Blue Cross and Blue Shield of New Mexico
Blue Community Gold HMO℠ 205
Deductible$350$700 family
Out-of-pocket max$10,150$20,300 family
Having a baby$3,510CMS example
Network: Blue Community HMO
New Mexico Marketplace Health Insurance: 2026 Plans and In-Network Doctors
4 insurers sell 25 medical plans through beWellnm in New Mexico for 2026, and 10 dental plans are also available. Blue Cross and Blue Shield of New Mexico offers the most, 8 plans. UnitedHealthcare has the largest network, with 246 New Mexico doctors, practices and hospitals. Individual deductibles run from $350 to $8,000.
4 insurers
25 medical plans
Deductibles $350 to $8,000
810 doctors and facilities in a network
Source: CMS Marketplace plan files for plan year 2026 and insurer provider directories. Updated November 8, 2026.
NPI Profile does not sell insurance or enroll anyone in a plan. This free tool uses public files from CMS and insurers to help you compare plans and check whether your doctor is in a plan's network.
Are your doctors in these plans?
Add up to 3 doctors and every plan below shows whether they are in network.
Your doctors:
"Not listed" means the insurer's directory does not list the doctor in that plan's network. Directories can be incomplete or out of date, so call the office to confirm.
Partial listings: only some New Mexico insurers publish provider directories to CMS. A doctor missing here may still be in network.
All 25 plans
Monthly premiums are not shown: they depend on your age, county, household size and income. beWellnm lists them for your household.
Deductible: what you pay for covered care before the plan starts to pay.
Out-of-pocket max: the most you pay in a year for covered in-network care. After that, the plan pays 100%.
UnitedHealthcare
UHC Gold Advantage On Exchange
Deductible$1,050$2,100 family
Out-of-pocket max$8,000$16,000 family
Having a baby$3,310CMS example
Network: Choice Network
Molina Healthcare
Gold 1 Low Cost Generic Drugs
Deductible$1,550$3,100 family
Out-of-pocket max$8,100$16,200 family
Having a baby$4,350CMS example
Network: Molina Marketplace
Blue Cross and Blue Shield of New Mexico
Blue Community Gold HMO℠ 705
Deductible$1,700$3,400 family
Out-of-pocket max$5,750$11,500 family
Having a baby$4,660CMS example
Network: Blue Community HMO
Blue Cross and Blue Shield of New Mexico
Blue Community Silver HMO℠ 203
Deductible$1,800$3,600 family
Out-of-pocket max$10,150$20,300 family
Having a baby$6,660CMS example
Network: Blue Community HMO
UnitedHealthcare
UHC Gold Value On Exchange
Deductible$2,700$5,400 family
Out-of-pocket max$8,500$17,000 family
Having a baby$4,760CMS example
Network: Choice Network
Blue Cross and Blue Shield of New Mexico
Blue Cross Blue Shield Clear Cost Gold Plan℠
Deductible$3,000$6,000 family
Out-of-pocket max$6,000$12,000 family
Having a baby$4,060CMS example
Network: Blue Community HMO
Molina Healthcare
Clear Cost Gold
Deductible$3,000$6,000 family
Out-of-pocket max$6,000$12,000 family
Having a baby$4,000CMS example
Network: Molina Marketplace
Presbyterian Health Plan
PHP Clear Cost Gold
Deductible$3,000$6,000 family
Out-of-pocket max$6,000$12,000 family
Having a baby$3,860CMS example
Network: Individual and Family HMO/POS Network
Presbyterian Health Plan
PHP Clear Cost Gold with Limited Service Area
Deductible$3,000$6,000 family
Out-of-pocket max$6,000$12,000 family
Having a baby$3,860CMS example
Network: Individual Select Network
UnitedHealthcare
UHC Clear Cost Gold On Exchange
Deductible$3,000$6,000 family
Out-of-pocket max$6,000$12,000 family
Having a baby$3,760CMS example
Network: Choice Network
Presbyterian Health Plan
Gold Select $3,400 w/Gym with Limited Service Area
Deductible$3,400$6,800 family
Out-of-pocket max$10,600$21,200 family
Having a baby$4,800CMS example
Network: Individual Select Network
Presbyterian Health Plan
Gold $4,000 w/Gym
Deductible$4,000$8,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$5,660CMS example
Network: Individual and Family HMO/POS Network
UnitedHealthcare
UHC Silver Advantage On Exchange
Deductible$4,250$8,500 family
Out-of-pocket max$9,200$18,400 family
Having a baby$6,210CMS example
Network: Choice Network
Blue Cross and Blue Shield of New Mexico
