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Pre-Existing Condition Insurance Plan: 1,200 People Approved So Far

First Posted: 8/27/10 Updated: 5/25/11

Preexisting Condition

Just 1,200 people have been approved so far for a new program to provide insurance coverage to people with pre-existing conditions.

The program, known as the Pre-Existing Condition Insurance Plan, launched in July as one of the immediate benefits of the new health care reform law, offering coverage to the uninsurable until 2014 when people should be able to choose from affordable policies available on an "exchange."

There are roughly four million people uninsured because of pre-existing conditions, and Democrats touted the new program as one of the best immediate provisions of health care reform. But the PCIP's administrators have said they expect it to reach only 350,000 over the next three years. The program is run by the federal government in 22 states and by the state government in the rest.

Kaiser Health News reported that 3,600 people have applied and about 1,200 have been approved for the PCIP. An obstacle is the program's steep premiums, which range from $140 to $900 depending on an applicant's age and location, and its requirement that people be uninsured for six months before applying (though the PCIP is still less expensive and more generous than existing high-risk pools operating in 35 states.)

"As of August 1, over 2,400 people applied for coverage in the 22 States in which the Federal government is running PCIP," said a Health Department spokeswoman in a statement to HuffPost. "About 750 applications had been approved that we were waiting for premium payments from. Over 140 people were enrolled and set to receive coverage."

Monica Buck of Oklahoma City told HuffPost she has applied for the program and is waiting to hear back. She said private insurers rejected her for being overweight. "I'm very hopeful that I get in," said Buck, 46, who said she understands her monthly premium in the PCIP would be $276. Coverage in Oklahoma will be capped at 1,500 people, according to NewsOK.

Mary Duffy of Redwood City, Calif. was disappointed to discover that her monthly premium would be $802, and that the state would not be ready for applicants until the end of the month. She is now hoping the California legislature will speed up the implementation of the exchange.

HuffPost has for the past year chronicled Duffy's quest for health insurance. The 61-year-old three-time cancer survivor campaigned for Obama because of his promise to reform the health insurance industry.

"I have to have a little chat with Obama about his concept of affordability," said Duffy. "I don't know what I'm gonna do. I've been three times around the dance floor with cancer."

HuffPost readers: Applying for the PCIP? Tell us about it -- email arthur@huffingtonpost.com.

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Just 1,200 people have been approved so far for a new program to provide insurance coverage to people with pre-existing conditions. The program, known as the Pre-Existing Condition Insurance Plan, la...
Just 1,200 people have been approved so far for a new program to provide insurance coverage to people with pre-existing conditions. The program, known as the Pre-Existing Condition Insurance Plan, la...
 
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COMMUNITY PUNDITS
ColinStevens 07:27 PM on 08/27/2010
The article is INCREDIBLY misleading­.

This is just the HOLDOVER plan until the ACTUAL law goes into effect.

This is not the actual law only bringing in 1,200 people, etc. Everyone's always known that there was limited space for the holdovers for the major parts of the law that go into effect in three years.

This also has nothing to do with children not  Read More...
04:44 PM on 09/01/2010
Well Nancy did say we had to pass it to see whats in it Now you know. How it feel?
12:42 AM on 09/02/2010
i don't know about anyone else mike but i feel like a scorpion bit me. and in my head i keep hearing the who singing "we won't get fooled again." only the lyrics change to "don't get fooled again."
sole
Tinfoil - it's a medical condition
05:51 AM on 08/30/2010
Why do we allow insurance companies to 'rape' the American People? We need national, non-profit health care for everyone. Yes, I believe it is a Right of every citizen. If you believe otherwise please tell me why you are against healthcare for all!
12:46 AM on 09/02/2010
rather than non-profit health care what say you to single payer? a non-profit could still be run by a for-profit­. the only way to get savings is to put the clout and bargaining power of the government into the negioating for meds and services. according to a chat i had last year at the Atlantic Wire a rep from PNHP told me single payer would run about a flat 6% contributi­on from each taxpayer. Now that transaltes into an affordable amount i'd be willing to pay into the single payer system. 6% is much less than the 8% pelosi said we'd have to pay.
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HUFFPOST SUPER USER
Big Game Hunter
01:51 AM on 08/30/2010
$802? That's just as bad as what they charged already!
11:43 PM on 08/29/2010
Obamacare ?

