PCIP Coverage In Alabama
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age | Monthly Premium Cost |
00-18 |
$110 |
19-34 |
$164 |
35-44 |
$197 |
45-54 |
$251 |
55+ |
$350 |
|
Extended Plan |
Age | Monthly Premium Cost |
00-18 |
$148 |
19-34 |
$221 |
35-44 |
$265 |
45-54 |
$338 |
55+ |
$471 |
|
HSA Plan |
Age | Monthly Premium Cost |
00-18 |
$114 |
19-34 |
$170 |
35-44 |
$205 |
45-54 |
$262 |
55+ |
$364 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
Alaska
Pre-Existing Condition Insurance Plan: Alaska is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Alaska.
PCIP Coverage In Arizona
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age | Monthly Premium Cost |
00-18 |
$104 |
19-34 |
$157 |
35-44 |
$188 |
45-54 |
$240 |
55+ |
$334 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$141 |
19-34 |
$211 |
35-44 |
$253 |
45-54 |
$324 |
55+ |
$450 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$109 |
19-34 |
$163 |
35-44 |
$195 |
45-54 |
$250 |
55+ |
$347 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
Arkansas
Pre-Existing Condition Insurance Plan: Arkansas is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Arkansas.
California
Pre-Existing Condition Insurance Plan: California is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in California.
Colorado
Pre-Existing Condition Insurance Plan: Colorado is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Colorado.
Connecticut
Pre-Existing Condition Insurance Plan: Connecticut is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Connecticut.
PCIP Coverage In Delaware
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$109 |
19-34 |
$163 |
35-44 |
$195 |
45-54 |
$250 |
55+ |
$347 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$146 |
19-34 |
$219 |
35-44 |
$263 |
45-54 |
$335 |
55+ |
$467 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$113 |
19-34 |
$169 |
35-44 |
$203 |
45-54 |
$259 |
55+ |
$360 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
PCIP Coverage In the District of Columbia
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$141 |
19-34 |
$212 |
35-44 |
$253 |
45-54 |
$324 |
55+ |
$450 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$190 |
19-34 |
$284 |
35-44 |
$342 |
45-54 |
$436 |
55+ |
$606 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$146 |
19-34 |
$220 |
35-44 |
$263 |
45-54 |
$337 |
55+ |
$468 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
PCIP Coverage In Florida
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$118 |
19-34 |
$176 |
35-44 |
$211 |
45-54 |
$270 |
55+ |
$376 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$158 |
19-34 |
$237 |
35-44 |
$284 |
45-54 |
$363 |
55+ |
$505 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$122 |
19-34 |
$183 |
35-44 |
$220 |
45-54 |
$280 |
55+ |
$390 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
PCIP Coverage In Georgia
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$147 |
19-34 |
$220 |
35-44 |
$264 |
45-54 |
$338 |
55+ |
$470 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$198 |
19-34 |
$296 |
35-44 |
$356 |
45-54 |
$455 |
55+ |
$633 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$153 |
19-34 |
$229 |
35-44 |
$274 |
45-54 |
$351 |
55+ |
$488 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
PCIP Coverage In Hawaii
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$116 |
19-34 |
$174 |
35-44 |
$209 |
45-54 |
$267 |
55+ |
$371 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$156 |
19-34 |
$234 |
35-44 |
$281 |
45-54 |
$359 |
55+ |
$500 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$121 |
19-34 |
$181 |
35-44 |
$217 |
45-54 |
$277 |
55+ |
$386 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
PCIP Coverage In Idaho
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$133 |
19-34 |
$199 |
35-44 |
$239 |
45-54 |
$305 |
55+ |
$424 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$179 |
19-34 |
$268 |
35-44 |
$321 |
45-54 |
$410 |
55+ |
$571 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$138 |
19-34 |
$207 |
35-44 |
$248 |
45-54 |
$317 |
55+ |
$441 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
Illinois
Pre-Existing Condition Insurance Plan: Illinois is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Illinois.
PCIP Coverage In Indiana
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$124 |
19-34 |
$185 |
35-44 |
$222 |
45-54 |
$284 |
55+ |
$395 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$167 |
19-34 |
$249 |
35-44 |
$299 |
45-54 |
$382 |
55+ |
$532 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$128 |
19-34 |
$193 |
35-44 |
$231 |
45-54 |
$295 |
55+ |
$410 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
Iowa
Pre-Existing Condition Insurance Plan: Iowa is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Iowa.
Kansas
Pre-Existing Condition Insurance Plan: Kansas is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Kansas.
PCIP Coverage In Kentucky
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$98 |
19-34 |
$148 |
35-44 |
$177 |
45-54 |
$226 |
55+ |
$315 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$133 |
19-34 |
$199 |
35-44 |
$239 |
45-54 |
$305 |
55+ |
$424 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$103 |
19-34 |
$154 |
35-44 |
$184 |
45-54 |
$235 |
55+ |
$327 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
PCIP Coverage In Louisiana
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$129 |
19-34 |
$193 |
35-44 |
$231 |
45-54 |
$296 |
55+ |
$411 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$173 |
19-34 |
$260 |
35-44 |
$312 |
45-54 |
$397 |
55+ |
$553 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$134 |
19-34 |
$200 |
35-44 |
$240 |
45-54 |
$307 |
55+ |
$427 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
Maine
Pre-Existing Condition Insurance Plan: Maine is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Maine.
