Medical/Rx Benefits

New Mexico Medical/Rx Benefits Benchmarks

Real plan data from verified employers in your state

Verified Data
249Employers
793Plans
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Medical/Rx benchmarks

Employee Benefits in New Mexico

Updated October 2026

Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.

Our database includes 249 employers in New Mexico offering 793 verified benefit plans. PPO plans are the most common (45% of employers), followed by HDHP (40%). Funding approaches are mixed, with fully-insured (49%) and self-insured (40%) both common. Most employers offer three or more plan options to employees (61%).

Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.

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New Mexico plan design & cost benchmarks

In-Network Cost Sharing: sample layout
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$784
$1,651
$2,664
$1,65152Bal
Family Deductible
$1,248
$3,278
$5,432
$3,27852Bal
Individual OOP Max
$3,083
$4,851
$6,386
$4,85152Bal
Family OOP Max
$6,960
$9,184
$12,797
$9,18452Bal
Coinsurance
12%
21%
29%
21%52Bal
Primary Care
$21
$37
$46
$3752Bal
Specialist
$42
$55
$74
$5552Bal
Emergency Room
$210
$312
$446
$31252Bal
Urgent Care
$52
$77
$99
$7752Bal

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Real plan-design and cost benchmarks for new mexico, with percentile rankings and exportable data.

What's inside the full report
In-Network Cost Sharing

Deductibles, copays, coinsurance & out-of-pocket maximums

Employee Contributions

Monthly employee premium contributions by tier

Gross Premium Rates

Total monthly premium costs by coverage tier

Prescription Drug Coverage

Rx copays, deductibles & mail-order options

Plus full benchmarks for Life, Voluntary Life, Short- & Long-Term Disability, and Stop-Loss.

Percentile rankings (25th / 50th / 75th)
Live, real-time data (this preview refreshes monthly)
Exportable to PDF & CSV

Plan Type Mix

% of employers offering each

VERIFIED
PPO45%
HDHP40%
EPO6%
HMO6%

Plan Funding

% of employers by funding

VERIFIED
Fully-Insured49%
Self-Insured40%
Level-Funded11%

Plans Offered

% of employers by plan count

VERIFIED
Three or More Plans61%
Two Plans30%
One Plan9%

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