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Message from CMS about the Pre-Existing Condition Insurance Plan (PCIP)

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Yesterday, the Centers for Medicare and Medicaid Services (CMS) contacted HANYS with a request to distribute the following message, the first in a series regarding the new Pre-Existing Condition Insurance Plan (PCIP) established by the Affordable Care Act (ACA).

*Please note that New York’s PCIP is the NY Bridge Plan, administered by Group Health Incorporated on behalf of the state. 

The PCIP provides a health coverage option for children and adults in all 50 states and the District of Columbia who have been locked out of the health insurance market because of a pre-existing condition. This transitional program will continue until 2014 when Americans, regardless of their health status, will have access to affordable health insurance when the nation transitions to a new marketplace.

To be eligible for coverage under PCIP, applicants must:

  • Be U.S. citizens or legal residents;
  • Be uninsured for at least six months;
  • Have a pre-existing condition or denied health coverage due to a health condition.

For more information and how to apply, go to “Find Your State” at www.pcip.gov and click on your state in the map of the United States or select it in the drop-down menu. You may also call the toll-free line: (866)717-5826 (TTY (866)561-1604). The Call Center is open from 8 a.m. to 11 p.m. Eastern Time. A brochure is also available online that can be printed and distributed: http://www.healthcare.gov/center/brochures/pcip.pdf.

Contact: Danielle Drayer

Published April 20, 2011