Maryland
Pre-Existing Condition Insurance Plan: Maryland is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Maryland.
PCIP Coverage In Massachusetts
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$181 |
19-34 |
$271 |
35-44 |
$325 |
45-54 |
$416 |
55+ |
$578 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$243 |
19-34 |
$365 |
35-44 |
$438 |
45-54 |
$559 |
55+ |
$778 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$188 |
19-34 |
$282 |
35-44 |
$338 |
45-54 |
$432 |
55+ |
$600 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
Michigan
Pre-Existing Condition Insurance Plan: Michigan is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Michigan.
PCIP Coverage In Minnesota
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$96 |
19-34 |
$144 |
35-44 |
$174 |
45-54 |
$221 |
55+ |
$307 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$130 |
19-34 |
$194 |
35-44 |
$233 |
45-54 |
$298 |
55+ |
$414 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$100 |
19-34 |
$150 |
35-44 |
$180 |
45-54 |
$230 |
55+ |
$320 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
PCIP Coverage In Mississippi
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$146 |
19-34 |
$219 |
35-44 |
$263 |
45-54 |
$336 |
55+ |
$467 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$197 |
19-34 |
$295 |
35-44 |
$353 |
45-54 |
$452 |
55+ |
$628 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$152 |
19-34 |
$228 |
35-44 |
$273 |
45-54 |
$348 |
55+ |
$485 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
Missouri
Pre-Existing Condition Insurance Plan: Missouri is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Missouri.
Montana
Pre-Existing Condition Insurance Plan: Montana is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Montana.
PCIP Coverage In Nebraska
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard Plan |
Age |
Monthly Premium Cost |
00-18 |
$132 |
19-34 |
$198 |
35-44 |
$237 |
45-54 |
$303 |
55+ |
$421 |
|
Extended Plan |
Age |
Monthly Premium Cost |
00-18 |
$177 |
19-34 |
$266 |
35-44 |
$320 |
45-54 |
$408 |
55+ |
$568 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$137 |
19-34 |
$205 |
35-44 |
$246 |
45-54 |
$315 |
55+ |
$438 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
PCIP Coverage In Nevada
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard
Plan |
Age |
Monthly Premium Cost |
00-18 |
$113 |
19-34 |
$169 |
35-44 |
$203 |
45-54 |
$260 |
55+ |
$362 |
|
Extended
Plan |
Age |
Monthly Premium Cost |
00-18 |
$152 |
19-34 |
$228 |
35-44 |
$274 |
45-54 |
$350 |
55+ |
$487 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$118 |
19-34 |
$176 |
35-44 |
$211 |
45-54 |
$270 |
55+ |
$375 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
New Hampshire
Pre-Existing Condition Insurance Plan: New Hampshire is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in New Hampshire.
New Jersey
Pre-Existing Condition Insurance Plan: New Jersey is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in New Jersey.
New Mexico
Pre-Existing Condition Insurance Plan: New Mexico is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in New Mexico.
New York
Pre-Existing Condition Insurance Plan: New York is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in New York.
North Carolina
Pre-Existing Condition Insurance Plan: North Carolina is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in North Carolina.
PCIP Coverage In North Dakota
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard
Plan |
Age |
Monthly Premium Cost |
00-18 |
$133 |
19-34 |
$199 |
35-44 |
$239 |
45-54 |
$305 |
55+ |
$424 |
|
Extended
Plan |
Age |
Monthly Premium Cost |
00-18 |
$179 |
19-34 |
$268 |
35-44 |
$321 |
45-54 |
$410 |
55+ |
$571 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$138 |
19-34 |
$207 |
35-44 |
$248 |
45-54 |
$317 |
55+ |
$441 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
Ohio
Pre-Existing Condition Insurance Plan: Ohio is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Ohio.
Oklahoma
Pre-Existing Condition Insurance Plan: Oklahoma is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Oklahoma.
Oregon
Pre-Existing Condition Insurance Plan: Oregon is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Oregon.
Pennsylvania
Pre-Existing Condition Insurance Plan: Pennsylvania is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Pennsylvania.
Rhode Island
Pre-Existing Condition Insurance Plan: Rhode Island is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Rhode Island.
PCIP Coverage In South Carolina
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard
Plan |
Age |
Monthly Premium Cost |
00-18 |
$139 |
19-34 |
$208 |
35-44 |
$250 |
45-54 |
$319 |
55+ |
$443 |
|
Extended
Plan |
Age |
Monthly Premium Cost |
00-18 |
$187 |
19-34 |
$280 |
35-44 |
$336 |
45-54 |
$429 |
55+ |
$596 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$144 |
19-34 |
$216 |
35-44 |
$259 |
45-54 |
$331 |
55+ |
$461 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
South Dakota
Pre-Existing Condition Insurance Plan: South Dakota is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in South Dakota.
