The cost is how much you will pay to be on a health plan: generally it is a combination of the
monthly premium, the annual deductible and any uncovered expenses you might incur. The number itself
will depend on which plan you qualify for. Consumers will be able to compare different health insurance plans
and buy insurance in a variety of ways through the Exchange.
Coverage is the amount that your health plan will pay for when you go see a doctor or need to buy
prescriptions. There are varying levels of coverage in the Exchange, with the difference being how much you
pay versus how much your health plan will pay.
New Mexico's Exchange is a publicly accountable organization, governed by a 12-member board that
includes representatives from political parties, the health insurance industry and consumer advocates.
Yes. If you meet the eligibility requirements, the ACA requires individuals with pre-existing conditions
(ranging anywhere from allergies to pregnancy) to have access to health insurance, without being charged
Health insurance plans have networks of hospitals, doctors, specialists, pharmacies, and other
health care providers. Networks include health care providers that the plan contracts with to take care
of the plan's members. Depending on the type of policy you buy, care may be covered only when you get it
from a network provider.