insurance plan for people with pre existing conditions

[Guest guest]

HHS Secretary Sebelius Announces New Pre-Existing Condition Insurance Plan

Jul 12, 2010

This press release is an announcement submitted by U.S. Department of

Health and Human Services, and was not written by Diabetes Health.

The U.S. Department of Health and Human Services (HHS) announced the

establishment of a new Pre-existing Condition Insurance Plan (PCIP) that

will offer

coverage to uninsured Americans who have been unable to obtain health

coverage because of a pre-existing health condition.

The Pre-Existing Condition Insurance Plan, which will be administered either

by a state or by the Department of Health and Human Services, will provide

a new health coverage option for Americans who have been uninsured for at

least six months, have been unable to get health coverage because of a

health

condition, and are a U.S. citizen or are residing in the United States

legally.

Created under the Affordable Care Act, the Pre-Existing Condition Insurance

Plan is a transitional program until 2014, when insurers will be banned from

discriminating against adults with pre-existing conditions, and individuals

and small businesses will have access to more affordable private insurance

choices through new competitive Exchanges. In 2014, Members of Congress will

also purchase their insurance through Exchanges.

" For too long, Americans with pre-existing conditions have been locked out

of our

market, " said Secretary Kathleen Sebelius. " Today, the Pre-Existing

Condition Insurance Plan gives them a new option - the same insurance

coverage as

a healthy individual if they've been uninsured for at least six months

because of a medical condition. This program will provide people the help

they

need as the nation transitions to a more competitive and fair market place

in 2014. "

The Affordable Care Act provides $5 billion in federal funding to support

Pre-Existing Condition Insurance Plans in every state. Some states have

requested

that the U.S. Department of Health and Human Services run their Pre-Existing

Condition Insurance Plan. Other states have requested that they run the

program

themselves. For more information about how the plan is being administered

where you live, please visit HHS' new consumer website,

..

" Health coverage for Americans with pre-existing conditions has historically

been unobtainable or failed to cover the very conditions for which they need

medical care, " said Jay Angoff, Director of the Office of Consumer

Information and Insurance Oversight (OCIIO), which is overseeing the

program. " The

Pre-Existing Condition Insurance Plan is designed to address these

challenges by offering comprehensive coverage at a reasonable cost. We

modeled the program

on the highly successful Children's Health Insurance Program, also known as

CHIP, so states would have maximum flexibility to meet the needs of their

citizens. "

In order to give states the flexibility to best meet their needs, HHS

provided states with the option of running the Pre-Existing Condition

Insurance Plan

themselves or having HHS run the plan. Twenty-one states have elected to

have HHS administer the plans, while 29 states and the District of Columbia

have

chosen to run their own programs.

Starting today, the national Pre-Existing Condition Insurance Plan will be

open to applicants in the 21 states where HHS is operating the program.

All states which are operating their own Pre-Existing Condition Insurance

Plans will begin enrollment by the end of the summer, with many beginning

enrollment

today.

" The Pre-Existing Condition Insurance Plan is an important next step in the

overall implementation of the Affordable Care Act, " said Popper,

Director

of Insurance Programs at OCIIO. " We have been working closely with the

states and other stakeholders to make sure this program reaches uninsured

Americans

struggling to find coverage due to a pre-existing condition. "

The Pre-Existing Condition Insurance Plan will cover a broad range of health

benefits, including primary and specialty care,

, and prescription drugs. The Pre-Existing Condition Insurance Plan does

not base eligibility on income and does not charge a higher premium because

of

a medical condition. Participants will pay a premium that is not more than

the standard individual health insurance premium in their state for

insurance

that covers major medical and prescription drug expenses with some

cost-sharing.

Like the popular Children's Health Insurance Program (CHIP), the

Pre-Existing Condition Plan provides states flexibility in how they run

their program as

long as basic requirements are met. Federal law establishes general

eligibility, but state programs can vary on cost, benefits, and

determination of

pre-existing condition. Funding for states is based on the same allocation

formula as CHIP, and it will be reallocated if unspent by the states.

Unlike

CHIP, there is no state matching requirement and the federal

will cover the entire cost of the Pre-Existing Condition Plan. While it

took more than 6 months for a small number of states to establish their CHIP

programs,

we anticipate that every state will begin enrolling individuals in the

Pre-Existing Condition Plan by the end of August.

