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PCIP In Your State


Most States Are Served by the Federal PCIP


The U.S. Department of Health and Human Services runs the PCIP in most states, and is contracting with a national insurance plan to administer benefits in those states. List of states served by the federally-run PCIP.

Some States Run Their Own PCIP


Is your PCIP Coverage Transitioning to the Federally-run PCIP in July?

Beginning July 1, 2013, operation of the Pre-Existing Condition Insurance Plan (PCIP) in 17 states, at their discretion, will transition to the federally-run PCIP program. If you have been enrolled in one of these states’ programs, you can continue your PCIP coverage through December 2013 through the federally-run program. You will be receiving communications and instruction by mail to help ensure your seamless transition to the federally-run PCIP. This change does not affect PCIP enrollees in the remaining 7 states that are operating their own PCIP program. List of states running their own PCIP.

If youíre in a state running its own PCIP, find your state in the list below for specific contact information.

Get information about the PCIP in your state:

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $113
19-34 $168
35-44 $202
45-54 $258
55+ $359
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.
Alaska

Pre-Existing Condition Insurance Plan: Alaska is not run by the U.S. Department of Health and Human Services. Click here Exit Disclaimer Icon 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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $108
19-34 $163
35-44 $195
45-54 $249
55+ $346
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In Arkansas


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $100
19-34 $126
35-44 $197
45-54 $260
55+ $409

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in Arkansas ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $100
19-34 $126
35-44 $197
45-54 $260
55+ $409

Moving to Arkansas? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into Arkansas, you may be eligible to re-enroll in PCIPís Standard Plan in Arkansas. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In California


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $117
19-34 $161
35-44 $287
45-54 $366
55+ $505

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in California ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $117
19-34 $161
35-44 $287
45-54 $366
55+ $505

Moving to California? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into California, you may be eligible to re-enroll in PCIPís Standard Plan in California. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In Colorado


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $179
19-34 $249
35-44 $370
45-54 $493
55+ $694

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in Colorado ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $179
19-34 $249
35-44 $370
45-54 $493
55+ $694

Moving to Colorado? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into Colorado, you may be eligible to re-enroll in PCIPís Standard Plan in Colorado. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Connecticut

Pre-Existing Condition Insurance Plan: Connecticut is not run by the U.S. Department of Health and Human Services. Click here Exit Disclaimer Icon 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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $114
19-34 $170
35-44 $204
45-54 $261
55+ $362
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $148
19-34 $223
35-44 $266
45-54 $341
55+ $474
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $136
19-34 $202
35-44 $243
45-54 $311
55+ $432
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $167
19-34 $249
35-44 $299
45-54 $383
55+ $533
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $96
19-34 $144
35-44 $172
45-54 $220
55+ $306
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $147
19-34 $220
35-44 $264
45-54 $337
55+ $468
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In Illinois


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $152
19-34 $172
35-44 $265
45-54 $383
55+ $567

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in Illinois ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $152
19-34 $172
35-44 $265
45-54 $383
55+ $567

Moving to Illinois? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into Illinois, you may be eligible to re-enroll in PCIPís Standard Plan in Illinois. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $143
19-34 $213
35-44 $255
45-54 $327
55+ $454
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In Iowa


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $132
19-34 $246
35-44 $280
45-54 $350
55+ $467

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in Iowa ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $132
19-34 $246
35-44 $280
45-54 $350
55+ $467

Moving to Iowa? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into Iowa, you may be eligible to re-enroll in PCIPís Standard Plan in Iowa. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In Kansas


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $154
19-34 $210
35-44 $293
45-54 $387
55+ $546

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in Kansas ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $154
19-34 $210
35-44 $293
45-54 $387
55+ $546

Moving to Kansas? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into Kansas, you may be eligible to re-enroll in PCIPís Standard Plan in Kansas. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $113
19-34 $170
35-44 $204
45-54 $260
55+ $362
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
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
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.
Maryland

Pre-Existing Condition Insurance Plan: Maryland is not run by the U.S. Department of Health and Human Services. Click here Exit Disclaimer Icon 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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $201
19-34 $300
35-44 $360
45-54 $461
55+ $641
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In Michigan


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $142
19-34 $175
35-44 $227
45-54 $294
55+ $427

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in Michigan ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $142
19-34 $175
35-44 $227
45-54 $294
55+ $427

Moving to Michigan? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into Michigan, you may be eligible to re-enroll in PCIPís Standard Plan in Michigan. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $97
19-34 $146
35-44 $177
45-54 $224
55+ $311
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $168
19-34 $252
35-44 $302
45-54 $386
55+ $537
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In Missouri


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $117
19-34 $178
35-44 $241
45-54 $303
55+ $422

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in Missouri ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $117
19-34 $178
35-44 $241
45-54 $303
55+ $422

Moving to Missouri? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into Missouri, you may be eligible to re-enroll in PCIPís Standard Plan in Missouri. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $128
19-34 $192
35-44 $230
45-54 $294
55+ $409
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $123
19-34 $184
35-44 $221
45-54 $283
55+ $394
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In New Hampshire


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $218
19-34 $233
35-44 $340
45-54 $561
55+ $858

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in New Hampshire ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $218
19-34 $233
35-44 $340
45-54 $561
55+ $858

Moving to New Hampshire? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into New Hampshire, you may be eligible to re-enroll in PCIPís Standard Plan in New Hampshire. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

New Jersey

Pre-Existing Condition Insurance Plan: New Jersey is not run by the U.S. Department of Health and Human Services. Click here Exit Disclaimer Icon 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 Exit Disclaimer Icon to learn more about coverage in New Mexico.

