Live in New York?
See if You Might Qualify for “Pre-Existing Condition” Insurance Coverage—HealthBridge NY
On August 20, 2010, eligible residents of New York were able to apply for coverage through the state’s Pre-Existing Condition Insurance Plan (PCIP). The program is run by Group Health Incorporated.
What You Should Know
To be eligible, an individual must:
- Be a citizen or national of the U.S. or be lawfully present;
- Be a resident of New York State;
- Not have had creditable coverage for the previous 6 months prior to applying; and
- Have a pre-existing condition as determined in “a manner consistent” with guidance from the Secretary of the Department of Health and Human Services (HHS). Acceptable forms of documenting your pre-exisiting condition (your name will need to appear on all documentation): – Letter from health care provider
– Medical records
– Copy of electronic personal heath record
You have to pay…
- New York has proposed a monthly premium of $362 upstate and $421 for the Pre-Existing Condition Insurance Plan.
- New York had to develop a standard premium rate for coverage. The federal government pays claims that exceed that amount.
And the plan provides:
- primary and specialty care
- inpatient and outpatient hospital care
- prescription coverage and vision care (with co-payments)