Information on how to apply for the Pre-Existing Condition Insurance Plan is

available at

.. Americans who live in a state where the U.S. Department of Health and

Human Services is running the Pre-Existing Condition Plan will be linked

directly

to the federal application page. Those living in states running their own

programs will also find information on how and where to apply on

..

To learn more about the Pre-Existing Condition Insurance Plan and options

available to residents of your state, visit

..

An informational pamphlet on the Pre-Existing Condition Insurance Plan can

be found at:

..

States by Pre-Existing Insurance Plan Administration

29 states plus the District of Columbia have chosen to operate their own

plans.

Alaska

Arkansas

California

Colorado

Connecticut

District of Columbia

Illinois

Iowa

Kansas

Maine

land

Michigan

Missouri

Montana

New Hampshire

New Jersey

New Mexico

New York

North Carolina

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Dakota

Utah

Vermont

Washington State

West Virginia

Wisconsin

21 states elected to have HHS run their plan.

Alabama

Arizona

Delaware

Florida

Georgia

Hawaii

Idaho

Indiana

Kentucky

Louisiana

Massachusetts

Minnesota

Mississippi

Nebraska

Nevada

North Dakota

South Carolina

Tennessee

Texas

Virginia

Wyoming

* * *

Source:

HHS press release

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their entirety, anytime you want.

Free Subscription to Diabetes Health Professional

If you are a physician, educator and medical professional who focus on the

treatment of diabetes, then this is the must have resource for you.

Finally! A fresh take on the " professional " journal. Each bi-monthly issue

cuts through the jargon and presents the most important information you need

to enhance your practice and assist your patients.

Each bi-monthly issue of Diabetes Health Professional is a self-contained

handbook covering products, educational resources and the latest diabetes

research,

complimented by balanced editorial focused on medical news, drug

prescription information, clinical practice recommendations and changing

treatment options.

Each quarter we send you the latest, most updated research guides, product

guides and educational resource guides available for you and your patients.

ADVERTISEMENT

Diabetes Health E-Newsletter

Each week the Diabetes Health E-Newsletter delivers links to the very latest

in news, reviews, blogs and videos from Diabetes Health direct to your

inbox.

As a subscriber you'll get access to the amazing Diabetes Health Digital

AdvantageT so you can read the current issue of Diabetes Health magazine

online

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How To Change Your Newsletter Email.

You can cancel your newsletter subscription at anytime by clicking

" Unsubscribe " on the bottom of any newsletter you receive

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Affordable Care Act Program to Provide Temporary Coverage for Americans

Without Insurance Due to Pre-Existing Conditions Now Through 2014, When the

New

Insurance Exchanges Are Established

HHS Secretary Sebelius Announces New Pre-Existing Condition Insurance Plan

Jul 12, 2010

This press release is an announcement submitted by U.S. Department of

Health and Human Services, and was not written by Diabetes Health.

The U.S. Department of Health and Human Services (HHS) announced the

establishment of a new Pre-existing Condition Insurance Plan (PCIP) that

will offer

coverage to uninsured Americans who have been unable to obtain health

coverage because of a pre-existing health condition.

The Pre-Existing Condition Insurance Plan, which will be administered either

by a state or by the Department of Health and Human Services, will provide

a new health coverage option for Americans who have been uninsured for at

least six months, have been unable to get health coverage because of a

health

condition, and are a U.S. citizen or are residing in the United States

legally.

Created under the Affordable Care Act, the Pre-Existing Condition Insurance

Plan is a transitional program until 2014, when insurers will be banned from

discriminating against adults with pre-existing conditions, and individuals

and small businesses will have access to more affordable private insurance

choices through new competitive Exchanges. In 2014, Members of Congress will

also purchase their insurance through Exchanges.

" For too long, Americans with pre-existing conditions have been locked out

of our

market, " said Secretary Kathleen Sebelius. " Today, the Pre-Existing

Condition Insurance Plan gives them a new option - the same insurance

coverage as

a healthy individual if they've been uninsured for at least six months

because of a medical condition. This program will provide people the help

they

need as the nation transitions to a more competitive and fair market place

in 2014. "

The Affordable Care Act provides $5 billion in federal funding to support

Pre-Existing Condition Insurance Plans in every state. Some states have

requested

that the U.S. Department of Health and Human Services run their Pre-Existing

Condition Insurance Plan. Other states have requested that they run the

program

themselves. For more information about how the plan is being administered

where you live, please visit HHS' new consumer website,

..