PCIP Coverage In New York


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $403
19-34 $403
35-44 $403
45-54 $403
55+ $403

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in New York ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $403
19-34 $403
35-44 $403
45-54 $403
55+ $403

Moving to New York? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into New York, you may be eligible to re-enroll in PCIPís Standard Plan in New York. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In North 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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $144
19-34 $242
35-44 $313
45-54 $432
55+ $575

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in North Carolina ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $144
19-34 $242
35-44 $313
45-54 $432
55+ $575

Moving to North Carolina? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into North Carolina, you may be eligible to re-enroll in PCIPís Standard Plan in North Carolina. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $136
19-34 $204
35-44 $245
45-54 $312
55+ $434
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In Ohio


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $83
19-34 $143
35-44 $216
45-54 $301
55+ $384

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in Ohio ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $83
19-34 $143
35-44 $216
45-54 $301
55+ $384

Moving to Ohio? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into Ohio, you may be eligible to re-enroll in PCIPís Standard Plan in Ohio. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Oklahoma

Pre-Existing Condition Insurance Plan: Oklahoma is not run by the U.S. Department of Health and Human Services. Click here Exit Disclaimer Icon to learn more about coverage in Oklahoma.

PCIP Coverage In Oregon


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $223
19-34 $302
35-44 $417
45-54 $514
55+ $630

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in Oregon ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $223
19-34 $302
35-44 $417
45-54 $514
55+ $630

Moving to Oregon? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into Oregon, you may be eligible to re-enroll in PCIPís Standard Plan in Oregon. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In Pennsylvania


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $241
19-34 $241
35-44 $241
45-54 $241
55+ $241

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in Pennsylvania ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $241
19-34 $241
35-44 $241
45-54 $241
55+ $241

Moving to Pennsylvania? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into Pennsylvania, you may be eligible to re-enroll in PCIPís Standard Plan in Pennsylvania. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $134
19-34 $200
35-44 $240
45-54 $307
55+ $426
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In South 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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $172
19-34 $274
35-44 $408
45-54 $514
55+ $646

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in South Dakota ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $172
19-34 $274
35-44 $408
45-54 $514
55+ $646

Moving to South Dakota? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into South Dakota, you may be eligible to re-enroll in PCIPís Standard Plan in South Dakota. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $133
19-34 $200
35-44 $240
45-54 $306
55+ $426
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $139
19-34 $207
35-44 $249
45-54 $319
55+ $444
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In Utah


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $166
19-34 $205
35-44 $257
45-54 $321
55+ $426

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in Utah ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $166
19-34 $205
35-44 $257
45-54 $321
55+ $426

Moving to Utah? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into Utah, you may be eligible to re-enroll in PCIPís Standard Plan in Utah. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
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
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $107
19-34 $161
35-44 $193
45-54 $246
55+ $341
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.

PCIP Coverage In Washington


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 itís to treat a pre-existing condition - there is no waiting period.
Transition Plan
Age Monthly Premium Cost
00-18 $248
19-34 $281
35-44 $447
45-54 $598
55+ $841

Did Your PCIP Coverage Change to the Federally-run
PCIP in July?


If you received a notice that your PCIP coverage in Washington ended in June, you can continue your coverage through December 2013 under the federally-run PCIPís Transition Plan. This plan has a $1,000 medical deductible, and a $250 prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For the remainder of 2013, the maximum you will pay out-of-pocket for covered services is $3,125, or $5,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

Transition Plan Materials
Only the Transition Plan is for enrollees whose state-based PCIP coverage ended June 30, and will continue coverage under the federally-run PCIP. Click here Exit Disclaimer Icon for Transition Plan materials. For information about providers click here Exit Disclaimer Icon.

Have questions about your PCIP coverage before July 1, 2013?
Your state-based PCIP coverage transitioned to the federally-run PCIP program effective July 1, 2013. The federally-run program is not able to provide any information about your previous coverage or claims for services under the former state-based PCIP. Please direct those questions to your former state-based program. Click here Exit Disclaimer Icon to be directed there for contact information.


Standard Plan
Age Monthly Premium Cost
00-18 $248
19-34 $281
35-44 $447
45-54 $598
55+ $841

Moving to Washington? You May Be Eligible to Keep Your
PCIP Coverage


If you lost PCIP coverage during the past 6 months because you moved out of another state into Washington, you may be eligible to re-enroll in PCIPís Standard Plan in Washington. Please call 1-866-717-5826 (TTY: 1-866-561-1604), Monday Ė Friday, 8 a.m. to 11 p.m. EST, if you believe you are eligible.

The PCIP Standard Plan has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs.

For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year is $6,250, or $10,000 for non-formulary prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.

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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $128
19-34 $191
35-44 $230
45-54 $293
55+ $408
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.
Wisconsin

Pre-Existing Condition Insurance Plan: Wisconsin is not run by the U.S. Department of Health and Human Services. Click here Exit Disclaimer Icon 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 itís to treat a pre-existing condition - there is no waiting period.
PCIP has a $2,000 annual medical deductible, and a $500 annual prescription drug deductible. After you have met the deductible, you will pay 30% of medical costs for in-network services.
The monthly premiums for your state are:
Standard Plan
Age Monthly Premium Cost
00-18 $136
19-34 $204
35-44 $245
45-54 $313
55+ $434
For 2013, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider is $6,250. There is no lifetime maximum or cap on the amount the plan pays for your care.
 
Pre-Existing Condition Insurance Plan Run by the U.S. Department of Health and Human Services
 
Pre-Existing Condition Insurance Plan Run by Your State
 
Pre-Existing Condition Insurance Plan ended
December 31, 2013

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Department of Health and Human Services