Pre-Existing Condition Insurance Plan
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    *Approved Broker does not constitute endorsement by Centers for Medicare & Medicaid Services or HHS. This website is not maintained by the PCIP program or any government agency rather solicitation by a licensed insurance entity/broker in the PCIP program seeking to assist and enroll individuals in the Federal Health Insurance or other insurance products. Information collected by this site is secure and will not be sold/resold to any third party sources or insurance agents. Website controller(s) lic. entity/broker adheres to HIPAA privacy. No charges for Services, Applications, Processing, Consultation Association fees or other for PCIP Government health insurance plans. Updates to information, while done regularly may not reflect newest info. Please check with staff for questions or updates.
Allotment By State
Potential Allotment of Program Funds*
State Funds
Alabama $69,000,000
Alaska $13,000,000
Arizona $129,000,000
Arkansas $46,000,000
California $761,000,000
(+) Increase
Colorado $90,000,000
Connecticut $50,000,000
Delaware $13,000,000
Dist of Columbia $9,000,000
Florida $351,000,000
Georgia $177,000,000
Hawaii $16,000,000
Idaho $24,000,000
Illinois $196,000,000
Indiana $93,000,000
Iowa $35,000,000
Kansas $36,000,000
Kentucky $63,000,000
Louisiana $71,000,000
Maine $17,000,000
Maryland $85,000,000
Massachusetts $77,000,000
Michigan $141,000,000
Minnesota $68,000,000
Mississippi $47,000,000
Missouri $81,000,000
Montana $16,000,000
Nebraska $23,000,000
Nevada $61,000,000
New Hampshire $20,000,000
(+) Increase
New Jersey $141,000,000
New Mexico $37,000,000
New York $297,000,000
North Carolina $145,000,000
North Dakota $8,000,000
Ohio $152,000,000
Oklahoma $60,000,000
Oregon $66,000,000
Pennsylvania $160,000,000
Rhode Island $13,000,000
South Carolina $74,000,000
South Dakota $11,000,000
Tennessee $97,000,000
Texas $493,000,000
Utah $40,000,000
Vermont $8,000,000
Virginia $113,000,000
Washington $102,000,000
West Virginia $27,000,000
Wisconsin $73,000,000
Wyoming $8,000,000
U.S. Total $5 Billion Dollars
* Preliminary: Final allotments may increase or decrease by +/- 1%.
Data sources: ACS State Population 2008; BLS Wage Data 2008.

Pre-existing Condition Insurance Plan and PCIP

The Affordable Care Act which is the new change to the current health insurance law was passed in March 2011 and signed by President Obama. The Federal health insurance initiated from this plan will allow for persons with pre-existing condition(s) access to affordable health care through the insurance market place via health insurance exchanges without being denied coverage. The exchanges allow for fair competition to be offered and must be in place by all states mandatory date 2014 January 1.

This law created a new program called the Pre Existing Condition Insurance Plan also called PCIP to bridge that gap until such time as stated date. This PCIP plan now makes benefits available to those who have previously been denied health insurance due to a medical condition offering affordable rates, low deductibles, including catastrophic coverage all without a waiting period.

If you have a pre-existing condition and you are a US citizen or are residing in the United States legally you may qualify for coverage (see eligibility tab). The PCIP will offer you coverage for your pre existing condition up until 2014. At that point you will be able to attain health insurance through a health insurance exchange where there will be no discrimination of your pre existing condition.


Highlights Of The PCIP Plan:

Will cover a broad spectrum of health care which includes hospital treatment, primary and specialty care and prescription benefits. All of the covered benefits are available to you and your pre-existing condition.

Your pre existing condition will not require you to pay a higher premium.

Your acceptance and premium are not based on your income with the Federal program.

*In twenty-three states and the District of Columbia the PCIP plans are run by the US Department of Health and Human Services with the assistance of the U.S. Office of Personal Management as well as the US Department of Agriculture’s National Finance Division. In these twenty-three states the government contracts with a national insurance plan. The additional twenty-seven states have programs which are state based. The programs may vary by state. Prior to registering, view your state for more information or learn more about how the PCIP plan works in your state.