What is the Pre-existing Condition Insurance Plan, Washington State (PCIP-WA)?

PCIP-WA is the temporary federal high risk pool created as part of federal health care reform. It provides health insurance coverage to individuals with pre-existing conditions who have been uninsured for at least six months and who are US citizens, nationals, or lawful residents of the US. 

Am I eligible for PCIP-WA?

There are four eligibility requirements for PCIP-WA. You must:

• Be a resident of Washington State
• Be a US citizen or national, or person lawfully present in the United States
• Have been uninsured for at least six months
• Have a qualifying pre-existing medical condition such as HIV

Can Evergreen pay for my PCIP-WA?

Evergreen can pay for PCIP-WA's $500 deductible plan. This is a preferred provider plan.

How do I apply to PCIP-WA?

• Complete the application for PCIP-WA, making sure to provide all necessary information and signatures. This will include proof of residency, proof of citizenship/lawful presence, and proof of HIV status. Please note that the HIV Condition Verification section of the EHIP application should act as proof of HIV status.
• Submit your PCIP application along with an application to Evergreen. If you are not a current EIP client, you will need to enroll in EIP. We will process your application and send in the PCIP application along with a check.
• If you have questions or particular concerns, please ask your case manager or an Evergreen insurance advocate to help you with your applications. We are here to make this process as trouble-free as possible.

Other important information about PCIP-WA

The coverage offered by PCIP-WA is almost identical to the coverage offered by WSHIP. PCIP-WA does not have a pre-existing condition wait period, meaning that you will have medical and prescription coverage available to you immediately upon enrollment. The premium rates are also less expensive for PCIP-WA than for WSHIP.

The deadline to submit a complete PCIP-WA application, including payment, for coverage effective the first of the following month is the 15th of a month. Please note that it may take Evergreen 2-3 weeks to process a complete application and be ready to send checks out.

For more detailed information, please visit the PCIP-WA website.