PCIP provides preventive care (paid at 100%, with no deductible) when the doctor indicates a preventive diagnosis. Included
are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a $500 medical deductible
and a $125 prescription deductible before PCIP pays for a percentage of the covered services. After you have met the deductible,
you will pay 30% of medical costs for covered services.
For 2014, the maximum you will pay out-of-pocket for covered services in a calendar year is $1,500, or $2,500 for non-formulary
prescriptions. There is no lifetime maximum or cap on the amount the plan pays for your care.
Click here for the 2014 Benefits Summary (PDF).
The availability and unavailability of membership in the Pre-Existing Condition Insurance Plan (PCIP) and any benefits authorized through the plan are
at all times subject to federal law, regulations, and the contract between the PCIP Administrator and the United States Department of Health and Human Services,
and are dependent on continued availability of federal funding.