Pre-existing Condition Insurance Plan: Little Interest Leads to Lower Premiumsby Denise Early on Feb. 01, 2011, under Health
The Affordable Care Act created a health insurance program for people with pre-existing conditions who have been rejected by an insurance company. This program began in July 2010 and hundreds of thousands of un-insured Americans were expected to enroll in the plan. The last I heard, only a few thousand people had enrolled in the plan, and critics claimed that Americans don’t want health insurance coverage. I think the reason for low enrollments are:
1) Few people know about the program.
2) People who have been uninsured for many years have given up on the idea of having health insurance.
3) Many people who want and need this program have recently lost coverage and must wait six months to apply for this program.
4) Premiums were originally $700+ for people in Arizona aged 55 to 64. This was too high.
Here is the latest information on rates for Arizona. Premiums have been reduced from the original numbers.
Below are the monthly PCIP premium rates for Arizona by the age of an enrollee.
|Age||Standard Option||Extended Option||HSA Option|
|0 to 18||$174||$234||$181|
|19 to 34||$261||$351||$271|
|35 to 44||$313||$422||$325|
|45 to 54||$400||$539||$416|
In addition to your monthly premium, you will pay other costs. In 2011, you will pay a $1,000 to $3,000 deductible, which varies by your plan option, for covered medical benefits (except for preventive services) before the plan starts to pay. A plan option may have a separate drug deductible. After you pay the deductible, you will pay a $25 copayment for doctor visits, $4 to $40 for most prescription drugs, and 20% of the costs of any other covered benefits you get. Your out-of-pocket costs cannot be more than $5,950 per year. These costs may be higher, if you go outside the plan’s network.
If you have been un-insured for six months or more and have been turned down for coverage by a health insurance company, you can apply for the PCIP. Their web page can be found at this link: http://www.healthcare.gov/law/provisions/preexisting/states/az.html