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:

Comprehensive coverage

  • primary and specialty care
  • inpatient and outpatient hospital care
  • prescription coverage and vision care (with co-payments)

Call 800-342-3736.