Blue Community Silver HMO℠ 308
Deductible$4,250$8,500 family
Out-of-pocket max$10,150$20,300 family
Having a baby$6,110CMS example
Network: Blue Community HMO
UnitedHealthcare
UHC Silver Value On Exchange
Deductible$4,750$9,500 family
Out-of-pocket max$10,000$20,000 family
Having a baby$7,110CMS example
Network: Choice Network
Blue Cross and Blue Shield of New Mexico
Blue Cross Blue Shield Clear Cost Silver Plan℠
Deductible$4,800$9,600 family
Out-of-pocket max$9,300$18,600 family
Having a baby$6,260CMS example
Network: Blue Community HMO
Molina Healthcare
Clear Cost Silver
Deductible$4,800$9,600 family
Out-of-pocket max$9,300$18,600 family
Having a baby$6,200CMS example
Network: Molina Marketplace
Presbyterian Health Plan
PHP Clear Cost Silver
Deductible$4,800$9,600 family
Out-of-pocket max$9,300$18,600 family
Having a baby$5,960CMS example
Network: Individual and Family HMO/POS Network
Presbyterian Health Plan
PHP Clear Cost Silver with Limited Service Area
Deductible$4,800$9,600 family
Out-of-pocket max$9,300$18,600 family
Having a baby$5,960CMS example
Network: Individual Select Network
UnitedHealthcare
UHC Clear Cost Silver On Exchange
Deductible$4,800$9,600 family
Out-of-pocket max$9,300$18,600 family
Having a baby$6,060CMS example
Network: Choice Network
Blue Cross and Blue Shield of New Mexico
Blue Community Bronze HMO℠ 603
Deductible$6,000$12,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$9,860CMS example
Network: Blue Community HMO
Presbyterian Health Plan
Silver $7,000 w/Gym
Deductible$7,000$14,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$8,860CMS example
Network: Individual and Family HMO/POS Network
Presbyterian Health Plan
Silver Select $7,000 w/Gym with Limited Service Area
Deductible$7,000$14,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$8,860CMS example
Network: Individual Select Network
Blue Cross and Blue Shield of New Mexico
Blue Community Bronze HMO℠ 201
Deductible$8,000$16,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$10,160CMS example
Network: Blue Community HMO
No plans match these filters.
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Find doctors who take your plan
Your insurer and plan name are on your insurance card.
1. Who is your insurer?
2. Which plan?
It's on your insurance card or enrollment letter. Each plan opens its page, with costs and its own doctor search.
Blue Community Bronze HMO℠ 201Expanded Bronze HMO · Deductible $8,000
Blue Community Bronze HMO℠ 603Expanded Bronze HMO · Deductible $6,000
Blue Community Silver HMO℠ 203Silver HMO · Deductible $1,800
Blue Community Silver HMO℠ 308Silver HMO · Deductible $4,250
Blue Cross Blue Shield Clear Cost Silver Plan℠Silver HMO · Deductible $4,800
Clear Cost SilverSilver HMO · Deductible $4,800
PHP Clear Cost SilverSilver HMO · Deductible $4,800
PHP Clear Cost Silver with Limited Service AreaSilver HMO · Deductible $4,800
Silver $7,000 w/GymSilver HMO · Deductible $7,000
Silver Select $7,000 w/Gym with Limited Service AreaSilver HMO · Deductible $7,000
UHC Clear Cost Silver On ExchangeSilver HMO · Deductible $4,800
UHC Silver Advantage On ExchangeSilver HMO · Deductible $4,250
UHC Silver Value On ExchangeSilver HMO · Deductible $4,750
Blue Community Gold HMO℠ 205Gold HMO · Deductible $350
Blue Community Gold HMO℠ 705Gold HMO · Deductible $1,700
Blue Cross Blue Shield Clear Cost Gold Plan℠Gold HMO · Deductible $3,000
Clear Cost GoldGold HMO · Deductible $3,000
Gold $4,000 w/GymGold HMO · Deductible $4,000
Gold 1 Low Cost Generic DrugsGold HMO · Deductible $1,550
Gold Select $3,400 w/Gym with Limited Service AreaGold HMO · Deductible $3,400
PHP Clear Cost GoldGold HMO · Deductible $3,000
PHP Clear Cost Gold with Limited Service AreaGold HMO · Deductible $3,000
UHC Clear Cost Gold On ExchangeGold HMO · Deductible $3,000
UHC Gold Advantage On ExchangeGold HMO · Deductible $1,050
UHC Gold Value On ExchangeGold HMO · Deductible $2,700
No plan name from this insurer contains that. Try one word, like the metal level.
Plans from the same insurer can use different networks, so picking your plan gives the most accurate list.
3. Where?
4. What kind of doctor?
Doctors you save (0) also show on every plan card under Compare plans.
