Pre-Existing Condition Insurance Plan: Nebraska
Eligible residents of Nebraska can apply for coverage through the Pre-Existing Condition Insurance Plan program run by the U.S. Department of Health and Human Services.
To qualify for coverage:
- You must be a United States citizen or reside here legally.
- You must be without health coverage for at least the last six months before you apply.
- You must have a pre-existing condition or have been denied coverage because of your health condition.
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, even if it’s to treat a preexisting condition.
The monthly premiums for your state are:
Age | Standard Option | Extended Option | HSA Option |
---|---|---|---|
0 to 18 | $132 | $177 | $137 |
19 to 34 | $198 | $266 | $205 |
35 to 44 | $237 | $320 | $246 |
45 to 54 | $303 | $408 | $315 |
55+ | $421 | $568 | $438 |
View a Summary of Benefits for the Standard, Extended, and HSA plans. (PDF – 810 KB)
In addition to your monthly premium, you will pay other costs. In 2012, you will pay a $1,000 to $3,000 deductible, which varies by your plan option, for covered medical benefits (except for preventive services) before the plan starts to pay. A plan option may have a separate drug deductible. After you pay the deductible, you will pay a $25 copayment for doctor visits, $4 to $40 for most prescription drugs, and 20% of the costs of any other covered benefits you get. Your combined out-of-pocket costs for in-network and out-of-network covered services cannot be more than $7,000 per year. The maximum is even less if you use only in-network providers.
Apply for Coverage in Your State
To learn more about the PCIP in your state, visit https://pcip.gov/PCIP_States.html.
To apply visit: https://pcip.gov/How_to_Apply.html.
For PCIP questions or customer service visit: https://pcip.gov/Contact_Us.html or call 1-866-717-5826 (TTY: 1-866-561-1604).