Florida PCIP Coverage


Pre-Existing Condition Insurance Plan: Florida

The PCIP plan is quite popular in Florida as in many cases the costs are lower than major medical insurance coverage. If you are shopping for PCIP in Florida, you can either call 888 803 5917 or put your zip code above and fill out Florida health insurance quote page.  We sell the PCIP plan right here on our website.  For more information on the plan visit our national page on PCIP.
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.
PCIP offers a choice of plan options to fit your needs and provide more affordable premiums. Please note rates have changed in Florida as of July 1, 2011. The monthly premiums for Florida are:

Standard
Plan
Age Rate
00-18 $118
19-34 $176
35-44 $211
45-54 $270
55+ $376

 

 

Extended
Plan
Age Rate
00-18 $158
19-34 $237
35-44 $284
45-54 $363
55+ $505

 

 

HSA
Plan
Age Rate
00-18 $122
19-34 $183
35-44 $220
45-54 $280
55+ $390

 

 

PCIP applicants who are approved to participate in PCIP can choose from three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses. Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network. The maximum you will pay out-of-pocket for covered services in a calendar year is $5,950 in-network/$7,000 out-of-network. There is no lifetime maximum or cap on the amount the plan pays for your care.
If you apply for PCIP coverage, you will be billed for the premium once your application is approved. You will need to send in your payment in order for your coverage to be effective. Please do not send in the premium before you are billed. Note that your premium may increase if you age into a higher rate tier, or if PCIP adjusts its premiums to any changes in the commercial market.