Updated June 2013
Due to changes made by the Department of Health and Human Services (HHS), we regret to announce that, effective midnight on June 30, 2013, Colorado's federal high risk pool insurance program known as GettingUSCovered will be moved to a different administrator. Current GettingUSCovered Members will be eligible to enroll in the federally-run Pre-Existing Condition Insurance Plan (PCIP) effective July 1, 2013. The federally-run PCIP plan currently operates in 23 states and Washington D.C.
We understand that Members will have questions and concerns regarding the new coverage. Members received information about new coverage on or about June 14 from the National Finance Center. Below is important information from HHS regarding the transition of coverage to the federally run PCIP plan.
Members who have questions regarding this notice should contact Customer Service at (866) 717-5826 Mon. - Fri. 8 a.m. to 11 p.m. EST. Information is also available at: www.pcip.gov.
THE INFORMATION BELOW IS PROVIDED BY HHS REGARDING TRANSITION TO THE FEDERALLY OPERATED PRE-EXISTING CONDITION INSURANCE PLAN, ALSO KNOWN AS PCIP.
How This Affects You
You will still have health insurance coverage if you choose to enroll in the federally-run PCIP plan. You should have received an Enrollment Letter around June 14th from the National Finance Center, the enrollment administrator for the federally-run PCIP plan. The Enrollment Letter included information about the federally-run PCIP plan, how much it costs, and how to activate your coverage. You will not need to complete a new application to qualify for the federally-run PCIP, however, you must enroll. If you choose to accept the federally-run PCIP coverage, you will be a member of the federally-run PCIP plan - joining more than 45,000 PCIP enrollees nationwide. You'll be enrolled in the Transition Plan and have a new benefits administrator.
If you are a current GettingUSCovered member receiving ongoing treatment, you must call (800) 220-7898.
It is critical that you follow federal PCIP pre-authorization rules for home care, IV therapy, durable medical equipment supplies or any scheduled surgery or treatment plans (including cancer treatment) you anticipate to occur on or after July 1, 2013. This is necessary even if your care was already approved by GettingUSCovered.
If you are in the second or third trimester of pregnancy, you may continue to see your current specialist and receive your new health plans' benefits through the end of your post-partum care.
You must follow the instructions in the letter dated June 10th to pay for your continued coverage. Your July premium must be mailed to the following address by July 1:
National Finance Center
Pre-Existing Condition Insurance Plan
P.O. Box 790275
St. Louis, MO 63179-0275