PCIP Subscribers
- Login to myPCIP
- Claim Status
- PCIP Benefits
- Online Customer Service
- Health Resources
- Change Your Address
- Your monthly premiums can change
- Disenrollment
- Appeal Form (PDF 189kb)
- Permission to Share PCIP Information (PDF 109kb)
- Electronic Funds Transfer Form (PDF 150kb)
- PCIP Privacy Notification
- MRMIP Privacy Notification
Disenrollment
How do I keep my health coverage in PCIP?
Sometimes members are disenrolled and will lose their health coverage. Members will be notified of their disenrollment. If a subscriber was disenrolled, they will have to wait 6 months to qualify for PCIP again.
Here are ways to keep your health coverage in PCIP:
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Pay the total amount due for your premium by the due date. We must receive the payment by the 15th of each month.
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Send us papers requested when they are due, including unexpired immigration papers. If you are sending immigration documents, send copies of the front and back of the unexpired papers.
You will be disenrolled if:
- You do not pay your total monthly premium owed by the 15th of each month.
- Once you are enrolled in PCIP, if your premium payment does not clear the bank, you must pay your past due amount and the currently due premium amount using only a cashier’s check or money order. A personal check will not be accepted for these payments. We must receive the payment by the due date.
- You wrote a letter to PCIP asking to end your health coverage.You no longer reside in California.
- If you obtained other health care coverage.
- If your immigration documents become expired.
Important Reminder! If you are disenrolled from PCIP, you will have to wait 6 months to qualify for PCIP again.
You will receive a written disenrollment notice if your PCIP coverage ends. The letter gives the reason and the date of the disenrollment.