" Health coverage for Americans with pre-existing conditions has historically

been unobtainable or failed to cover the very conditions for which they need

medical care, " said Jay Angoff, Director of the Office of Consumer

Information and Insurance Oversight (OCIIO), which is overseeing the

program. " The

Pre-Existing Condition Insurance Plan is designed to address these

challenges by offering comprehensive coverage at a reasonable cost. We

modeled the program

on the highly successful Children's Health Insurance Program, also known as

CHIP, so states would have maximum flexibility to meet the needs of their

citizens. "

In order to give states the flexibility to best meet their needs, HHS

provided states with the option of running the Pre-Existing Condition

Insurance Plan

themselves or having HHS run the plan. Twenty-one states have elected to

have HHS administer the plans, while 29 states and the District of Columbia

have

chosen to run their own programs.

Starting today, the national Pre-Existing Condition Insurance Plan will be

open to applicants in the 21 states where HHS is operating the program.

All states which are operating their own Pre-Existing Condition Insurance

Plans will begin enrollment by the end of the summer, with many beginning

enrollment

today.

" The Pre-Existing Condition Insurance Plan is an important next step in the

overall implementation of the Affordable Care Act, " said Popper,

Director

of Insurance Programs at OCIIO. " We have been working closely with the

states and other stakeholders to make sure this program reaches uninsured

Americans

struggling to find coverage due to a pre-existing condition. "

The Pre-Existing Condition Insurance Plan will cover a broad range of health

benefits, including primary and specialty care,

, and prescription drugs. The Pre-Existing Condition Insurance Plan does

not base eligibility on income and does not charge a higher premium because

of

a medical condition. Participants will pay a premium that is not more than

the standard individual health insurance premium in their state for

insurance

that covers major medical and prescription drug expenses with some

cost-sharing.

Like the popular Children's Health Insurance Program (CHIP), the

Pre-Existing Condition Plan provides states flexibility in how they run

their program as

long as basic requirements are met. Federal law establishes general

eligibility, but state programs can vary on cost, benefits, and

determination of

pre-existing condition. Funding for states is based on the same allocation

formula as CHIP, and it will be reallocated if unspent by the states.

Unlike

CHIP, there is no state matching requirement and the federal

will cover the entire cost of the Pre-Existing Condition Plan. While it

took more than 6 months for a small number of states to establish their CHIP

programs,

we anticipate that every state will begin enrolling individuals in the

Pre-Existing Condition Plan by the end of August.

Information on how to apply for the Pre-Existing Condition Insurance Plan is

available at

.. Americans who live in a state where the U.S. Department of Health and

Human Services is running the Pre-Existing Condition Plan will be linked

directly

to the federal application page. Those living in states running their own

programs will also find information on how and where to apply on

..

To learn more about the Pre-Existing Condition Insurance Plan and options

available to residents of your state, visit

..

An informational pamphlet on the Pre-Existing Condition Insurance Plan can

be found at:

..

States by Pre-Existing Insurance Plan Administration

29 states plus the District of Columbia have chosen to operate their own

plans.

Alaska

Arkansas

California

Colorado

Connecticut

District of Columbia

Illinois

Iowa

Kansas

Maine

land

Michigan

Missouri

Montana

New Hampshire

New Jersey

New Mexico

New York

North Carolina

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Dakota

Utah

Vermont

Washington State

West Virginia

Wisconsin

21 states elected to have HHS run their plan.

Alabama

Arizona

Delaware

Florida

Georgia

Hawaii

Idaho

Indiana

Kentucky

Louisiana

Massachusetts

Minnesota

Mississippi

Nebraska

Nevada

North Dakota

South Carolina

Tennessee

Texas

Virginia

Wyoming

* * *

Source:

HHS press release

Categories:

,

,

,

,

Recommend this :

Not at all

Somewhat

Moderately

Highly

Very Highly

Average Rating:

You May Also Be Interested In...

