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Nursing Home Compare

Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across New Mexico.

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