Presbyterian Healthcare Services in New Mexico: 42,624 Medicare Advantage members, 20.7% share, 3rd of 8.
Presbyterian Healthcare Services lost 4,004 members (−8.6%) from Nov 2025 to Oct 2026 and stepped −5.2% at the 2026 election period against the market's +0.9%. It sells in 31 of New Mexico’s 33 counties with visible members and leads 4; Humana sits just ahead at 25.1%, Health Care Service Corporation just behind at 17.2%.
Presbyterian Healthcare Services's twelve months in New Mexico
Visible members each month, Nov 2025 to Oct 2026. The December-to-January step is the election period. The market line for the state is on the New Mexico page.
Where Presbyterian Healthcare Services's New Mexico members are
The carrier’s five largest counties by visible members, with its share of each county’s visible Medicare Advantage members. It sells in 31 counties and leads 4 of them.
| County | Presbyterian Healthcare Services members | Share of county | County visible members | County leader |
|---|---|---|---|---|
| Bernalillo | 23,904 | 34.8% | 68,750 | Presbyterian Healthcare Services |
| Sandoval | 6,527 | 36.2% | 18,043 | Presbyterian Healthcare Services |
| Valencia | 3,237 | 33.0% | 9,804 | Presbyterian Healthcare Services |
| Santa Fe | 2,482 | 16.6% | 14,992 | UnitedHealth |
| Dona Ana | 1,164 | 4.7% | 24,584 | UnitedHealth |
Presbyterian Healthcare Services against the New Mexico market
The carrier’s figures beside the state’s, each weighted by members. A difference is a difference, not a grade: a higher maximum or a lower rating is a design and a result, read in context.
top three hold 80.0%
market 3.55, −0.55, 3rd of 4 rated
market 89%, +11 points
market $6,700, +$3,150
| # | Carrier | Members | Share | Twelve months | Election step | Counties led | Rating | $0 premium |
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealth | 70,425 | 34.2% | +7.0% | +1.5% | 15 of 33 | 3.73 | 90% |
| 2 | Humana | 51,618 | 25.1% | +5.7% | +4.1% | 11 of 29 | 4.20 | 84% |
| 3 | Presbyterian Healthcare Services | 42,624 | 20.7% | −8.6% | −5.2% | 4 of 31 | 3.00 | 100% |
| 4 | Health Care Service Corporation | 35,363 | 17.2% | −2.6% | −2.9% | 2 of 30 | 2.93 | 100% |
What 2027 does to Presbyterian Healthcare Services's plans in New Mexico
The fate assigned to each of the carrier’s plans for 2027, joined to the members in it today.
28,805 members are in 3 plans that end and must choose again. 923 members move with 1 plan consolidated into another of the carrier’s plans. In all, 70% of Presbyterian Healthcare Services’s New Mexico members are in a plan whose service area or status changes.
The read on Presbyterian Healthcare Services in New Mexico is in Carrier Command.
Risk and rebate against the market, the five-test read on coding versus selection, Stars levers and next year's cut points, the election-period forecast and the county-by-county standing, written as a monthly page.
Presbyterian Healthcare Services elsewhere, and the rest of New Mexico
- UnitedHealth34.2%
- Humana25.1%
- Health Care Service Corporation17.2%
How these numbers are made
- Members are visible members: CMS suppresses any plan-county cell of ten or fewer, so small counties undercount. Market share excludes employer group plans.
- Enrollment is Oct 2026; the twelve months run Nov 2025 to Oct 2026; the election step compares December 2025 with January 2026.
- Presbyterian Healthcare Services is the parent organization Presbyterian Healthcare Services; its 5 plans in New Mexico may sell under other brand names. The rating is the 2027 overall Star Rating of its contracts weighted by members in New Mexico; $0 premium and the in-network maximum are the 2027 filings weighted by members today.
- Plan fates are the ones assigned for contract year 2027.
- Every figure comes from public CMS data as Livmor reads it, and the page is rebuilt when a new month posts. Livmor Carrier Command, public CMS data.