Pre-Existing Condition Insurance Plan (PCIP) Banner

Costs

How much will PCIP cost?

Monthly Premiums

The PCIP monthly premium costs are based on the applicant’s age and the region where the applicant lives in California.

A personal check, cashier's check or money order for one month’s premium payable to the Managed Risk Medical Insurance Board (MRMIB) in the amount for the program you prefer on the PCIP/MRMIP Application, question #2.

PCIP and MRMIP Monthly Premiums (PDF 81kb)

What you pay for care

When you get medical care, you pay an amount out-of-pocket for most services. You pay less money if you go to doctors and hospitals that participate in the PCIP network. You can click on the chart below to find out how much you will pay for care.

PCIP and MRMIP Costs and Benefits Chart (PDF 266kb)

How Do You Pay for PCIP?

You must submit premium payments by personal check, money order, cashier’s check or by Electronic Funds Transfer (EFT).

Premium payments must be made payable to the Managed Risk Medical Insurance Board (MRMIB). If you owe more money because you are not eligible for your preferred program, we will contact you. Underpayment of initial premium will delay the processing of your application.

Once you are enrolled into the PCIP you will receive monthly billing statements. You are responsible for making your monthly payments even if you do not receive the monthly bill. Payments must be received by the 15th of each month for the following month. You can sign up for monthly Electronic Fund Transfers by completing and sending us the EFT Form.

Mail your EFT Form to:
Pre-Existing Condition Insurance Plan
P.O. Box 537032
Sacramento, CA 95853-7032

If your premium payment does not clear the bank, you must pay your past due amount and the currently due premium amount using only a cashier’s check or money order. A personal check will not be accepted. We must receive the payment by the due date.

What happens if I don’t pay?

Once enrolled, we must receive your premium payment by the 15th of each month.  If payments are not received by the due date, you will be disenrolled!  Important Reminder!  If you are disenrolled from PCIP, you will have to wait 6 months to qualify for PCIP again. 

Your monthly premiums may change if you move to a new region or if your age changes and you fit into a different premium category. If this occurs, your monthly billing statement show the new premium amount and the effective date of the premium change.  Refer to the premium rate table (PDF 81kb) for specific monthly rates based on your age and where you live.

Mail your payments to:
Pre-Existing Condition Insurance Plan
P.O. Box 537031
Sacramento, CA 95853-7031