Recently, I posted some information about the new Federal High Risk Pool. At the time, there wasn’t a lot of detailed information available on the government site, especially concerning rates. Well, now the rates have been published. Rather than parphrase what has already been written, I am providing excerpts of a letter that was sent to agents from a general insurance agency:
The Pre-Existing Condition Insurance Plan was created to make health insurance available for those that have a problem getting insurance due to a pre-existing condition.
Web site: https://www.pcip.gov/
The ability to apply online or over the phone is available on the web site. You can also call our office for applications and a Benefits Summary.
To be eligible for this coverage:
You must be a citizen or national of the United States or lawfully present in the United States.
You must have been uninsured for at least the last six months. This includes High Risk Pool Coverage and insurance coverage that may only exclude coverage for a pre-existing medical condition.
You must have had a problem getting insurance due to a pre-existing condition.
Pre-Existing Condition Insurance Plan: Georgia Pre-Existing Condition Insurance Plan Run by the U.S. Department of Health and Human Services in GA
PCIP will cover a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. All covered benefits are available for you, beginning on your coverage effective date, even if it’s to treat a pre-existing condition – there are no waiting periods.
The monthly premiums for your Georgia are:
Age: 00-34 35-44 45-54 55+
$323 $387 $495 $688
In addition to your monthly premium, you will pay other costs. Covered in-network services are subject to a $2,500 annual deductible (except for preventive services) before the plan starts to pay benefits. Once you’ve met the deductible, you will pay a $25 copayment for doctor visits, $4 to $30 for most drugs at a retail pharmacy for the first two prescriptions and 50% of the cost of the prescriptions after that. If you use mail order, you will pay $10 for generic drugs or $75 for brand drugs on the plan formulary for a 90 day supply. You will pay 20% of the cost of any other covered benefits received from a network provider. Your out-of-pocket costs cannot be more than $5,950 per year. However, your out-of-pocket costs may be higher if you go outside the plan’s network.
If this doesn’t sound too great, then there are other options available in Georgia. Please call us for an assessment of your situation.
Peachtree Insurance Advisors Greg Sanders 678-236-1600 www.insuranceADV.com