Comment

- Jul 12, 2010 -

*

*

*

*

*

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Diabetes Health - Your Essential Diabetes News Source

My Account |

Subscribe |

|

Home Home

Charts

Forums

Digital Edition

TV

Community

Type 2 Issues

Type 1 Issues

Kids & Teens

Professional Issues

Beginners

Pre-Diabetes

Events

Health

History

Camps for Kids

International

Online Resources

Dating

Pets

Products

Product Directory

Charts

Syringes

Insulin Pumps

Meters

Pens

Software

CGMs

Medical ID Jewelry

Lancing Devices

Carrying Cases

Infusion Sets

Complications & Care

Heart Care & Heart Disease

Low Blood Sugar

Foot Care

Kidney Care (Nephropathy)

Sexual Issues

Nerve Care (Neuropathy)

Eye Care (Retinopathy)

Hypoglycemia Unawareness

Depression

Lipid Problems

Skin Care

Food

Recipes

Diets

Vitamins

Food News

Nutrition Advice

Low Carb

Glycemic Index & Carb Counting

Low Calorie & Low Fat

Supplements

Columns

Cartoons & eCards

Personal Stories

Letters to the Editor

My Own Injection

Inspiration

Book Reviews

Heroes

Making a Difference

Medications

Insulin

Type 2 Medications

Pharmacy

Metformin

Byetta

Lantus

Animal Insulin

Research

Nutrition Research

Islet & Pancreas Transplant

Medications Research

Health Research

Other Lab Tests

Fitness

Exercise

Weight Loss

Bariatric Surgery

Success Stories

Monitoring

Blood Sugar

A1c Test

Noninvasive Monitors

Psychology

Living with Diabetes

Health Care

Legal

Celebrities

Pregnancy

About Us

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

Diabetes Health E-Newsletter

Discuss this Topic in the Forum

http://www.diabeteshealth.com/customer-service/subscribe.html?code=M5DHA

Diabetes Health magazine

See What's Inside.

View Diabetes Health Magazine For Free Online

You can view the current or previous issues of Diabetes Health online, in

their entirety, anytime you want.

Free Subscription to Diabetes Health Professional

If you are a physician, educator and medical professional who focus on the

treatment of diabetes, then this is the must have resource for you.

Finally! A fresh take on the " professional " journal. Each bi-monthly issue

cuts through the jargon and presents the most important information you need

to enhance your practice and assist your patients.

Each bi-monthly issue of Diabetes Health Professional is a self-contained

handbook covering products, educational resources and the latest diabetes

research,

complimented by balanced editorial focused on medical news, drug

prescription information, clinical practice recommendations and changing

treatment options.

Each quarter we send you the latest, most updated research guides, product

guides and educational resource guides available for you and your patients.

ADVERTISEMENT

Diabetes Health E-Newsletter

Each week the Diabetes Health E-Newsletter delivers links to the very latest

in news, reviews, blogs and videos from Diabetes Health direct to your

inbox.

As a subscriber you'll get access to the amazing Diabetes Health Digital

AdvantageT so you can read the current issue of Diabetes Health magazine

online

wherever you are!

How To Change Your Newsletter Email.

You can cancel your newsletter subscription at anytime by clicking

" Unsubscribe " on the bottom of any newsletter you receive

Then enter your new email address in the above form and click " Subscribe "

ADVERTISEMENT

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Health Care Archives

Print |

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Share |

Comments (0)

Email to a Friend

Send a link to this page to your friends and colleagues.

Affordable Care Act Program to Provide Temporary Coverage for Americans

Without Insurance Due to Pre-Existing Conditions Now Through 2014, When the

New

Insurance Exchanges Are Established

HHS Secretary Sebelius Announces New Pre-Existing Condition Insurance Plan

Jul 12, 2010

This press release is an announcement submitted by U.S. Department of

Health and Human Services, and was not written by Diabetes Health.

The U.S. Department of Health and Human Services (HHS) announced the

establishment of a new Pre-existing Condition Insurance Plan (PCIP) that

will offer

coverage to uninsured Americans who have been unable to obtain health

coverage because of a pre-existing health condition.

The Pre-Existing Condition Insurance Plan, which will be administered either

by a state or by the Department of Health and Human Services, will provide

a new health coverage option for Americans who have been uninsured for at

least six months, have been unable to get health coverage because of a

health

condition, and are a U.S. citizen or are residing in the United States

legally.

Created under the Affordable Care Act, the Pre-Existing Condition Insurance

Plan is a transitional program until 2014, when insurers will be banned from

discriminating against adults with pre-existing conditions, and individuals

and small businesses will have access to more affordable private insurance

choices through new competitive Exchanges. In 2014, Members of Congress will

also purchase their insurance through Exchanges.

