Pre-Existing Condition Insurance Plan (PCIP) Banner

Welcome to the Pre-Existing Condition Insurance Plan (PCIP) website!

As a result of the federal Affordable Care Act of 2010, California has a contract with the federal Department of Health and Human Services to establish a federally-funded high risk pool program to provide health coverage for eligible individuals. The program will last until December 31, 2013 when the national health reform is set to begin. After that date, there will no longer be a need for high risk pools because federal rules will not allow insurers to reject persons with pre-existing conditions or charge them higher rates than those without such conditions.

The federally-funded program is called the California Pre-Existing Condition Insurance Plan (PCIP). The PCIP offers health coverage to medically-uninsurable individuals who live in California. The program is available for individuals who have not had health coverage in the last 6 months. The California PCIP is run by the Managed Risk Medical Insurance Board (MRMIB).

PCIP EE\CAA Certification
PCIP Will Now Pay Enrollment Entities (EE) Application Assistance Payments.
(Posted on 08/29/11)

Enrollment Entities (EEs) and Certified Application Assistants (CAAs) are an invaluable resource for helping uninsured Californians get the health insurance they need. To help ensure that everyone who is eligible for the Pre-Existing Condition Insurance Plan (PCIP) applies, PCIP will pay EEs application assistance payments. Read more bullet

PCIP Application Payment Increase
PCIP Application Assistance Payment Will Increase to $100!
(Posted on 08/29/11)

PCIP is increasing Application Assistance Payments to $100 for successful enrollments with PCIP Start Dates of coverage beginning October 1, 2011. Read more bullet

PCIP Premium Reductions
Premiums Reduced an Average of 18 Percent For Pre-Existing Condition Insurance Plan Subscribers
(Posted on 08/2/11)

Effective August 1, 2011, the federal government approved the California PCIP to reduce premiums for subscribers. Read more bullet

Becoming eligible for PCIP is now easier!
Becoming eligible for PCIP is now easier! New Acceptable Proof of a Pre-Existing Condition Documentation
(Posted on 08/3/11)

The Pre-Existing Condition Insurance Plan (PCIP) requires documentation for proof of a pre-existing health condition when applicants apply for the program. Read more bullet

Eligibility When Moving From Another State to California
Pre-Existing Condition Insurance Plan (PCIP) Eligibility When Moving From Another State to California
(Posted on 08/3/11)

When former Pre-Existing Condition Insurance Plan (PCIP) subscribers from other states’ PCIP programs are disenrolled because they moved out of state, transfer of their PCIP eligibility to the Golden State’s PCIP is easy! Read more bullet

PCIP now on Facebook
Facebook Available Now
(Posted on 2/14/11)

Facebook for the California Pre-Existing Condition Insurance Plan (PCIP) is here! About 40% of people looking for health information online search social networking pages like Facebook. Anyone can view the PCIP's Facebook page for free, even without becoming a "follower." Read more bullet

PCIP Hot Topic
Pre-Existing Condition Insurance Plan Open for Business!
(Posted on 10/25/10)

GREAT NEWS! Coverage for Californians with pre-existing conditions began Monday, October 25th. Persons who have applied for PCIP and have been found to be eligible, will receive welcome calls from the plan advising them of their coverage start date and that their welcome packet is in the mail.

MRMIP PCIP Comparison
Pre-Existing Condition Insurance Plan (PCIP) and Major Risk Medical Insurance Program (MRMIP) Differences
(Posted on 8/30/10)

The California Major Risk Medical Insurance Program (MRMIP) is a separate state program also run by MRMIB for medically uninsurables with different eligibility rules, annual deductibles, annual/lifetime cap, and monthly premium costs compared to the PCIP. Read more bullet

Federal HHS logo
Understanding the Affordable Care Act
(Posted on 8/30/10)

On March 23, 2010, President Obama signed into law the Affordable Care Act. Read more bullet