New Mexico Health Insurance
When residents of New Mexico are on the hunt for a good health insurance plan, they’ll soon realize there’s an abundance of them to choose from. These policies are made to offer suitable coverage for a wide range of people and to meet all of their medical care needs. Those seeking insurance will also have a lot of choices when it comes to which insurance company to deal with.
There are various insurance laws, rules, and regulations in place in New Mexico and that’s good to know when you’re looking for coverage. Information is also provided on numerous insurance carriers in the state and what specific policies they provide. Also, you’ll be able to study information on the state’s public health insurance programs as well as any financial assistance that it offers.
If New Mexico isn’t your place of residence you’ll be able to search for health insurance by state.
Resources on this page
New Mexico Health Insurance Stats
New Mexico Residents: 2,028,100
Median Annual Household Income: $44,732
New Mexico Health Care Expenditures (in millions): $13,350
Households with at least 1 full time worker: 797,100
New Mexico Health Insurance Coverage based on Total Population (%):
- Employer: 38%
- Individual: 4%
- Medicaid: 22%
- Medicare: 14%
- Uninsured: 21%
Avg. Monthly New Mexico Individual Premiums: NA
Total New Mexico HMO Enrollment: 571,082
New Mexico health insurance law requires all health plans to provide coverage for certain medical services including:
- Patient care costs in clinical cancer trials
- Screening for breast, cervical, and colorectal cancer, along with HPV screening
- Diabetes care
- Vaccinations for children
- Contraceptives, if a health plan covers prescription drugs
New Mexico health insurance state law also requires mental health conditions to be covered equally as physical health conditions.
Generally, New Mexico health insurance companies are allowed to accept applicants and set premiums based on health status and pre-existing health conditions. But some individuals are protected if they are HIPAA-eligible.
Under the federal law HIPAA, some individuals who recently left a group health plan with an employer are guaranteed to be issued coverage in the private market.
For individuals who are turned down for New Mexico health insurance coverage or cannot find a reasonably priced plan because of a pre-existing condition, they can obtain coverage through the state's high-risk health insurance pool.
The high-risk pool, called the New Mexico Medical Insurance Pool, provides comprehensive health benefits and a choice of deductibles. Remember, premiums are typically expensive in a high-risk pool.
Low-income residents may have access to one of these public New Mexico health insurance programs:
The Medicaid program in New Mexico offers some disabled and low-income residents health coverage. To learn more, visit their website.
For children in families who do not qualify for Medicaid but cannot afford private health insurance, they can receive coverage through NewMexiKids. To find eligibility limits and more information about this New Mexico health insurance program for children, visit them online.
- New Mexico Medicare
Seniors can find New Mexico health insurance through Medicare Advantage, Supplement and Original Medicare.
- Breast and Cervical Cancer Early Detection Treatment Program
Low-income women in New Mexico can receive free mammograms and cervical cancer screening through this program. To learn more about this New Mexico health insurance for women visit http://www.cancernm.org/.
New Mexico early retirees and trade workers may also qualify for federal assistance with the Federal Health Coverage Tax Credit, which pays for a portion of health plan premiums. To learn more, visit the Internal Revenue Services (IRS) online.
Residents in New Mexico with medical conditions will be able to get health insurance from a high risk pool established by the Patient Protection and Affordable Care Act.
New Mexico Medical Insurance Pool (NMMIP) will run similar to regular New Mexico health insurance plans. The plans will require enrollees to pay affordable premiums and out-of-pocket costs.
Enrollees in the NMMIP will pay around the same amount that people without medical conditions pay for health insurance. The estimated premiums for New Mexico residents range from $183 to $526 a month. There are 3 different plans to choose from with deductibles ranging from $500 to $2,000. The deductible must be met before health insurance benefits kick in. The out-of-pocket limit ranges from $2,500 to $3,500 for health care services.
People in New Mexico with pre-existing conditions will have coverage for prescription drugs, doctor and hospital visits, emergency services and more.
Individuals may apply for the New Mexico program if they are a United States citizen, have a pre-existing condition and have been without health insurance for six months.
For more information on the New Mexico health insurance high risk pools visit http://www.healthcare.gov/index.html.
The following list of companies offer New Mexico health insurance plans:
Assurant Health, headquartered in Milwaukee, has been offering quality insurance products and coverage to over 1 million members since 1982. Assurant is committed to providing health insurance plans that have broad coverage while providing valuable protection.
Click here to view Assurant Health Health Insurance in New Mexico
BCBS of New Mexico provides members with comprehensive health insurance coverage and access to a care network of over 15,000 doctors.
Click here to view Blue Cross Blue Shield of New Mexico Health Insurance in New Mexico
Celtic concentrates on individual health insurance, offering a wide variety of plans for both individuals and families.
Click here to view Celtic Health Insurance in New Mexico
Golden Rule Insurance Company provides affordable and customized health insurance plans for millions of individuals and families.
Click here to view Golden Rule Health Insurance in New Mexico
Great American Insurance Company, a part of Great American Financial Resources Inc,, is a leading provider of health insurance and other coverage solutions.
Click here to view Great American Health Insurance in New Mexico
Through affordable health insurance options, Humana helps their members better manage their healthcare and make informed health decisions.
Click here to view Humana Health Insurance in New Mexico
John Alden Life Insurance has been selling health coverage throughout America since 1961. Today, they are part of Assurant. John Alden plans include individual health and small group coverage. They also sell Health Savings Account plans.
Click here to view John Alden Health Insurance in New Mexico
Lovelace Health Plan provides health insurance to over 200,000 members in New Mexico. Lovelace members can choose from 7,500 health care providers, including ones from bordering states.
Click here to view Lovelace Health Plan Health Insurance in New Mexico
Presbyterian provides a wide range of local health care to residents of New Mexico. Presbyterian is the state's only private, non-profit health care system and offers a statewide insurance plan to their 660,000 residents throughout New Mexico.
Click here to view Presbyterian Health Insurance in New Mexico
Started in 1978, IAC offers management services to large companies who self-insure.
Click here to view Standard Security Life Health Insurance in New Mexico
Today, Time Insurance is known as Assurant Health with insurance coverage for individuals, students, families, seniors, and businesses.
Click here to view Time Insurance Health Insurance in New Mexico
Today, Time Short Term health insurance is offered through the Assurant name. Time short term health plans provide comprehensive coverage for a temporary period of time at affordable rates.
Click here to view Time Short Term Health Insurance in New Mexico
Find the contact information for the New Mexico health insurance and health departments at:
P.O. Box 1269
Santa Fe, NM 87504-1269
1120 Paseo de Peralta
Santa Fe, New Mexico 87501
Phone: (800) 947-4722