Medicare Advantage
Why Albuquerque Has a Second Medicare Advantage Window
People in Albuquerque can choose from 36 Medicare Advantage plans for 2027, against 51 this year. 24 of this year’s plans are gone, 9 are new to Bernalillo County, and 22 that continue have changed their premium, deductible, plan type or name, 9 of them under a new name.
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ALBUQUERQUE — If you signed up for a Medicare Advantage plan during the fall and now feel like it isn't the right fit, you have a second chance. From January 1 through March 31, the Medicare Advantage Open Enrollment Period gives you one shot to change course before the rest of the year locks in.
Key takeaways
- The Medicare Advantage Open Enrollment Period runs January 1 through March 31 and lets you make one change during that window.
- You must already be enrolled in a Medicare Advantage plan on January 1 to use this period — it is not open to people with only Original Medicare.
- You can switch to a different Medicare Advantage plan or drop your Advantage plan and return to Original Medicare (and add a stand-alone Part D plan).
- Albuquerque is in Bernalillo County, where multiple Medicare Advantage plans and carriers are offered; you can compare them on medicare.gov.
This window is narrower than the fall Annual Enrollment Period, and the rules about what you can and can't do are specific. Here's what Albuquerque residents should know.
What this period is — and who it's for
The Medicare Advantage Open Enrollment Period (often shortened to MA OEP) is set by CMS and runs the same three months every year: January 1 to March 31. It exists so people who joined a Medicare Advantage plan can fix a mismatch without waiting until the next fall.
To use it, you must already be in a Medicare Advantage plan on January 1. If you have only Original Medicare (Part A and Part B), this window does not apply to you.
What you can do between January and March
During this window, you can make one change. Your options are:
- Switch from your current Medicare Advantage plan to a different Medicare Advantage plan.
- Leave Medicare Advantage entirely and go back to Original Medicare. If you do that, you can also join a stand-alone Part D prescription drug plan.
The change takes effect the first day of the month after the plan gets your request.
What you can't do in this window
The MA OEP is not a free-for-all. A few things are off the table:
- You cannot use it to join a Medicare Advantage plan for the first time if you're in Original Medicare.
- You cannot use it to join, drop, or switch a stand-alone Part D plan if you're staying on Original Medicare the whole time.
- You cannot make multiple changes — only one switch counts.
For those broader moves, the Annual Enrollment Period (October 15 to December 7) is the main window.
Why timing matters for 2027 coverage
A few program-level changes are worth keeping in mind as you compare 2027 coverage:
- Part D has an out-of-pocket cap of $2,100 in 2026 and $2,400 in 2027, which limits what you pay for covered prescriptions in a calendar year.
- The Part D maximum deductible is $615 in 2026 and $700 in 2027.
- The old coverage gap, or "donut hole," was eliminated in 2025. Part D now has three phases instead of four.
- The Medicare Prescription Payment Plan is an optional program that lets you spread your drug costs across monthly payments instead of paying all at once at the pharmacy.
These are national rules, not plan features. But they change the math for how your drug coverage works, which is a common reason people rethink an Advantage plan early in the year.
Comparing plans in the Albuquerque area
Albuquerque is in Bernalillo County, where Medicare Advantage plans are offered by several carriers. Plan availability is set at the county level by CMS, not by city or ZIP code alone. To see the full list of plans available where you live — along with their networks, drug formularies, and star ratings — the official tool is the Plan Finder at medicare.gov.
Star Ratings, which run from 1 to 5, are CMS's way of measuring plan quality on things like customer service, member complaints, and how well the plan manages chronic conditions. They can be one useful piece of information when you compare options.
Where to get unbiased help
Before you switch, it helps to talk with someone who isn't selling anything. In New Mexico, the State Health Insurance Assistance Program (SHIP) — known locally as Benefits Counseling through the New Mexico Aging and Long-Term Services Department — offers free, one-on-one counseling for Medicare beneficiaries.
You can also:
- Visit medicare.gov to compare plans and read the official rules.
- Call 1-800-MEDICARE (1-800-633-4227), available 24/7.
By the numbers
Medicare Part B premium, 2006–2026
The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
By the numbers
How people get Medicare in Bernalillo County
(MA penetration in Bernalillo County)
MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.
Key dates
Medicare enrollment periods at a glance
- Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
- October 15 – December 7Annual Enrollment PeriodAnyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
- January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
- January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
- VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.
Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.
Explore
When can you enroll? An interactive year
Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.
Explore
The parts of Medicare
Good to know
Frequently asked questions
Can I use the Medicare Advantage Open Enrollment Period to join Part D if I'm on Original Medicare?
How many times can I switch during January to March?
What happens if I go back to Original Medicare — do I lose drug coverage?
Where can I get help comparing plans in Albuquerque?
- CMS — Medicare enrollment periods (medicare.gov)
For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.
Also for Albuquerque
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This page was last updated: October 1, 2026.