Key Health Plan Mandates
July 19, 2015
California the First State to Establish Health Insurance Exchange
July 19, 2015

Pre-Existing Condition Insurance Plan

The new federally funded PCIP, Pre-Existing Condition Insurance Plan, as established by the Affordable Care Act, is accepting applications. As of this writing, nearly 4,000 have requested applications.
 
To be eligible:
1. a person must be a citizen, a national, or be lawfully present in the United States;
2. have a Social Security number;
3. must not have had other creditable coverage in the previous 6 months;
4. and have a pre-existing condition as evidenced by proof of denial of coverage by an insurance carrier within the past 12 month;
5. or have an offer of coverage above the minimum premium level of the MRMIP PPO rate.
 

California’s MRMIB, Major Risk Medical Insurance Board, has reviewed and approved premium rates for the new plan that range from $127 per month for persons 15 years and under to $1,003  per month for persons 74 years old in the Bay Area. For a 50 year old living in San Francisco, the rate would be $499 per month compared to $915 for the state’s current MRMIP high-risk pool health coverage. The plan will have a $1,500 annual deductible and an annual out of pocket maximum of $2,500. Only PPO coverage will be available. 

 
When applying for the PCIP program, the application will be reviewed for both the PCIP and MRMIP programs to inform applicants about their coverage options. To apply for PCIP, applicants must complete both the PCIP Supplemental Application and MRMIP Application. 
The new federally funded PCIP, Pre-Existing Condition Insurance Plan, as established by the Affordable Care Act, is accepting applications. As of this writing, nearly 4,000 have requested applications.
 
To be eligible:
1. a person must be a citizen, a national, or be lawfully present in the United States;
2. have a Social Security number;
3. must not have had other creditable coverage in the previous 6 months;
4. and have a pre-existing condition as evidenced by proof of denial of coverage by an insurance carrier within the past 12 month;
5. or have an offer of coverage above the minimum premium level of the MRMIP PPO rate.
 

California’s MRMIB, Major Risk Medical Insurance Board, has reviewed and approved premium rates for the new plan that range from $127 per month for persons 15 years and under to $1,003  per month for persons 74 years old in the Bay Area. For a 50 year old living in San Francisco, the rate would be $499 per month compared to $915 for the state’s current MRMIP high-risk pool health coverage. The plan will have a $1,500 annual deductible and an annual out of pocket maximum of $2,500. Only PPO coverage will be available. 

 
When applying for the PCIP program, the application will be reviewed for both the PCIP and MRMIP programs to inform applicants about their coverage options. To apply for PCIP, applicants must complete both the PCIP Supplemental Application and MRMIP Application. 
Brian Schroeder
Brian Schroeder
Brian J Schroeder – Independent Broker - (925) 513-7778