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New Mexico Medical Insurance Pool (NMMIP)

 Click here to view NMMIP rates

Guaranteed Health Insurance Plan

As a HIPAA eligible enrollee you are guaranteed the right to buy coverage through the New Mexico Medical Insurance Pool (NMMIP). Note:

  • NMMIP prohibits pre-existing condition exclusion periods and elimination riders
  • NMMIP is your only guaranteed source of individual health insurance

HIPAA Eligibility

To be HIPAA eligible in New Mexico, you must:

  1. Have 18 months of continuous creditable coverage, with at least the last day under the Brethren Ministers Group; and
  2. Not be eligible for Medicare, Medicaid or a group plan; and
  3. Apply for health insurance for which you are HIPAA eligible within 63 days of losing your prior coverage; and
  4. Not have health insurance.

Note: If you know your group coverage is about to end, you can apply for coverage for which you will be HIPAA eligible.

What does NMMIP coverage cost?

NMMIP charges different rates based on the plan chosen, gender, and age. New Mexico caps premiums at 140% of what a healthy person would pay for a similar plan. Subsidies are available for individuals who earn less than 399% of the Federal Poverty Level income level. NOTE: These rates are effective through 6/30/07. Click here for a link to current rates.

NMMIP Coverage Highlights

  • PPO Plan = $2 million lifetime maximum
  • HMO plan = unlimited lifetime maximum
  • PPO plan offers choice of 5 deductibles
  • To more details, view the NMMIP Summary of Details

How can I be insured with NMMIP?

For enrollment information, visit the New Mexico Medical Insurance Pool (NMMIP) online at www.nmmip.com, or call (800) 432-0750.

Special insurance for children: New Mexikids

A family of four making up to $41,000 a year may be eligible for New Mexikids.