PCIP Coverage In Tennessee
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard
Plan |
Age |
Monthly Premium Cost |
00-18 |
$133 |
19-34 |
$199 |
35-44 |
$239 |
45-54 |
$305 |
55+ |
$425 |
|
Extended
Plan |
Age |
Monthly Premium Cost |
00-18 |
$179 |
19-34 |
$268 |
35-44 |
$322 |
45-54 |
$411 |
55+ |
$571 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$138 |
19-34 |
$207 |
35-44 |
$248 |
45-54 |
$317 |
55+ |
$441 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
PCIP Coverage In Texas
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard
Plan |
Age |
Monthly Premium Cost |
00-18 |
$133 |
19-34 |
$199 |
35-44 |
$239 |
45-54 |
$306 |
55+ |
$426 |
|
Extended
Plan |
Age |
Monthly Premium Cost |
00-18 |
$179 |
19-34 |
$268 |
35-44 |
$323 |
45-54 |
$412 |
55+ |
$572 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$138 |
19-34 |
$207 |
35-44 |
$248 |
45-54 |
$318 |
55+ |
$442 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
Utah
Pre-Existing Condition Insurance Plan: Utah is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Utah.
PCIP Coverage In Vermont
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard
Plan |
Age |
Monthly Premium Cost |
00-18 |
$148 |
19-34 |
$222 |
35-44 |
$266 |
45-54 |
$339 |
55+ |
$472 |
|
Extended
Plan |
Age |
Monthly Premium Cost |
00-18 |
$199 |
19-34 |
$298 |
35-44 |
$357 |
45-54 |
$457 |
55+ |
$635 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$154 |
19-34 |
$230 |
35-44 |
$276 |
45-54 |
$352 |
55+ |
$490 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
PCIP Coverage In Virginia
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard
Plan |
Age |
Monthly Premium Cost |
00-18 |
$93 |
19-34 |
$140 |
35-44 |
$168 |
45-54 |
$214 |
55+ |
$297 |
|
Extended
Plan |
Age |
Monthly Premium Cost |
00-18 |
$125 |
19-34 |
$188 |
35-44 |
$226 |
45-54 |
$288 |
55+ |
$401 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$97 |
19-34 |
$145 |
35-44 |
$174 |
45-54 |
$222 |
55+ |
$309 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
Washington
Pre-Existing Condition Insurance Plan: Washington is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Washington.
PCIP Coverage In West Virginia
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard
Plan |
Age |
Monthly Premium Cost |
00-18 |
$119 |
19-34 |
$178 |
35-44 |
$214 |
45-54 |
$273 |
55+ |
$380 |
|
Extended
Plan |
Age |
Monthly Premium Cost |
00-18 |
$160 |
19-34 |
$240 |
35-44 |
$287 |
45-54 |
$367 |
55+ |
$511 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$124 |
19-34 |
$185 |
35-44 |
$222 |
45-54 |
$284 |
55+ |
$394 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
Wisconsin
Pre-Existing Condition Insurance Plan: Wisconsin is not run by the U.S. Department of Health and Human Services.
Click here to learn more about coverage in Wisconsin.
PCIP Coverage In Wyoming
PCIP covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition - there is no waiting period.
The monthly premiums for your state are:
Standard
Plan |
Age |
Monthly Premium Cost |
00-18 |
$126 |
19-34 |
$189 |
35-44 |
$227 |
45-54 |
$290 |
55+ |
$403 |
|
Extended
Plan |
Age |
Monthly Premium Cost |
00-18 |
$170 |
19-34 |
$255 |
35-44 |
$305 |
45-54 |
$390 |
55+ |
$542 |
|
HSA Plan |
Age |
Monthly Premium Cost |
00-18 |
$131 |
19-34 |
$197 |
35-44 |
$236 |
45-54 |
$301 |
55+ |
$419 |
|
PCIP offers three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.
In 2012, all covered services -- both in-network and out-of-network -- will count toward your catastrophic maximum. This means the maximum you'll pay for covered benefits (not including your monthly premium) is $7,000. The maximum is even less if you use only in-network providers. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for the Benefits Summary for a quick comparison of PCIP plans in the states served by the Federal PCIP. Review the
Benefits Brochure ![Exit Disclaimer Icon Exit Disclaimer Icon](Images/exit_small.png)
for much more detail on benefits, exclusions, limitations and maximums.
Who's Eligible for PCIP?
PCIP coverage is for people with a pre-existing medical condition who’ve been without health coverage for at least 6 months, no matter what your income is. See full eligibility requirements.
How Much Does PCIP Coverage Cost?
You pay a monthly premium for PCIP coverage, and other cost-sharing when you get services. More...
How Soon Can Coverage Start?
If we get your complete application, and all supporting documents, by the 15th of the month, your coverage can start as soon as the first day of the next month. Learn how the application process works.
Explore All Your Options
Visit HealthCare.gov to learn about all your health insurance options under the Affordable Care Act.