Filed Under:Health Insurance, Individual Health

PPACA: Federal PCIP Axes Broker Fee

Updated with CMS Response

Federal PCIP claims average about $29,000 per enrollee.
Federal PCIP claims average about $29,000 per enrollee.

The Centers for Medicare & Medicaid Services (CMS) is eliminating a $100 broker referral program aimed at brokers who help consumers enroll in the federal Pre-existing Condition Insurance Plan (PCIP).

The Government Employees Health Association (GEHA), Lee's Summit, Mo., the cooperative insurer administering PCIP for CMS in states that are letting CMS provide PCIP services, told brokers about the change last week in an electronic mail massage.

Eligibility is not based on income. The price of coverage is supposed to be comparable to what healthy people would pay for health coverage purchased through the conventional market.

To avoid crowding out private health coverage, Congress required that people with health problems be uninsured for at least 6 months before applying for PCIP.

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Nichole Morford

Nichole Morford
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