Insurers selling New Mexico Marketplace plans
Select an insurer to see only its plans.
| Insurer | Plans | Deductibles | Out-of-pocket max | Doctors in network | Directory updated | Action |
|---|---|---|---|---|---|---|
| Blue Cross and Blue Shield of New Mexico | 8 | $350 to $8,000 | $5,750 to $10,150 | Not published | n/a | See plans |
| Presbyterian Health Plan | 8 | $3,000 to $7,000 | $6,000 to $10,600 | Not published | n/a | See plans |
| UnitedHealthcare | 6 | $1,050 to $4,800 | $6,000 to $10,000 | 246 | Oct 15, 2026 | See plans |
| Molina Healthcare | 3 | $1,550 to $4,800 | $6,000 to $9,300 | Not published | n/a | See plans |
Dental-only insurers
1 insurer sells stand-alone dental plans in New Mexico but no medical plans.
| Insurer | Dental plans | Dentists in network |
|---|---|---|
| BEST Life | 4 | 564 |
Where the in-network doctors are
Doctors and facilities in New Mexico listed by at least one Marketplace insurer, by city and by primary specialty.
Questions about New Mexico Marketplace plans
Which insurers sell Marketplace plans in New Mexico?
4 insurers sell medical plans for 2026: Blue Cross and Blue Shield of New Mexico, Presbyterian Health Plan, UnitedHealthcare, and Molina Healthcare. 1 more insurer sells dental plans only.
When can I enroll in a New Mexico Marketplace plan for 2027?
Open enrollment for 2027 coverage runs Nov 1, 2026 to Jan 15, 2027 on beWellnm. Outside those dates you need a qualifying life event, such as losing other coverage, moving or having a baby.
Which insurer has the most doctors in New Mexico?
UnitedHealthcare lists 246 New Mexico doctors, practices and hospitals, 0 of them accepting new patients. Directories can be out of date, so call the office to confirm before you enroll.
What is the lowest deductible on a New Mexico Marketplace plan?
The lowest individual deductible is $350. Deductibles run from $350 to $8,000. A lower deductible usually means a higher monthly premium, so compare the out-of-pocket maximum too.
Which plan year does this page cover?
These are New Mexico's 2026 plans, the latest available. New Mexico's 2027 plan details are not public yet, so prices, benefits and doctors may be different for 2027. Check beWellnm before you enroll. The doctor lists already include doctors that insurers list for 2027. This page will be updated when the 2027 details come out.
Are all New Mexico plans sold in every county?
No. 4 plans are sold only in some counties, and 21 plans are sold statewide. Choose your county above the plan list to see only the plans sold where you live.
Why are there no monthly premiums on this page?
Premiums depend on your age, county, household size and income, and most enrollees get a subsidy, so a single price would mislead. Prices are listed on beWellnm. This page compares what the plans cover: deductibles, out-of-pocket maximums, coinsurance and networks.
About this data
NPI Profile is not an insurance company, agent or broker, and it does not sell insurance or enroll anyone in a plan. It is a free reference tool built on public files that CMS and insurers publish, to help you compare Marketplace plans and check whether your current or future doctor is in a plan's network. It is not affiliated with CMS, HealthCare.gov, any state exchange or any insurer. Confirm costs and networks with the insurer and the doctor's office, and enroll on beWellnm.
| Source | What it provides here | Source date |
|---|---|---|
| CMS public use files for beWellnm | Plans, deductibles, out-of-pocket maximums and coverage examples, and the counties where each plan is sold | Plan year 2026 |
| Insurer provider directories | Which doctors, practices and hospitals each insurer lists in its networks. Only providers with an address in New Mexico are counted. | Updated November 8, 2026 |
| NPPES NPI registry | Provider names, practice addresses and primary specialties | Matched November 8, 2026 |
- Only individual-market plans sold on beWellnm are included; small-business (SHOP) and off-exchange plans are left out. A plan an insurer files once per region is shown once.
- Doctors listed for 2026 or 2027 plans are counted, because insurer directories already list 2027 networks and most plan IDs carry over.
- Deductibles, out-of-pocket maximums and coinsurance are for one person, in network, for the standard version of each plan. Coverage examples (having a baby, managing type 2 diabetes, a simple fracture) are what CMS's standard scenarios cost under each plan.
- Directories can be out of date. Call the doctor's office and the insurer to confirm before you enroll.
Add your doctor
1. Where is the doctor?
2. What kind of doctor?
3. Choose the doctor
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Compare plans
Green marks the lowest value in a row. Monthly premiums depend on age, county and income and are not shown. CMS examples are standard scenarios from each plan's Summary of Benefits and Coverage. Directories can be out of date, so call the office to confirm.