" For too long, Americans with pre-existing conditions have been locked out

of our

market, " said Secretary Kathleen Sebelius. " Today, the Pre-Existing

Condition Insurance Plan gives them a new option - the same insurance

coverage as

a healthy individual if they've been uninsured for at least six months

because of a medical condition. This program will provide people the help

they

need as the nation transitions to a more competitive and fair market place

in 2014. "

The Affordable Care Act provides $5 billion in federal funding to support

Pre-Existing Condition Insurance Plans in every state. Some states have

requested

that the U.S. Department of Health and Human Services run their Pre-Existing

Condition Insurance Plan. Other states have requested that they run the

program

themselves. For more information about how the plan is being administered

where you live, please visit HHS' new consumer website,

..

" Health coverage for Americans with pre-existing conditions has historically

been unobtainable or failed to cover the very conditions for which they need

medical care, " said Jay Angoff, Director of the Office of Consumer

Information and Insurance Oversight (OCIIO), which is overseeing the

program. " The

Pre-Existing Condition Insurance Plan is designed to address these

challenges by offering comprehensive coverage at a reasonable cost. We

modeled the program

on the highly successful Children's Health Insurance Program, also known as

CHIP, so states would have maximum flexibility to meet the needs of their

citizens. "

In order to give states the flexibility to best meet their needs, HHS

provided states with the option of running the Pre-Existing Condition

Insurance Plan

themselves or having HHS run the plan. Twenty-one states have elected to

have HHS administer the plans, while 29 states and the District of Columbia

have

chosen to run their own programs.

Starting today, the national Pre-Existing Condition Insurance Plan will be

open to applicants in the 21 states where HHS is operating the program.

All states which are operating their own Pre-Existing Condition Insurance

Plans will begin enrollment by the end of the summer, with many beginning

enrollment

today.

" The Pre-Existing Condition Insurance Plan is an important next step in the

overall implementation of the Affordable Care Act, " said Popper,

Director

of Insurance Programs at OCIIO. " We have been working closely with the

states and other stakeholders to make sure this program reaches uninsured

Americans

struggling to find coverage due to a pre-existing condition. "

The Pre-Existing Condition Insurance Plan will cover a broad range of health

benefits, including primary and specialty care,

, and prescription drugs. The Pre-Existing Condition Insurance Plan does

not base eligibility on income and does not charge a higher premium because

of

a medical condition. Participants will pay a premium that is not more than

the standard individual health insurance premium in their state for

insurance

that covers major medical and prescription drug expenses with some

cost-sharing.

Like the popular Children's Health Insurance Program (CHIP), the

Pre-Existing Condition Plan provides states flexibility in how they run

their program as

long as basic requirements are met. Federal law establishes general

eligibility, but state programs can vary on cost, benefits, and

determination of

pre-existing condition. Funding for states is based on the same allocation

formula as CHIP, and it will be reallocated if unspent by the states.

Unlike

CHIP, there is no state matching requirement and the federal

will cover the entire cost of the Pre-Existing Condition Plan. While it

took more than 6 months for a small number of states to establish their CHIP

programs,

we anticipate that every state will begin enrolling individuals in the

Pre-Existing Condition Plan by the end of August.

Information on how to apply for the Pre-Existing Condition Insurance Plan is

available at

.. Americans who live in a state where the U.S. Department of Health and

Human Services is running the Pre-Existing Condition Plan will be linked

directly

to the federal application page. Those living in states running their own

programs will also find information on how and where to apply on

..

To learn more about the Pre-Existing Condition Insurance Plan and options

available to residents of your state, visit

..

An informational pamphlet on the Pre-Existing Condition Insurance Plan can

be found at:

..

States by Pre-Existing Insurance Plan Administration

29 states plus the District of Columbia have chosen to operate their own

plans.

Alaska

Arkansas

California

Colorado

Connecticut

District of Columbia

Illinois

Iowa

Kansas

Maine

land

Michigan

Missouri

Montana

New Hampshire

New Jersey

New Mexico

New York

North Carolina

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Dakota

Utah

Vermont

Washington State

West Virginia

Wisconsin

21 states elected to have HHS run their plan.

Alabama

Arizona

Delaware

Florida

Georgia

Hawaii

Idaho

Indiana

Kentucky

Louisiana

Massachusetts

Minnesota

Mississippi

Nebraska

Nevada

North Dakota

South Carolina

Tennessee

Texas

Virginia

Wyoming

* * *

Source:

HHS press release

Categories:

,

,

,

,

Recommend this :

Not at all

Somewhat

Moderately

Highly

Very Highly

Average Rating:

You May Also Be Interested In...

