Effective July 1, 2013 Group Health Incorporated (GHI) no longer operates NY Bridge Plan
New York State has been one of 27 states running its own Pre-Existing Condition Insurance Plan (PCIP) program, with the remaining 23 states and Washington, D.C. having their state’s PCIP run by the Federal government. That will change this July. Beginning July 1, 2013, Group Health Incorporated (GHI) will no longer operate the state’s PCIP program. As a result, to continue your health coverage after June 30, you will need to activate a new PCIP benefit plan through the federally-run PCIP before July 1.
How This Affects You
You will still have health coverage if you choose to enroll in the federally-run PCIP program. In June, you will receive an Enrollment Letter from the National Finance Center, which is the enrollment administrator for the federally-run PCIP. The Enrollment Letter will include 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. To activate your new coverage on July 1, and receive your PCIP ID card by that date, you must pay your first month’s premium by the deadline stated in that letter. If you choose to do that, you will be a member of the federally-run PCIP program — joining more than 50,000 PCIP enrollees nationwide. You’ll be enrolled in the Transition Plan and have a new benefits administrator.
If you currently receive ongoing treatment, you will be mailed guidance about transition of care. It is critical that you follow required pre-authorization of benefits procedures for hospitalization, durable medical equipment or supplies, transplants, skilled nursing, long-term acute care or rehabilitation facility admission, spinal fusion surgery or cancer treatment plans anticipated to occur on or after July 1. This is necessary even if you were already authorized with your current NY Bridge Plan.
You may have questions about how this transition will affect you; and along with our Federal partners, we will do our best to answer them. Information and resources are available to you. Simply call 1-866-717-5826 (TTY/TDD: 1-866-561-1604), Monday–Friday from 8 am to11 pm, or visit the federal PCIP website at www.pcip.govEn Español