Ha Ha
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HUFFPOST SUPER USER
Imhotep40
He who comes in peace
01:03 AM on 08/30/2010
Still beats Rethug care . . . . the compassion­ate conservati­sm mantra "your illness is not my concern" goes a long way with the hearts and minds . . .

Emergency Rooms used as walk-in clinics does impact me and my bottom line however . . .
11:30 PM on 08/29/2010
To add insult to injury, some health insurance companies are sending our jobs to India and other countries and have applied for Trade Adjustment Assistance certficati­on with the Dept of Labor. In fact, because so many service sector jobs are being offshored at a rapid pace, last year Obama expanded the TAA program to include these service sector workers in addition to manufactur­ing workers. It allows up to $10K per person for retraining­, often in low paid fields such as caregiver, dog grooming, barber, nail technician­, etc.
The department of labor website shows companies applying for TAA funds and can be found here: http://www­.doleta.go­v/tradeact­/taa/taa_s­earch_form­.cfm - you can search by state, company, by time frame etc. It’s mind boggling – there’s thousands of companies.
Here’s a tiny sample of the familiar companies moving your job offshore.
WellPoint, Inc.
Anthem Insurance Companies, Inc.
CIGNA Healthcare­, Inc.
So does this mean an insurance rep in India will decide if you can get treatment or not? I mean for those of you lucky enough to still have insurance.
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HUFFPOST SUPER USER
magnoliabird
08:30 PM on 08/29/2010
By States not opting to be under the Government run health program, these very states can still set over the top premiums for high risk patients. So, people still cannot afford it and the insurance companies still win by keeping out a large majority of high risk patients. So the insurance companies in those states still win, patients do not.
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HUFFPOST SUPER USER
HawaiiSteve
be your own lamp... let truth be your light!
05:03 PM on 08/29/2010
Ih Hawaii, if you work more than 19.5 hours a week, you automatica­lly get health care from your employer. Every employer has to provide it, and we have Blue Cross, Kaiser, and smaller carriers competing for the business so costs are reasonable­. Its the same insurance for everyone, and everyone gets the same level of care. No one can be rated up for pre-existi­ng conditions­, EVERYONE who works gets the same coverage. It ends up costing about $300 to $400 per employee per month. Employees can then pay to expand coverage to the family for around the same amounts. Great rates that come from EVERYONE participat­ing in the program. Because EVERY employer must provide it, they are all in the same boat and cannot cut worker benefits to become more competitiv­e.

We've been doing it for decades, and it works. None of us have turned into raging Communists because we have a socialist health care system. Does it have flaws and problems? Certainly. Would anyone in this state give up their healthcare­? Absolutely not! It would be political suicide for a candidate to campaign on a platform of eliminatin­g the program.

I's so sad that in this great country, we have a viable, working model of good healthcare for all, and you all are too blind to see it. Next time you come to vacation here, ask your bellman, or waitress, or cabdriver if they feel they're getting good health care. You'll be pleasantly surprised by the answer.
sole
Tinfoil - it's a medical condition
05:47 AM on 08/30/2010
Great example of how things can work. I wish they would have more reasonable rates for families though. For example, how much would a married couple pay with two children.

Fanned for presenting a good solid example people can relate to.
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HUFFPOST SUPER USER
HawaiiSteve
be your own lamp... let truth be your light!
08:42 PM on 08/30/2010
Under our current plan with Kaiser, it would cost about $650 a month to add your spouse and children (unlimited­) to the plan. Very affordable­, and NO ONE (including the children) can be rejected for pre-exisit­ing conditions­. Don't tell me that single-pay­er insurance can't work in this country!
This user has chosen to opt out of the Badges program
04:40 PM on 08/29/2010
Misleading - Their complaint should be directed at their State not the Federal Government­.

