Health Care Benefits: New Mexico

Federal law and guidance on this subject should be reviewed together with this section.

Author: Patricia A. Morley, Research and Writing Associates, LLC

Summary

• New Mexico initially chose to establish a wholly state-based Marketplace under the Affordable Care Act, but then switched to a state-based, federally-supported Marketplace. See Health Insurance Marketplaces Under the ACA.
• New Mexico has taken steps to preserve certain benefits made available under the Affordable Care Act. See Preserving ACA Benefits.
• Same-sex marriage is legal nationwide. See Same-Sex Partner Benefits.
• Group health plans in New Mexico must include coverage for certain maternity and dependent benefits. See Maternity and Dependent Coverage.
• Health plans in New Mexico must provide or offer coverage for mental health and alcohol dependency treatments. Coverage for Autism Spectrum Disorders is required. See Mental Health and Alcohol Dependence Coverage.
• Group health plans must provide coverage for specified providers. See Specified Providers.
• Health plans that cover mastectomies must also cover minimum hospital stays. See Mastectomy and Minimum Hospital Stays.
• Health plans must provide, or offer, coverage for certain other illnesses, diseases, services, and medical and surgical procedures. See Coverage for Diabetes; Tobacco Cessation; Contraceptive Services; Home Health Care; Colorectal, Occult Breast and Cervical Cancer Screenings; Clinical Trials for Cancer; Orally Administered Anti-Cancer Medications.
• Certain coverage with regard to children and dependents is mandatory. See Coverage for Children and Dependents.