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 Laws and Regulations

Public Health Insurance Programs for New Mexico Residents

New Mexico Health Insurance High Risk Pools

New Mexico Health Insurance Companies

Contact Info for the New Mexico Division of Insurance and Health Department

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. Annual Employee Premium in New Mexico employer-sponsored plan (after employer contribution): $1,271
Avg. Monthly New Mexico Individual Premiums: NA
Total New Mexico HMO Enrollment: 571,082

New Mexico Health Insurance Laws and Regulations

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.

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New Mexico Public Health Insurance Programs

Low-income residents may have access to one of these public New Mexico health insurance programs:

• Medicaid
  The Medicaid program in New Mexico offers some disabled and low-income residents health coverage. To learn more, visit their website.


• NewMexiKids
  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.

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New Mexico Health Insurance High Risk Pool

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.

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The following list of companies offer New Mexico health insurance plans:

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New Mexico Division of Insurance and Health Department

Find the contact information for the New Mexico health insurance and health departments at: