Open Enrollment Period in New Mexico

• Open Enrollment 2025: November 1, 2024 – January 15, 2025
  During this time, you can:

• Sign up for a new plan

• Renew your existing coverage

• Switch between available options

Special Enrollment Period (SEP)

You may qualify for a SEP if you’ve experienced:

• Loss of employer or Medicaid coverage

• Marriage, divorce, or legal separation

• Birth or adoption of a child

• Moving to a new ZIP code or state

• Change in income or household size

Types of Health Insurance Plans Available in New Mexico

Plans on beWellnm are offered in four metal tiers:

• Bronze – Low premiums, high out-of-pocket costs

• Silver – Moderate premiums and cost-sharing; eligible for CSR

• Gold – Higher premiums, lower out-of-pocket costs

• Platinum – Highest premiums, lowest out-of-pocket expenses

Network Options:

• HMO (Health Maintenance Organization) – Lower premiums, referrals required, in-network care only

• PPO (Preferred Provider Organization) – Higher flexibility, higher cost, out-of-network access

• EPO (Exclusive Provider Organization) – No referrals, but no out-of-network coverage

Catastrophic Plans are available for individuals under 30 or with a hardship exemption.

Eligibility for Subsidies and Cost Assistance in New Mexico

• Premium Tax Credits: Available for individuals earning between 100% and 400% of the federal poverty level (FPL)

• Cost-Sharing Reductions (CSR): Only apply to Silver-tier plans for those earning up to 250% FPL

• Medicaid Expansion: New Mexico has expanded Medicaid to adults earning up to 138% FPL

• CHIP (New MexiKids): Covers children and teens in families with moderate incomes

How to Compare and Choose a Plan in New Mexico

When reviewing options on beWellnm:

• Compare monthly premiums and annual deductibles

• Review provider networks—especially in rural areas like Las Cruces, Farmington, and Roswell

• Check prescription drug coverage (formularies)

• Factor in estimated usage for preventive care, prescriptions, and emergencies

Tips:

• Self-employed? Estimate your net income accurately

• Families? Check if your children qualify for New MexiKids

• Seniors not yet eligible for Medicare? Compare with COBRA or a spouse’s plan

Top Insurance Providers on the New Mexico Marketplace

Participating insurers on beWellnm may include:

• Blue Cross and Blue Shield of New Mexico

• Molina Healthcare of New Mexico

• Presbyterian Health Plan

• Western Sky Community Care

• Friday Health Plans (pending market status)

Note: Plan availability varies by county.

Navigating New Mexico’s Online Enrollment Portal

To enroll through beWellnm:

Visit www.bewellnm.com

Create an account or log in

Complete your household income information

Compare plans and check subsidy eligibility

Enroll directly or get assistance

Need help? Call 1-833-862-3935 or use the navigator locator for in-person support.

Alternatives to the Marketplace in New Mexico

• Short-Term Health Plans: Temporary, non-ACA-compliant coverage for limited needs

• Off-Exchange Plans: Bought directly from insurers (not subsidy-eligible)

• Faith-Based Health Sharing Ministries: Legal in NM, but not insurance or regulated like traditional plans

Common Mistakes to Avoid During Enrollment

• Not reporting income changes throughout the year

• Picking a Bronze plan without estimating usage costs

• Missing Open Enrollment or SEP deadlines

• Forgetting to check if your doctor or medications are covered

• Overlooking eligibility for Medicaid or New MexiKids

New Mexico-Specific Health Programs or Initiatives

• beWellnm: New Mexico’s state-run Marketplace platform

• Medicaid Expansion: Covers adults earning up to 138% FPL

• New MexiKids (CHIP): Health coverage for children up to age 19

• State-funded Navigator Program: Free local enrollment help in English and Spanish

• Bilingual Outreach: Widespread access to culturally competent enrollment support across New Mexico