New Mexico Health Insurance

Searching for health insurance can be a hassle, and we at Health-Insurance.org know how stressful the process can be. We’ve compiled bits of important information you should know if you need medical coverage in New Mexico. After you’ve educated yourself, let us help you get a quote to start you on your way.

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New Mexico Guide to Individual Health Insurance (NM)

If you are looking for health insurance for one person in New Mexico, you can choose from two types of policies, individual or group. If you have specific health needs, individual insurers can customize a plan to fit your situation. Or, you can join a group network, such as an HMO, PPO, POS, or HSA, which tend to be less costly. Either way, you should educate yourself about the regulations in New Mexico that will affect the type of plan you purchase. Below are a few such laws:

• If you have a medical condition, individual health carriers may deny you coverage.
• Health insurance companies in New Mexico may impose exclusion periods (max. 6 months) and exclusion riders on your policy if you have a preexisting condition.
• Neither pregnancy nor genetic conditions are considered preexisting conditions in NM.
• There are no limits to the premiums that you can be charged; however, carriers cannot increase your rates if you fall ill.

Family Medical Coverage in New Mexico (NM)

When it comes to buying health insurance for your family, it is very important to think carefully about each family members’ needs, and to compare policies and rates so that your loved ones get the best coverage possible. Keep in mind the following when conducting your search:

• Health problems will not exclude you from being able to acquire a group health plan.
• Health carriers in New Mexico cannot charge you higher rates based on a health problem.
• Family changes related to children, marriage, or job loss may affect your opportunities for medical coverage.
• Insurance companies are allowed to check the last 6 months of your family’s medical history for preexisting conditions, and apply exclusion periods (max. 6 months) accordingly.

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New Mexico Health Care and Pre-Existing Conditions (NM)

New Mexico has not yet created a high risk pool for uninsurable people. Many states have created these pools to help people with preexisting conditions to obtain affordable health insurance. Many of the tribes in New Mexico offer some type of health insurance but these do not always cover the more serious illnesses and diseases.

The Office of Policy and Multicultural Health is working with the New Mexico government to create a more well rounded health policy. Many preexisting condition in New Mexico are ethnic based and need immediate attention. By concentrating on the tribal issues and the preexisting conditions they suffer, they hope to create a statewide health insurance pool.

In New Mexico, individual health insurance companies can turn individuals down for health insurance because of their current health conditions or other factors. Carriers can impose a waiting period that can last six to 12 months before coverage goes into effect. New Mexico insurance companies can issue credit for prior coverage against the preexisting condition waiting period, but only if previous coverage was less than 63 days prior to the current insurance coverage.

Switching Health Plans in New Mexico (NM)

If you've moved to New Mexico or have just changed jobs, you may be confused about your medical coverage. Here is some information that can help:

• If you are changing jobs, COBRA could help you to retain the plan you held under your previous employer, although your new plan may not have exactly the same benefits.
• Just acquired a job in NM? Be aware the employers in New Mexico do not have to provide health coverage to their employees. They are only required to ensure that benefits they offer do not discriminate based on health status.
• If your employer does provide you health coverage, you may still have to wait before your benefits begin, a period called the waiting period. If your employer uses an HMO plan, you may have to wait a 2-3 month affiliation period.

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