What New Mexico Residents Need to Know About Obama Care (the Affordable Care Act or ACA)

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What New Mexico Residents Need to Know About Obamacare

Welcome to the fastest way to find out about Obamacare in New Mexico.

Here, you'll find clear and accurate information about Obamacare, including:

  • whether or not you must get health insurance
  • what the available plans cover
  • how much coverage will cost
  • how to sign up for a plan, and
  • how to get help if you need it.

To begin, keep in mind these key points about Obamacare in New Mexico:

1. You are legally required to have health insurance, unless you qualify for an exemption.

The Affordable Care Act requires you to enroll in a health insurance plan unless you qualify for an exemption from the law. You must report whether you have coverage -- or whether you are exempt -- when you file your taxes in April.

To learn whether your current health plan satisfies the requirements of Obamacare or to find out whether you qualify for an exemption, see Do I Need to Get Obamacare in New Mexico?

2. Open enrollment for 2017 health insurance plans runs from November 1, 2016 to January 31, 2017.

For 2017 health plans, open enrollment runs from November 1, 2016 through January 31, 2017. During that time, residents of New Mexico may use the website NMHIX to choose their health insurance plan, apply for cost-saving subsidies, and get other help they need.

To get coverage beginning January 1, you must enroll by December 15.

If you are currently uninsured, you can use the state marketplace to compare plans and enroll in a plan that meets your needs. 

If you already have health insurance, you will be automatically re-enrolled in your existing plan if it is still available. Even if you can continue in the plan you have now, however, open enrollment provides an opportunity to review your coverage, compare plans, and switch to a new one if you find a better option.

To learn more about enrollment, see How Do I Sign Up for Obamacare in New Mexico?

3. You may qualify for subsidies that will save you money.

Many people who sign up for insurance at the New Mexico exchange will be eligible for cost savings. Savings are available in the form of tax credits to help you lower your premiums or reduce your out-of-pocket costs for care.

If your income is very low, you may qualify for free or low-cost coverage through Medicaid in New Mexico.

For more information, see Ways to Save Money on Obamacare in New Mexico.

For an overview of how much health care plans cost under Obamacare, see How Much Does Obamacare Cost in New Mexico?

4. New "Simple Choice" plans may help you afford care in 2017.

For 2017, NMHIX will be offering a new type of standardized health plan, called “Simple Choice.” These plans offer a basic set of features to make it easier for you to compare plans, and they may help you lower your health care costs next year. Standardized features for each type of plan -- bronze, silver, and gold -- include the deductible, out-of-pocket maximum, co-pays for doctor, and more.

For example, while silver plans may still carry a high deductible, you will only pay $30 for a doctor visit, $65 to see a specialist, and $15 to get a generic prescription – even if you haven’t met the deductible for the plan. 

Though many plan options will be standardized, premiums for Simple Choice plans will vary. You can browse the Simple Choice plans available in New Mexico when open enrollment begins on November 1.

To learn more, see What Is a Simple Choice Health Plan?



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