Types of Health Insurance Coverage

If you need services like maternity, dental or prescription drugs, check the plan details to make sure you get the coverage you need.

Individual Health Insurance For Yourself and Family

Also called comprehensive or major medical, individual and family coverage is likely the first type of health insurance you might think of. It covers a wide range of services.

  • Lasts 12 months or longer
  • Can be renewed (in most cases)
  • Meets the Affordable Care Act requirements and includes:
    • Emergency services, hospitalization, and preventive care
    • Maternity, newborn and pediatric care
    • Mental health care & substance abuse treatment
    • Laboratory services, prescription drugs, and disease management
    • Rehabilitative services and devices
  • You may be able to get help paying for your health care coverage

Group Health Insurance Plan

If you get your health plan through your job, this is called a group health insurance plan. It's also known as group coverage or a group plan.

Dental

Dental insurance plans cover part of your dental costs for you and your family.

  • Can cover a wide range of services or just basic care.
  • Can be bought as part of your Blue Cross and Blue Shield of New Mexico longer-term plan or by itself through a separate, stand-alone dental plan.
  • Is required for children age 18 or younger under the Affordable Care Act.

Medicare

Medicare  is the federal health insurance program for people age 65 or older, or people under 65 with certain disabilities or illnesses.

  • Medicare has 4 basic parts that, together, help with health care costs.
  • Original Medicare has 2 parts: Part A (hospital coverage) and Part B (medical coverage).
  • Part A and Part B don't cover everything, so you may want to buy Part C (Medicare Advantage) and Part D (drug coverage) from a private health insurance company.

Need more information? Attend an event and see us in person.

Medicaid and Children's Health Insurance Program (CHIP)

Based on your household size and income, you may be able to get low- or no-cost health coverage through a government program such as Medicaid or CHIP. You can apply any time of year.

  • If you qualify, your coverage can start right away.
  • For Medicaid, visit Medicaid.gov.
  • For CHIP, visit insurekidsnow.gov or call 1-877-543-7669.

 

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