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2014 Benefits

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.


Click to download plan materials Click here for information on prescriptions Click here for provider search Click here for frequently asked questions

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