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New Mexico Health Insurance Guide
Last updated: 2026 · Marketplace options, Medicaid eligibility, average costs, and enrollment tips for New Mexico residents.
Avg. Individual Premium
$445/mo
Avg. Family Premium
$1,272/mo
Avg. Deductible
$4,500
Medicaid Expansion
Yes
Marketplace
State-Based
Health Insurance Overview in New Mexico
New Mexico operates beWellnm, a state-based marketplace. New Mexico expanded Medicaid in 2014 and has gone further by creating a Basic Health Program (BHP) — turquoise care — for residents with incomes between Medicaid eligibility and marketplace enrollment. New Mexico has one of the lowest-cost marketplace options in the nation.
Average Health Insurance Costs in New Mexico
| Coverage Type | Monthly Premium | Annual Premium |
|---|---|---|
| Individual (benchmark Silver) | $445/mo | $5340/yr |
| Family of Four (benchmark Silver) | $1,272/mo | $15264/yr |
| Avg. Annual Deductible | $4,500 | |
Marketplace Enrollment in New Mexico
New Mexico residents can enroll in individual and family health insurance plans through beWellnm (State-Based). Open enrollment runs November 1 – January 15 (beWellnm).
Average Premiums by City in New Mexico
| City | Est. Monthly Premium (Silver, age 40) |
|---|---|
| Albuquerque | $455/mo |
| Las Cruces | $438/mo |
| Rio Rancho | $448/mo |
| Santa Fe | $452/mo |
| Roswell | $432/mo |
| Farmington | $438/mo |
Medicaid in New Mexico
New Mexico Medicaid (Centennial Care) covers adults with incomes up to 138% of the federal poverty level. New Mexico has one of the most comprehensive Medicaid programs in the Southwest.
Children's Health Insurance (CHIP) in New Mexico
New Mexico CHIP is integrated into Medicaid, covering children up to 235% of the federal poverty level.
What Makes New Mexico Unique
New Mexico created a Basic Health Program (similar to Minnesota's MinnesotaCare) that provides subsidized coverage for residents with incomes between 138% and 200% of the federal poverty level, filling a gap between Medicaid and marketplace eligibility. New Mexico's combination of Medicaid expansion and BHP has significantly reduced the uninsured rate.
ACA Subsidies: What New Mexico Residents Should Know
The enhanced subsidies first enacted in the American Rescue Plan expired at the end of 2025. For 2026, premium tax credits follow the original ACA rules: there is no credit above 400% (the “subsidy cliff”), and enrollees are expected to pay up to 9.96% of income toward the benchmark Silver plan. House in January 2026 but has not become law, so 2027 plans are being priced and subsidized under the same rules unless Congress acts.
New Mexico’s Marketplace for 2027: Insurers, Rates, and Dates
New Mexico residents enroll through beWellnm. Full-price premiums rose about 35.7% on average for 2026, before subsidies. 4 insurers sold plans for 2026. Proposed 2027 changes average about 24.4% before subsidies.
About 83,000 people enrolled for 2026. About 82% received premium tax credits, and the average net premium after credits was about $196 a month.
What’s Different About Health Coverage in New Mexico
New Mexico was the only state to fully replace the lost enhanced federal credits with state money for 2026, through its Health Care Affordability Fund. Enrollment grew about 18% while it fell nationally. New Mexico also offers Turquoise plans with roughly Gold-level coverage at Silver-level cost for incomes up to 400% FPL.
Tips for Choosing Health Insurance in New Mexico
New Mexico residents should enroll through beWellnm for state-specific programs including the Basic Health Program for lower-income residents. Medicaid covers low-income adults. New Mexico has some of the most affordable marketplace options in the nation. Tribal communities have additional healthcare access through Indian Health Service.
- Enroll during open enrollment (November 1 – January 15 (beWellnm)) — missing the deadline means waiting until the next open enrollment unless you have a qualifying life event.
Frequently Asked Questions
How many insurers sell marketplace plans in New Mexico?
Four insurers sold New Mexico marketplace plans for 2026, with proposed 2027 changes averaging about 24.4% before subsidies.
How much do New Mexico marketplace enrollees pay after subsidies?
In 2026 about 82% of New Mexico enrollees received premium tax credits, and the average net premium was about $196 a month. There is no credit above 400% of the federal poverty level.
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The information on this page is provided for general informational purposes only and reflects estimated industry averages and program eligibility rules as of 2026. Health insurance premiums, Medicaid eligibility thresholds, marketplace options, and program rules change annually. Always verify current eligibility and enrollment options at the official beWellnm (State-Based) or by contacting a certified navigator or broker. Premium figures shown are approximations before subsidies — actual net premiums depend on individual income, household size, and plan selection.