Pre-Existing Condition Insurance Plan

Pre-Existing Condition Insurance Plan
The Pre-Existing Condition Insurance Plan makes health insurance available to people who have had a problem getting insurance due to a pre-existing condition.

Pre-Existing Condition Insurance Plan Fact Sheet | En Español

Benefits
The Pre-Existing Condition Insurance Plan:
  • Covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs.
  • Does not charge you a higher premium just because of your medical condition.
  • Does not base eligibility on income.
Eligibility
To be eligible for the Pre-Existing Condition Insurance Plan
  • You must be a citizen or national of the United States or reside in the U.S. legally.
  • You must have been without health coverage for at least the last six months. Please note that if you currently have insurance coverage that doesn't cover your medical condition or are enrolled in a state high risk pool, you are not eligible for the Pre-Existing Condition Insurance Plan.
  • You must have a pre-existing condition or have been denied coverage because of your health condition.