About the Pre-existing Condition Insurance Plan - Washington State
The Pre-Existing Condition Insurance Plan for Washington state (PCIP-WA) is ending June 30, 2013. The program was a temporary health insurance option for certain individuals with pre-existing conditions who had been uninsured for at least six months.
PCIP-WA transitions to federal PCIP on July 1, 2013
PCIP-WA coverage will end on June 30, 2013, and enrollees may choose to transition to the federally-run PCIP. Notices were sent out to enrollees on Thursday, May 29, 2013.
Enrollees do not need to apply to the federally-run PCIP to qualify, but for coverage to start on July 1, you must pay your July premium to the federally-run PCIP. If you don't pay your July premium, you'll lose your coverage and be responsible for any health care services after June 30.
How are enrollees affected?
Benefits, premiums, cost sharing and other program requirements are not the same as PCIP-WA. In addition, the provider network will be different. The federally-run PCIP will mail plan details to enrollees in early June. You can also find more information:
Why this is happening
The federal government is making changes to the PCIP program.These include changes in the arrangements with state-run PCIPs, such as in Washington state. Another change includes providing payment to doctors and hospitals for enrollees in the federally-run PCIP at Medicare rates to reduce the rate of costs. Washington is one of 17 states that will transition its enrollees to the federally run PCIP on July 1.
Other health care coverage options to consider