Premiums Lowered in Federal High-Risk Pool

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Stacey Pogue /(512) 320-0222 x 117

July 13, 2011

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Federal and state high-risk pools provide key coverage options for Texans

The health of our whole state is ensured when all of us have access to quality, affordable health care-when we can count on the preventative care we need to stay healthy and see a doctor when we are sick. For many of us with pre-existing medical conditions, we can only get coverage through a high-risk pool. The Pre-existing Condition Insurance Plan (PCIP) is a federally administered high-risk pool created by the Affordable Care Act. Recently, the federal government announced changes that will help increase access to this coverageâ€"premiums in Texas were reduced by 24 percent and applicants can now prove they have a pre-existing condition by providing a letter from a health care professional, instead of waiting to receive a rejection letter from an insurance company. PCIP is one of two high-risk pools that provide coverage options for Texans.

This Policy Page explains both high-risk pool options in Texas—their similarities, differences, and important recent changes.