Filed Under:Health Insurance, Individual Health

CCIIO to state PCIPs: Take our deal or shut down

Gary Cohen (CMS photo)
Gary Cohen (CMS photo)

States have until Friday -- May 10 -- to decide whether they want to keep their state-run Pre-existing Condition Insurance Plan (PCIP) programs running or kill the programs and put the enrollees in the hands of the federal PCIP system.

Officials at the Center for Consumer Information and Insurance Oversight (CCIIO), the agency that oversees both the state and the federal PCIP programs, talk about the changes in a new PCIP state contract fact sheet.

Some states chose to run their own PCIP programs. Others let CCIIO provide PCIP programs for their residents through a contract with the Government Employees Health Association (GEHA), a self-insured, not-for-profit association that provides health and dental coverage for about 1 million federal employees, federal retirees and federal dependents.

Enrollment in PCIP has been much lower than expected, but the average enrollee has been filing about $30,000 per year in claims, and the $5 billion in initial funding is running out.

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Nichole Morford

Nichole Morford
Managing Editor

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