Comment

- Jul 12, 2010 -

*

*

*

*

*

ADVERTISEMENT

|

|

|

|

|

|

|

|

C1991-2010 Diabetes Health

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As a subscriber you'll get access to the amazing Diabetes Health Digital

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Home Home

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TV

Community

Type 2 Issues

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Professional Issues

Beginners

Pre-Diabetes

Events

Health

History

Camps for Kids

International

Online Resources

Dating

Pets

Products

Product Directory

Charts

Syringes

Insulin Pumps

Meters

Pens

Software

CGMs

Medical ID Jewelry

Lancing Devices

Carrying Cases

Infusion Sets

Complications & Care

Heart Care & Heart Disease

Low Blood Sugar

Foot Care

Kidney Care (Nephropathy)

Sexual Issues

Nerve Care (Neuropathy)

Eye Care (Retinopathy)

Hypoglycemia Unawareness

Depression

Lipid Problems

Skin Care

Food

Recipes

Diets

Vitamins

Food News

Nutrition Advice

Low Carb

Glycemic Index & Carb Counting

Low Calorie & Low Fat

Supplements

Columns

Cartoons & eCards

Personal Stories

Letters to the Editor

My Own Injection

Inspiration

Book Reviews

Heroes

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Affordable Care Act Program to Provide Temporary Coverage for Americans

Without Insurance Due to Pre-Existing Conditions Now Through 2014, When the

New

Insurance Exchanges Are Established

HHS Secretary Sebelius Announces New Pre-Existing Condition Insurance Plan

Jul 12, 2010

This press release is an announcement submitted by U.S. Department of

Health and Human Services, and was not written by Diabetes Health.

The U.S. Department of Health and Human Services (HHS) announced the

establishment of a new Pre-existing Condition Insurance Plan (PCIP) that

will offer

coverage to uninsured Americans who have been unable to obtain health

coverage because of a pre-existing health condition.

The Pre-Existing Condition Insurance Plan, which will be administered either

by a state or by the Department of Health and Human Services, will provide

a new health coverage option for Americans who have been uninsured for at

least six months, have been unable to get health coverage because of a

health

condition, and are a U.S. citizen or are residing in the United States

legally.

Created under the Affordable Care Act, the Pre-Existing Condition Insurance

Plan is a transitional program until 2014, when insurers will be banned from

discriminating against adults with pre-existing conditions, and individuals

and small businesses will have access to more affordable private insurance

choices through new competitive Exchanges. In 2014, Members of Congress will

also purchase their insurance through Exchanges.

" For too long, Americans with pre-existing conditions have been locked out

of our

market, " said Secretary Kathleen Sebelius. " Today, the Pre-Existing

Condition Insurance Plan gives them a new option - the same insurance

coverage as

a healthy individual if they've been uninsured for at least six months

because of a medical condition. This program will provide people the help

they

need as the nation transitions to a more competitive and fair market place

in 2014. "

The Affordable Care Act provides $5 billion in federal funding to support

Pre-Existing Condition Insurance Plans in every state. Some states have

requested

that the U.S. Department of Health and Human Services run their Pre-Existing

Condition Insurance Plan. Other states have requested that they run the

program

themselves. For more information about how the plan is being administered

where you live, please visit HHS' new consumer website,

..

" Health coverage for Americans with pre-existing conditions has historically

been unobtainable or failed to cover the very conditions for which they need

medical care, " said Jay Angoff, Director of the Office of Consumer

Information and Insurance Oversight (OCIIO), which is overseeing the

program. " The

Pre-Existing Condition Insurance Plan is designed to address these

challenges by offering comprehensive coverage at a reasonable cost. We

modeled the program

on the highly successful Children's Health Insurance Program, also known as

CHIP, so states would have maximum flexibility to meet the needs of their

citizens. "

In order to give states the flexibility to best meet their needs, HHS

provided states with the option of running the Pre-Existing Condition

Insurance Plan

themselves or having HHS run the plan. Twenty-one states have elected to

have HHS administer the plans, while 29 states and the District of Columbia

have

chosen to run their own programs.

Starting today, the national Pre-Existing Condition Insurance Plan will be

open to applicants in the 21 states where HHS is operating the program.

All states which are operating their own Pre-Existing Condition Insurance

Plans will begin enrollment by the end of the summer, with many beginning

enrollment

today.

