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Pre-Existing Condition Insurance Plan

This is one in a series of emails you will receive about the Pre-Existing Condition Insurance Plan (PCIP) that was established by the Affordable Care Act. Please share this information with your clients, patients, members, and colleagues who may encounter people in need of health insurance coverage. The 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.

Eligibility criteria for PCIP:

  • 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 www.pcip.gov 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 AM to 11 PM Eastern Time. A brochure is available online that can be printed and distributed and can be found at www.healthcare.gov/center/brochures/pcip.pdf.

Thank you for your assistance in raising awareness of this very important program.

Patrick M. Hamilton
Health Insurance Specialist/Rural Health Coordinator
U.S. Department of Health & Human Services
Centers for Medicare & Medicaid Services
Philadelphia Regional Office


Page updated: 04/21/11

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Contact Information

Stephen D. Sisson, MD, FACP,
Governor, Maryland Chapter

Maryellen Woodward
920 Trinity Street
Baltimore, MD 21202
Chapter Administrator
Office: 410-332-8444
Fax: 410-636-3403
E-mail: mew4work@aol.com