NEW MEXICO PCIP INFORMATION
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For applications for the pre-existing condition insurance plan (PCIP) please click on the Register Now link below or contact the Insurance Resource Center for assistance.
The following is a list of accepted pre-existing conditions in New Mexico:
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AIDS
Alcohol/Drug Abuse
ALS (Lou Gehrig’s Disease)
Angina Pectoris
Arteriosclerosis Obliterans
Artificial Heart Valve
Ascites
Cardiomyopathy
Cirrhosis of the Liver
Coronary Insufficiency
Coronary Occlusion
Crohn’s Disease
Cystic Fibrosis
Dermatomyositis
Diabetes (Insulin dependent)
Friedreich’s Disease
Hemophilia
Hepatitis C (Active)
HIV+
Hodgkin’s Disease
Huntington’s Chorea
Hydrocephalus
Intermittent Claudication
Juvenile Diabetes
Kidney Failure
Lead Poisoning with Cerebral Involvement
Leukemia
Lupus Erythematosus Disseminate
Malignant Tumor (If treated/occurred within previous 4 years)
Metastatic Cancer
Motor or Sensory Aphasia
Multiple or Disseminated Sclerosis
Muscular Atrophy or Dystrophy
Myasthenia Gravis
Myotonia
Open Heart Surgery
Paraplegia or Quadriplegia
Parkinson’s Disease
Peripheral Arteriosclerosis (If treated within previous 3 years)
Polyarteritis (Periarteritis Nodosa)
Polycystic Kidney
Posterolateral Sclerosis
Psychotic Disorders
Sickle Cell Anemia
Silicosis
Splenic Anemia (Tru Banti’s Syndrome)
Still’s Disease
Stroke (CVA)
Syringomyelia
Tabes Dorsalis (Locomotor Ataxia)
Thalassemia (Cooley’s or Mediterranean Anemia)
Topectomy and Lobotomy
Wilson’s Disease
Alzheimer’s
Amyotrophic lateral sclerosis (als)
Aneurysm
Aphasia
Arnold-Chiari malformation
Arteriovenous malformation
Ataxia
Cerebral palsy
Cva /stroke
Dementia
Demyelinating disease
Epilepsy
Guillain-Barré syndrome
Huntington’s chorea
Hydrocephalus
Multiple sclerosis
Muscular dystrophy
Myasthenia gravis
Myotonia
Neurofibromatosis
Parkinson’s disease
Rett’s syndrome
Subdural hematoma
Tabes dorsalis
Tay-Sachs disease
Transient ischemic attack
Anaplastic thyroid carcinoma
Basal cell skin cancer
Hodgkin’s disease
Leukemia
Multiple myeloma
Neuroblastoma
Retinoblastoma
ASD
Cleft lip/palate: un-operated/under age 19
Cretinism
Dandy-Walker syndrome
Heart/lung/kidney/reproductive organ malformation
Spina bifida
Tetralogy of Fallot
Ascites
Esophageal ulceration
Cirrhosis
Crohn’s disease
Diseases of the intestines, pancreas, liver or gallbladder, gallstones
Hemochromatosis
Hepatitis
Hernia
Hirschsprung’s disease
Gastrointestinal ulcer
Ulcerative colitis
Wilson’s disease
Cataracts
Cholesteatoma
Conditions of the esophagus
Corneal degeneration
Corneal ulcer
Diabetic retinopathy
Esotropia
Laryngeal papillomatosis
Macular degeneration
Nasal and paranasal sinus cancers
Esophageal ulceration
Otosclerosis
Post corneal transplant
Sarcoidosis
Sjogren's syndrome
Tonsillitis
Uveitis
Anemia; aplastic
Thalassemia
Cooley’s or Mediterranean; angina
Aneurysm
Atrial fibrillation on blood thinners
Atrial tachycardia
Behcet’s syndrome
Bicuspid aortic valve
Hemophilia
Sickle cell
Thrombocytopenia
Phlebitis
Thrombosis
Raynaud’s
Bradycardia with pacemaker
Cardiac bypass surgery
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Cardiomyopathy
Carotid artery disease
Carotid bruit
Carotid endarterectomy
Congestive heart failure
Cor pulmonale
Coronary artery disease
Coronary insufficiency
Coronary occlusion
Heart attack
Heart enlargement
Heart murmur
Heart valve replacement
Hemogloginuria
Hypertension (high blood pressure)
Hypogammaglobulinemia
Ischemic heart disease
Leriche’s syndrome
Mitral valve prolapse or stenosis
Osler-Weber-Rendu syndrome
Pericarditis
Peripheral artery disease
Peripheral vascular disease
Polyarteritis nodosa
Polycythemia vera
Pulmonary embolism
Pulmonary osteoarthropathy
Pulmonic stenosis
Rheumatic heart disease
Sick sinus syndrome
Superior vena cava syndrome
Temporal arteritis
Trigeminal pulse
Ventricular fibrillation or tachycardia
Varicose veins
Wegener’s granulomatosis
Wolff-Parkinson-White syndrome
Banti’s disease
CVID
Immunodeficiency disorder
Lymphadema
Sarcoidosis
Acromegaly
Addison’s disease
Aids
Cystic fibrosis
Cytomegalovirus
Diabetes
HIV
Hyperprolactinaemia
Hyperthyroidism
Hypothyroidism
Lupus
Scleroderma
Still’s disease
Turner’s syndrome
Amputation/prosthesis
Chronic back sprain/strain
Connective tissue disease
Dermatomyositis
End-stage osteoarthritis with major joint involvement
Fasciitis: chronic or recurrent
Fibromyalgia
Flexion contracture
Gout
Marfan’s syndrome
Paralysis
Paraplegia
Pott's disease
Progeria
Psoriatic arthritis
Quadriplegia
Rheumatoid arthritis
Scoliosis/kyphosis
Severe arthritis with major joint involvement/joint degeneration
Severe disc injury
Syringomyelia
TMJ
Alcohol/chemical dependency
Bipolar disorder
Depression
Eating disorders
Anorexia or bulimia
Obsessive-compulsive disorder
Panic disorders
Schizophrenia
Pregnancy/High Risk Pregnancy/Complications of Pregnancy
Premature Infants (6-month period with no creditable coverage not a requirement for Program eligibility)
BPH with associated symptoms
Uterine fibroids/mass
Endometriosis
Ovarian cysts
PSA with associated symptoms
PID
HPV
STDs
Peyronie’s disease
Prostate stones with prostatitis
Asbestosis
Asthma
COPD
Chronic lung conditions
Emphysema
Hamman-Rich syndrome
Hyaline membrane disease
Laryngeal papillomatosis
Pleurisy
Pneumocystis carinii
Pulmonary fibrosis
Sarcoidosis
Silicosis (black lung)
Sleep apnea
Status asthmaticus
Tuberculosis
Upper airway resistance syndrome
2nd or 3rd degree burns
Cellulites
Eczema
Gangrene
Herpes zoster
Kaposi’s sarcoma
Leprosy, Lyme disease
Melanoma
Nevus: dysplastic syndrome or giant melanocytic
Pemphigus
Polyp: anal or rectal
Psoriasis
Transplants: heart, kidney, liver, lung, other major organs
Bladder stones
Congenital anomalies
Interstitial cystitis
kidney disease
kidney stones
Nephrectomy
Polycystic kidney disease
Polyp
Renal failure
Urethral stricture
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