For Presbyterian Medicare Members · Updated October 2026
Most Presbyterian Medicare Advantage Plans Are Ending in 2027
Presbyterian is ending most of its Medicare Advantage plans after December 31, 2026. About 30,000 New Mexicans will need to choose new coverage for 2027. Your current plan stays in effect through the end of 2026, so there's time, but not a lot of it.
Presbyterian Medicare 2027 Guide
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What Presbyterian Members Need to Know
(runs through Dec 7)
What is happening?
Presbyterian Healthcare Services announced that most of its Medicare Advantage plans will end after December 31, 2026. The plans ending are Senior Care Plan 1, Senior Care Plan 2 w/Rx, Senior Care Plan 3 w/Rx and Senior Care Extra Health Plan w/Rx (all HMO). Presbyterian's Dual Plus Special Needs Plans continue for members who qualify.
Your coverage isn't ending today. Your doctors, benefits and prescription coverage stay the same through December 31, 2026.
What should you do now?
Don't panic, and don't wait until December. Watch for the 2027 notice from Presbyterian about your plan, and get these ready so you can compare plans quickly:
- Your primary care doctor, specialists and the hospitals you use
- Your prescriptions, with doses, and the pharmacy you use
- What you pay now: premium, copays and out-of-pocket maximum
- The extras you rely on, like dental, vision or hearing
Why comparing matters
Don't pick a new plan on premium alone. Plans differ in their doctor networks, drug coverage, copays, deductibles, extra benefits and maximum out-of-pocket costs. Compare the Medicare Advantage plans available in New Mexico against Original Medicare with a Medicare Supplement plan before you decide.
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Presbyterian Healthcare Services has announced that most of its Medicare Advantage plans will end after December 31, 2026. The change affects about 30,000 Medicare Advantage members in New Mexico, who will need to review their coverage options for 2027.
Presbyterian's Medicare Advantage Dual Plus Special Needs Plans will continue for members who qualify.
These Presbyterian Medicare Advantage plans are scheduled to end after December 31, 2026:
- Presbyterian Senior Care Plan 1 (HMO)
- Presbyterian Senior Care Plan 2 w/Rx (HMO)
- Presbyterian Senior Care Plan 3 w/Rx (HMO)
- Presbyterian Senior Care Extra Health Plan w/Rx (HMO)
If you're enrolled in one of these plans, review your Medicare coverage options for 2027.
No. Presbyterian has stated that current Medicare Advantage members keep their existing coverage, benefits, provider network and prescription drug coverage through December 31, 2026.
Presbyterian said more information about 2027 coverage and next steps would come in early October, so watch your mail for your plan's notice.
Your options depend on your healthcare needs and eligibility. Depending on your situation, you may be able to choose another Medicare Advantage plan, return to Original Medicare and add a Medicare Supplement plan, or choose Original Medicare with a standalone prescription drug plan.
Some people may also qualify for a Special Needs Plan, such as a D-SNP. Compare your doctors, prescriptions, costs and benefits before choosing new coverage.
Possibly, but check your doctors and specialists with the new plan before you enroll. Each Medicare Advantage plan has its own provider network, and a doctor who works with one plan may not work with another.
Before choosing a new plan, check your primary care doctor, specialists, hospitals and any other providers that matter to you.
Your prescription coverage depends on the plan you choose for 2027. A new plan can have a different drug list, drug tiers, copays and preferred pharmacies.
Before enrolling, make sure your medications are covered and check the costs and pharmacy network. You can also review Medicare prescription drug plan options.
Now. Medicare's Annual Enrollment Period runs from October 15 through December 7, 2026, and 2027 plan details are coming out this month.
Make a list of your doctors, specialists, prescriptions, pharmacies and the benefits that matter most to you so you can compare plans quickly.
Depending on your circumstances, you may be able to return to Original Medicare when your Medicare Advantage plan ends. You may also be able to add a Medicare Supplement plan and a separate Part D prescription drug plan.
The best choice depends on your healthcare needs, providers, prescriptions, budget and eligibility. Review all of your options before deciding.
The Medicare Annual Enrollment Period runs from October 15 through December 7, 2026. During that time you can compare plans and make changes for 2027.
Because your plan isn't renewing, you may also have a Special Enrollment Period. Medicare currently states that this type of Special Enrollment Period runs from December 8 through the last day of February of the following year. Your exact rights depend on how your plan ends.
If you want new coverage to start January 1, compare your options and enroll as early as you can.
An independent licensed Medicare broker can compare plans from multiple insurance companies in New Mexico for you, including provider networks, drug coverage, premiums, copays, deductibles, out-of-pocket maximums and extra benefits.
The goal is to help you understand your options so you can choose coverage that fits your healthcare needs and budget.