" The Pre-Existing Condition Insurance Plan is an important next step in the

overall implementation of the Affordable Care Act, " said Popper,

Director

of Insurance Programs at OCIIO. " We have been working closely with the

states and other stakeholders to make sure this program reaches uninsured

Americans

struggling to find coverage due to a pre-existing condition. "

The Pre-Existing Condition Insurance Plan will cover a broad range of health

benefits, including primary and specialty care,

, and prescription drugs. The Pre-Existing Condition Insurance Plan does

not base eligibility on income and does not charge a higher premium because

of

a medical condition. Participants will pay a premium that is not more than

the standard individual health insurance premium in their state for

insurance

that covers major medical and prescription drug expenses with some

cost-sharing.

Like the popular Children's Health Insurance Program (CHIP), the

Pre-Existing Condition Plan provides states flexibility in how they run

their program as

long as basic requirements are met. Federal law establishes general

eligibility, but state programs can vary on cost, benefits, and

determination of

pre-existing condition. Funding for states is based on the same allocation

formula as CHIP, and it will be reallocated if unspent by the states.

Unlike

CHIP, there is no state matching requirement and the federal

will cover the entire cost of the Pre-Existing Condition Plan. While it

took more than 6 months for a small number of states to establish their CHIP

programs,

we anticipate that every state will begin enrolling individuals in the

Pre-Existing Condition Plan by the end of August.

Information on how to apply for the Pre-Existing Condition Insurance Plan is

available at

.. Americans who live in a state where the U.S. Department of Health and

Human Services is running the Pre-Existing Condition Plan will be linked

directly

to the federal application page. Those living in states running their own

programs will also find information on how and where to apply on

..

To learn more about the Pre-Existing Condition Insurance Plan and options

available to residents of your state, visit

..

An informational pamphlet on the Pre-Existing Condition Insurance Plan can

be found at:

..

States by Pre-Existing Insurance Plan Administration

29 states plus the District of Columbia have chosen to operate their own

plans.

Alaska

Arkansas

California

Colorado

Connecticut

District of Columbia

Illinois

Iowa

Kansas

Maine

land

Michigan

Missouri

Montana

New Hampshire

New Jersey

New Mexico

New York

North Carolina

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Dakota

Utah

Vermont

Washington State

West Virginia

Wisconsin

21 states elected to have HHS run their plan.

Alabama

Arizona

Delaware

Florida

Georgia

Hawaii

Idaho

Indiana

Kentucky

Louisiana

Massachusetts

Minnesota

Mississippi

Nebraska

Nevada

North Dakota

South Carolina

Tennessee

Texas

Virginia

Wyoming

* * *

Source:

HHS press release

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- Jul 12, 2010 -

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Affordable Care Act Program to Provide Temporary Coverage for Americans

Without Insurance Due to Pre-Existing Conditions Now Through 2014, When the

New

Insurance Exchanges Are Established

HHS Secretary Sebelius Announces New Pre-Existing Condition Insurance Plan

Jul 12, 2010

This press release is an announcement submitted by U.S. Department of

Health and Human Services, and was not written by Diabetes Health.

The U.S. Department of Health and Human Services (HHS) announced the

establishment of a new Pre-existing Condition Insurance Plan (PCIP) that

will offer

coverage to uninsured Americans who have been unable to obtain health

coverage because of a pre-existing health condition.

The Pre-Existing Condition Insurance Plan, which will be administered either

by a state or by the Department of Health and Human Services, will provide

a new health coverage option for Americans who have been uninsured for at

least six months, have been unable to get health coverage because of a

health

condition, and are a U.S. citizen or are residing in the United States

legally.

Created under the Affordable Care Act, the Pre-Existing Condition Insurance

Plan is a transitional program until 2014, when insurers will be banned from

discriminating against adults with pre-existing conditions, and individuals

and small businesses will have access to more affordable private insurance

choices through new competitive Exchanges. In 2014, Members of Congress will

also purchase their insurance through Exchanges.

" For too long, Americans with pre-existing conditions have been locked out

of our

health insurance

market, " said Secretary Kathleen Sebelius. " Today, the Pre-Existing

Condition Insurance Plan gives them a new option - the same insurance

coverage as

a healthy individual if they've been uninsured for at least six months

because of a medical condition. This program will provide people the help

they

need as the nation transitions to a more competitive and fair market place

in 2014. "

The Affordable Care Act provides $5 billion in federal funding to support

Pre-Existing Condition Insurance Plans in every state. Some states have

requested

that the U.S. Department of Health and Human Services run their Pre-Existing

Condition Insurance Plan. Other states have requested that they run the

program

themselves. For more information about how the plan is being administered

where you live, please visit HHS' new consumer website,

www.HealthCare.gov.

