Are you uninsured with a pre-existing health condition? The new high risk-pools may be an option for you.
The Pre-Existing Condition Insurance Plan (PCIP), as part of The Affordable Care Act, is set up to help Americans with pre-existing conditions who have been denied health coverage or priced out of the market.
PCIP is a temporary program, designed as a “bridge” to 2014, when insurers will be prohibited from charging more or denying coverage based on health status. The PCIP program is administered by either state or federal government. Twenty-three states and the District of Columbia have elected to have their PCIP program administered by the federal government, and 27 states are running their own programs.
You are eligible for PCIP if:
If you meet these requirements, PCIP:
Enrollment began on July 1 for the federal program. As of February 1, 12,437 people have enrolled, according to the U.S. Department of Health & Human Services (HHS).
“This program has helped thousands of people that desperately need coverage and we are excited to see Pre-existing Condition Insurance Plan enrollment is ramping up, in much of the way enrollment in the Children’s Health Insurance Program (CHIP) did in the 1990’s, as more people learn about the new insurance options available,” said Steve Larsen, director of the Center for Consumer Information and Insurance Oversight (CCIIO), which operates the program. “We are working every day to get the word out about this program, to find people who have been abandoned by the health insurance industry to get them the coverage they have been denied for so long.”
Americans are still coming to grips with the Affordable Care Act. False information has left many confused and unaware of some of the benefits even as they kick in.
HHS is working to get the word out to consumers. Visit PCIP.gov for more information on how the plan works in each state, including eligibility and how to apply.
While some headlines call attention to the fact that enrollment is lagging behind predictions, that shouldn’t be taken as a failure or a victory for health care reform opponents. It doesn’t mean folks don’t want health insurance. It means there are serious issues with PCIP eligibility.
PCIP is certainly not the answer for everybody, but it is a bridge to 2014 for those who qualify and can afford it.
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