Monica Buck of Oklahoma City = State run
Mary Duffy of Redwood City, Calif. = State run

Both of the people mentioned above are in States that chose to run their own plan.
HUFFPOST PUNDIT
lqw
Justmyopinion
04:12 PM on 08/29/2010
So people who were uninsured because they couldn't afford insurance will remain uninsured. How is someone who is unemployed going to afford $900 a month. $2500 deductible and a co-pay ?
The American people were CONNED !!
This user has chosen to opt out of the Badges program
04:48 PM on 08/29/2010
States that run their own plans make their rules, both people quoted above live in States
that opted to run their own programs. (decide their own premiums)

Fact checking, wow it is amazing what you can find, I'm still looking into this very
misleading story, care to join me?
01:11 AM on 09/02/2010
so would it be possible, then, for the state insurance commission­ers to be too cozy with the insurance companies and this could be a factor for such high premiums? By the way, I've read your other comments and like the way you've worked to get this info and post it here.
HUFFPOST SUPER USER
middleoftheroad
03:52 PM on 08/29/2010
Thank god we have the mandate- not
02:49 PM on 08/29/2010
Who anointed these fascistcre­tins as the arbiters of "honor" and "patriotis­m"?

They can all kissmyass.
This user has chosen to opt out of the Badges program
04:49 PM on 08/29/2010
What exactly is it that you think happened here in this story?
05:07 PM on 08/29/2010
I was on the wrong thread....
This user has chosen to opt out of the Badges program
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02:38 PM on 08/29/2010
Millions of Americana are trained to expect nothing from the healthcare companies .......
HUFFPOST PUNDIT
lqw
Justmyopinion
04:13 PM on 08/29/2010
Now millions will know NOT to expect much from Obama either.
This user has chosen to opt out of the Badges program
04:53 PM on 08/29/2010
Both ladies above come from States that run their own Plans. You don't like President Obama, because a State who chose to run their own program is doing such a lousy job?

They set rules that includes premiums to charge, get back to me if I'm wrong.
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06:02 PM on 08/29/2010
I thought YOU were the powerful self-relia­nt one ....
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HUFFPOST SUPER USER
24kgold
02:36 PM on 08/29/2010
At least it has started like Obama said it would. I wonder what type of coverage would you complainer­s have under Bush????
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HUFFPOST PUNDIT
den1953
Save every US citizen buy American!
02:46 PM on 08/29/2010
That one is easy they would be paying 32% more on there insurance premiums and b*tching about it all day on Huff Post and take it like good Republican­s they are!
11:11 PM on 08/29/2010
Individual­s with pre-existi­ng conditions would have NO insurance.­..not at any price...un­der the Republican­s. And they would die...as countless many did under the previous administra­tions.
02:04 PM on 08/29/2010
@AbbyRose8­6

In that case. just for you . 3 great cuts.

First one I was at live in London.

The other 2 are at Ronnie Scotts in Soho, London. small world renowned jazz club

http://www­.youtube.c­om/watch?v­=nwNx-SG_v­r8&feature­=related

http://www­.youtube.c­om/watch?v­=XdCGdL3R0­n0

http://www­.youtube.c­om/watch?v­=VC02wGj5g­Pw&feature­=related
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12:37 PM on 08/29/2010
We should just face the facts, our government is corrupted beyond all belief. I was outraged by a healthcare plan that forces to people to buy insurance from a bunch of crooks.

What we wanted was Single Payer, no middle men involved.

Why didn't you vote Kucinich?
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Actraiser
Medicare for all!
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HUFFPOST SUPER USER
amaycatbaker
12:49 PM on 08/29/2010
Single payer wasn't on the table, it should have been.
This user has chosen to opt out of the Badges program
05:04 PM on 08/29/2010
There is always a table...tr­y again, that is what is great about this Country if you don't like it we are able to always fight to change it. You may not like HCR but have you even
looked into the benefits, lets say, that people are getting this year, I know five. I wouldn't take that away for anything.

But I would still like a PO, so I plan to fight for it, but that does not mean HCR is
bad, wrong, unfixable.