Presbyterian Dual Plus (HMO D-SNP) (H3204-013) in 2027
We are not affiliated with Presbyterian Health Plan. Plan and company names are shown only to identify plans.
HMO D-SNP: about this plan type · For people with Medicare and Medicaid: about Special Needs Plans · Legal name: PRESBYTERIAN HEALTH PLAN
Offered again in all 33 counties where it was offered in 2026.
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- Offered Againin 2027
- 33
- of 33 countiesin 2026
- People inThis Plan
- ~13,000
- CMS enrollment,October 2026
Members Moved Into This Plan
CMS's 2027 plan crosswalk moves some or all members of these 2026 plans into this plan, in the counties listed. Your Annual Notice of Change says whether this applies to you.
- Presbyterian Senior Care Extra Health Plan with Rx (HMO) · H3204-017
In 8 counties
Bernalillo County, Cibola County, Rio Arriba County, Sandoval County, Santa Fe County, Socorro County, Torrance County, Valencia County
New Mexico
See the 33 counties in New MexicoHide the counties
Costs and Star Rating
| What | 2026 | 2027 |
|---|---|---|
| Monthly premium (without Extra Help) | $0 a month | $0 a month |
| Maximum you pay for covered medical care | Covered by Medicaid (see note) | Covered by Medicaid (see note) |
| Drug deductible | $550 | $700 |
| Overall star rating (from CMS) | 3 out of 5 stars | 3 out of 5 stars |
Covered by Medicaid: if you have Medicare and Medicaid, most of your costs are covered. What you pay depends on your Medicaid level.
CMS rates contracts, so plans under one contract share its rating. For costs with Extra Help, use the lookup.
What Happens Next
Where it is offered again, members who do nothing stay in this plan.
These numbers come from CMS's plan files. If you're in this plan, confirm with your Annual Notice of Change or the letter from your plan.
Source: CMS CY2027 Landscape, data as of October 18, 2026 (release 202610). Enrollment: CMS Monthly Enrollment by Contract/Plan/State/County, October 2026. Plan moves: CMS 2027 Plan Crosswalk, file dated October 1, 2026. People counts add up the counties where this plan is offered. They leave out members who live outside that area. See how we get our numbers.