
As a result of the health care reform signed by President Obama, California now offers a federally-funded health coverage.
Who Can Qualify?
The Pre-Existing Condition Insurance Plan (PCIP) is a program that offers health coverage to medically-uninsurable individuals who live in California. California now offers this federally-funded health coverage program, as a result of the federal health care reform signed by President Obama last year.
This program is available for individuals who did not have health coverage in the 6 months prior to applying.
In order for a person to qualify for the PCIP, a person must have met the following eligibility requirements:
- A current California resident or resident in the State you’re applying for coverage.
- Must have been clear of health coverage the past 6 months prior to application being received. This means in the last 6 months you were not enrolled in an individual or job-based health plan, including COBRA or Cal-COBRA, or enrolled in Medicare Part A and/or Part B, or in No-Cost Medicaid/No-Cost Medi-Cal.
- You must be a U.S. Citizen, U.S. National, or lawfully present individual with a valid Social Security number.
- You must have been denied individual insurance coverage within the past 12 months, for a pre-existing condition as shown by:
- Rejection letter from a health insurance company in the last 12 months, letter from your insurance broker or
- Offered coverage with premiums higher than those of the Major Risk Medical Insurance Program (MRMIP) preferred provider organization (PPO) in the geographic region where the individual is seeking coverage.

