You can qualify for the Pool if:

• You are a resident of New Mexico with a permanent street address; and
   

• Have a qualifying medical condition; or
   

• Have a rejection notice for comprehensive healthcare coverage; or
   

• Have a quote for, or in-force, premium rate that is higher than the Pool’s qualifying rate; or
   

• Have a rider, waiver or limitation on current or offered coverage that reduces or limits your coverage due to a health condition; or
   

• You are/will be involuntarily terminated from an individual plan because the carrier stopped selling such coverage in New Mexico; or
   

• You are moving to New Mexico and were covered by a High Risk Pool in another state; or
   

• You are currently covered by a plan under the New Mexico Health Insurance Alliance and wish to transfer to the Pool; or
   

• You have reached the maximum allowable coverage limit of your current health insurance plan; or 
   

• You meet HIPAA eligibility criteria.

[Click Here] to access information pertaining to HIPAA Eligibility.

You can qualify for the Pool's Medicare Carve-Out Plan if:

• You are under age 65 and have Medicare due to a disability; and
   

• You have both Part A and Part B of Medicare.

[Click Here] to access the Medicare Carve-Out Plan information.

You are NOT eligible for the Pool if:

• You have other comprehensive coverage;
   

• You are, or become, eligible for other comprehensive coverage, including insurance from an employer either as yourself or as a family member;
   

• You are eligible for Medicaid;
   

• You are 65 or older and have, or are eligible for, Medicare;
   

• You voluntarily dropped your most recent coverage and it was within the last 12 months;
   

• You were terminated from coverage for fraud or nonpayment of premiums;
   

• You are in prison;
   

• You have military health coverage under Tricare.

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