What's happening
Presbyterian Healthcare Services confirmed in June 2026 that it's discontinuing most of Presbyterian Health Plan's Medicare Advantage plans starting in 2027, affecting roughly 30,000 members across New Mexico.
Your 2026 coverage isn't changing; this only takes effect for the 2027 plan year.
One plan is staying: Presbyterian's Dual Plus Special Needs Plan, which serves about 13,000 members who have both Medicare and Medicaid.
If that's your plan, this announcement doesn't apply to you.
Why Presbyterian is leaving Medicare Advantage
Presbyterian pointed to financial strain. The company said its Medicare Advantage business lost more than $59 million in 2025, contributing to a wider operating loss across the health system. Alongside the exit, Presbyterian is cutting about 150 health plan and administrative positions.
The move follows a credit rating downgrade from Fitch, which lowered Presbyterian from AA to AA- in February 2026, citing years of operating performance that fell short of expectations.
Leadership has framed the exit as a proactive step to protect the system's independence and redirect resources toward direct patient care rather than the Medicare Advantage business.
Presbyterian isn't alone. Regional, provider-owned health plans nationwide are under similar margin pressure, and Presbyterian is one of several carriers trimming 2027 Medicare Advantage offerings alongside larger national names.
Who's likely affected
- You're likely affected if you're on an individual Presbyterian Medicare Advantage (HMO) plan.
- You're likely not affected if you're on the Presbyterian Dual Plus D-SNP for members with both Medicare and Medicaid.
Your options if your plan is ending
- Explore a different Medicare Advantage plan.
You can enroll in a different Medicare Advantage plan available in your area during the Annual Enrollment Period (October 15 to December 7).
- Explore a Medicare Supplement (Medigap) plan.
Because you'd be losing coverage due to your carrier leaving the market, you qualify for guaranteed-issue rights, meaning you can enroll in a Medicare Supplement plan without medical underwriting. This window runs from 60 days before your plan ends to 63 days after. Medigap plans don't include drug coverage, so most people who go this route add a standalone Part D prescription drug plan.
- Return to Original Medicare.
If you do nothing, you will automatically go back to just Original Medicare. But many people prefer to have either a Medicare Advantage or Medicare Supplement plan to address some of the coverage gaps with Original Medicare.
Next steps
If you have a Presbyterian Medicare Advantage plan and want help exploring options for 2027, book a time with one of our licensed insurance agents.
We'll get to know more about your specific situation and help you find coverage based on your specific needs.