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Population: 1,954,599
(Source: U.S. Census Bureau)
Uninsured: 405,000
(Source: U.S. Census Bureau)
Health Benefits Direct is a licensed insurance broker for New Mexico health insurance policies. To verify our registration with the New Mexico Office of Insurance, please call 505-827-4553 (We're listed as HBDC). |
New Mexico has the 32nd highest number of uninsured in the U.S.
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Health Insurance News in New Mexico
Buying Individual Insurance Policies in New Mexico
State regulation of individual health insurance differs greatly from state to state. For you, this means certain conditions or providers covered in one state may not be covered in another.
Each state has its own health insurance mandates. Those mandates require that insurance companies and health plans cover, or offer coverage for, certain conditions, benefits, providers and patient populations.
Here is a list of mandated and non-mandated conditions, covered persons and providers in New Mexico:
(Source: Health Insurance Mandates in the States 2008¹, Council for Affordable Health Insurance. Last updated Jan 2008.)
| Mandated (Covered) Conditions |
Non-Mandated Conditions |
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- Alcoholism
- Anti-Psychotic Drugs
- Birthing Centers/Midwives
- Bone Mass Measurements
- Breast Reconstruction
- Cervical cancer/HPV Screening
- Clinical Trials
- Colorectal Cancer Screening
- Contraceptives
- Dental Anesthesia
- Diabetic Supplies
- Drug Abuse Treatment
- Emergency Services
- Hair Prostheses
- Home Health Care
- HPV Vaccine
- In Vitro Fertilization
- Mammogram
- Mastectomy
- Mastectomy Stay
- Maternity
- Maternity Stay
- Mental Health Parity
- Newborn Hearing Screening
- Off-Label Drug Use
- Other Infertility Services
- PKU/Formula
- Prostate Cancer Screening
- TMJ Disorders
- Well-Child Care
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- Alzheimer's
- Ambulatory Surgery
- Ambulance Services
- Autism
- Blood Lead Poisoning
- Blood Products
- Bone Marrow Transplants
- Cancer Medications
- Chemotherapy
- Chlamydia
- Cleft Palate
- Congenital Bleeding Disorders
- Diabetes Self Management
- Early Intervention Services
- Habilitative Services
- Hearing Aid
- Hospice Care
- Kidney Disease
- Long Term Care
- Lyme Disease
- Mental Health General
- Minimum Hysterectomy Stay
- Minimum Testicular Cancer Stays
- Morbid Obesity Treatment
- Neurodevelopment Therapy
- Newborn Sickle-Cell Testing
- Orthotics/Prosthetics
- Ostomy Related Supplies
- Ovarian Cancer Screening
- Port-wine Stain Elimination
- Prescription Drugs
- Psychotic Drugs
- Rehabilitation Services
- Second Surgical Opinion
- Smoking Cessation
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| Mandated Covered Persons |
Non-Mandated Covered Persons |
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- Adopted Children
- Continuation/Dependents
- Continuation/Employees
- Conversion to Non-Group
- Dependent Students
- Handicapped Dependents
- Newborns
- Non-Custodial Children
- Domestic Partners
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| Mandated (Included) Providers |
Non-Mandated Providers |
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- Acupuncturists
- Chiropractors
- Dentists
- Lay Midwives
- Nurse Anesthetists
- Nurse Midwives
- Nurse Practitioners
- Optometrists
- Osteopaths
- Physical Therapists
- Podiatrists
- Psychologists
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- Chiropodist
- Denturists
- Dieticians
- First Nurse Assistant
- Licensed Health Professional
- Marriage Therapists
- Massage Therapists
- Naturopaths
- Nurses
- Occupational Therapists
- Opticians
- Oral Surgeons
- Pain Management Specialist
- Pastoral Counselor
- Pharmacists
- Physician Assistants
- Professional Counselors
- Psychiatric Nurse
- Public or Other Facilities
- Social Workers
- Speech or Hearing Therapists
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Although health insurance coverage for a particular condition or provider may not be mandated in your state, insurance carriers may still provide coverage for the condition or provider. Please keep in mind that major medical health insurance plans are subject to health underwriting and that mandates do not necessarily guarantee coverage. If you're not sure whether you could receive coverage, one call to Health Benefits Direct can help you determine if you're eligible to buy an individual health insurance policy in New Mexico.
Health Benefits Direct provides free health insurance quotes on affordable health insurance plans for New Mexico residents. We work with highly rated insurance carriers to deliver quality health insurance plans to families and individuals across New Mexico.
¹Authors: Victoria Craig Bunce & JP Wieske
Please note that information contained on this page can change at any time. Consequently, while we seek to present as up-to-date information as possible, Health Benefits Direct in no way warrants the accuracy of the information.
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