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Upcoming Dates

July 1, 2010

New rates apply to New Mexico HRP plans.

Federal High Risk Pool Plan becomes active in New Mexico.

 

What is the New Mexico Medical Insurance Pool (the Pool)?

The pool was created to provide access to health insurance coverage to all residents of New Mexicans who are denied adequate health insurance and are considered uninsurable.

When was the Pool started?

The New Mexico Medical Insurance Pool (NMMIP) was established by the 1987 New Mexico State Legislature.

Who is the Pool administrator?

The Pool is administered by BlueCross BlueShield of New Mexico who handles eligibility, enrollment, member services, and claims processing.

Who has the Executive Services contract for the Pool?

The Delta Consulting Group has the Executive Services contract to run the day-to-day operations of the Pool.

How does one apply for coverage?

Complete an application and submit it along with requested documentation and a check for the first month’s premium. Instructions for submission, as well as contact information for questions, are on the application form

Policy Manual PDF Print E-mail
Section / Title
NMMIP Policy Manual [Entire Document] [Click Here]
NMMIP Policy Manual [Introduction Pages] [Click Here]
Section 1: Summary of Benefits and Plan Options [Click Here]
Section 2: Your Health Care Policy [Click Here]
Section 3: How Your Plan Works [Click Here]
Section 4: Covered Services [Click Here]
Section 5: Maternity Services [Click Here]
Section 6: General Limitations and Exclusions [Click Here]
Section 7: Coordination of Benefits and Subrogation [Click Here]
Section 8: Enrollment and Termination Information [Click Here]
Section 9: General Provisions [Click Here]
Section 10: Definitions [Click Here]
Notes [Click Here]
Amendment: Prescription Drug Plan Changes [Click Here]
Amendment: Prescription Drug Benefits and Maternity Coverage [Click Here]