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Plan for Pre-Existing Condition Patients

The Pre-Existing Condition Insurance Plan (PCIP) is administered by either your state or the U.S. Department of Health and Human Services and provides a health coverage option for children and adults in all 50 states and the District of Columbia who have been locked out of the health insurance market because of a pre-existing condition. This transitional program will continue until 2014 when Americans, regardless of their health status, will have access to affordable health insurance when the nation transitions to a new marketplace. The eligibility criteria for PCIP are:

  • A U.S. citizen or residing here legally
  • Uninsured for at least the last six months
  • Have a pre-existing condition, or have been denied health coverage because of a health condition

For more information and how to apply, go to “Find Your State” at and click on your state from a map of the United States or select a state from a drop-down menu for information about how to apply. You can also call a toll-free line at: 1-866-717-5826 (TTY 1-866-561-1604). The Call Center is open from 8:00 a.m. to 11:00 p.m. A brochure is also available.

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