" Health coverage for Americans with pre-existing conditions has historically

been unobtainable or failed to cover the very conditions for which they need

medical care, " said Jay Angoff, Director of the Office of Consumer

Information and Insurance Oversight (OCIIO), which is overseeing the

program. " The

Pre-Existing Condition Insurance Plan is designed to address these

challenges by offering comprehensive coverage at a reasonable cost. We

modeled the program

on the highly successful Children's Health Insurance Program, also known as

CHIP, so states would have maximum flexibility to meet the needs of their

citizens. "

In order to give states the flexibility to best meet their needs, HHS

provided states with the option of running the Pre-Existing Condition

Insurance Plan

themselves or having HHS run the plan. Twenty-one states have elected to

have HHS administer the plans, while 29 states and the District of Columbia

have

chosen to run their own programs.

Starting today, the national Pre-Existing Condition Insurance Plan will be

open to applicants in the 21 states where HHS is operating the program.

All states which are operating their own Pre-Existing Condition Insurance

Plans will begin enrollment by the end of the summer, with many beginning

enrollment

today.

" The Pre-Existing Condition Insurance Plan is an important next step in the

overall implementation of the Affordable Care Act, " said Popper,

Director

of Insurance Programs at OCIIO. " We have been working closely with the

states and other stakeholders to make sure this program reaches uninsured

Americans

struggling to find coverage due to a pre-existing condition. "

The Pre-Existing Condition Insurance Plan will cover a broad range of health

benefits, including primary and specialty care,

hospital care

, and prescription drugs. The Pre-Existing Condition Insurance Plan does

not base eligibility on income and does not charge a higher premium because

of

a medical condition. Participants will pay a premium that is not more than

the standard individual health insurance premium in their state for

insurance

that covers major medical and prescription drug expenses with some

cost-sharing.

Like the popular Children's Health Insurance Program (CHIP), the

Pre-Existing Condition Plan provides states flexibility in how they run

their program as

long as basic requirements are met. Federal law establishes general

eligibility, but state programs can vary on cost, benefits, and

determination of

pre-existing condition. Funding for states is based on the same allocation

formula as CHIP, and it will be reallocated if unspent by the states.

Unlike

CHIP, there is no state matching requirement and the federal

government

will cover the entire cost of the Pre-Existing Condition Plan. While it

took more than 6 months for a small number of states to establish their CHIP

programs,

we anticipate that every state will begin enrolling individuals in the

Pre-Existing Condition Plan by the end of August.

Information on how to apply for the Pre-Existing Condition Insurance Plan is

available at

www.HealthCare.gov

.. Americans who live in a state where the U.S. Department of Health and

Human Services is running the Pre-Existing Condition Plan will be linked

directly

to the federal application page. Those living in states running their own

programs will also find information on how and where to apply on

www.HealthCare.gov.

To learn more about the Pre-Existing Condition Insurance Plan and options

available to residents of your state, visit

www.HealthCare.gov.

An informational pamphlet on the Pre-Existing Condition Insurance Plan can

be found at:

http://www.healthcare.gov/center/brochures/pcip.pdf.

States by Pre-Existing Insurance Plan Administration

29 states plus the District of Columbia have chosen to operate their own

plans.

list of 30 items

1. Alaska

2. Arkansas

3. California

4. Colorado

5. Connecticut

6. District of Columbia

7. Illinois

8. Iowa

9. Kansas

10. Maine

11. land

12. Michigan

13. Missouri

14. Montana

15. New Hampshire

16. New Jersey

17. New Mexico

18. New York

19. North Carolina

20. Ohio

21. Oklahoma

22. Oregon

23. Pennsylvania

24. Rhode Island

25. South Dakota

26. Utah

27. Vermont

28. Washington State

29. West Virginia

30. Wisconsin

list end

21 states elected to have HHS run their plan.

list of 21 items

1. Alabama

2. Arizona

3. Delaware

4. Florida

5. Georgia

6. Hawaii

7. Idaho

8. Indiana

9. Kentucky

10. Louisiana

11. Massachusetts

12. Minnesota

13. Mississippi

14. Nebraska

15. Nevada

16. North Dakota

17. South Carolina

18. Tennessee

19. Texas

20. Virginia

21. Wyoming

list end

* * *

Source:

HHS press release

http://www.hhs.gov/news/press/2010pres/07/20100701a