Plans for Individuals & Families
With a Health Maintenance Organization (HMO) plan, members are required to see in-network or participating providers. We have a statewide network of providers and hospitals for our members to use.
Pediatric Vision Services
Children under age 19 who are enrolled in individual or small group New Mexico Health Connections plans are eligible for pediatric vision services. They can receive an eye exam from a Vision Service Plan (VSP) provider one time per year. They may also receive eyeglasses or contact lenses.
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To view highlights of some of the most common services covered under our plans as well as more detailed summaries of benefits and coverage, please visit our Individual Plan Documents page. Specific terms of coverage are listed in the Evidence of Coverage Handbook, including plan Limitations and Exclusions. You can find Evidence of Coverage Handbooks for individual and family plans on the Individual Plan Documents page.
Health Savings Accounts
If you purchase a high-deductible health plan (HDHP), you probably will use a Health Savings Account (HSA) to help save and pay for your out-of-pocket expenses. Please visit our FSA and HSA Tools page to learn more about HSAs and use helpful calculators to help you get the most out of your HSA.