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(Augusta)
Consumers for Affordable Health Care (CAHC) today
praised the request by the Dirigo Health Agency (DHA) to
add eleven more qualifying conditions to the federal
Pre-Existing Condition Insurance Plan (PCIP), which
provides health coverage to anyone with a qualifying
pre-existing condition who has been uninsured for six
months. The Department of Health and
Human Services (HHS) approved the request and the new
conditions, which include Arthritis, Eating Disorders,
and Lyme Disease, will be added to the qualifying list
of conditions beginning on October 1, 2011.
There were 37 pre-existing conditions that
could allow a person to be eligible for the coverage,
which is funded by the federal government. Now
there will be 48.
The eleven
additional pre-existing conditions are: Arthritis, ALS,
Fibromyalgia, Hepatitis, Lupus, Thrombosis, Scleroderma,
Meningitis/Encephalitis, Eating Disorders, Chronic
Seizure Disorders, and Lyme Disease.
"The Pre-Existing
Condition Insurance Plan is a vital resource for those
suffering from a pre-existing condition.
By significantly expanding the list of qualifying
conditions, now even more people can benefit from this
plan," said Greg White, CAHC's Public Relations
Coordinator.
Even if someone
hans't been uninsured for six month, DHA still may be
able to help. In addition to PCIP, DHA also offers
DirigoChoice and the Part-Time Employee Voucher
Program. There are currently
over 580 small businesses enrolled in either
DirigoChoice or the Voucher Program (not including sole
proprietorships), and over 15,000 Mainers receive their
insurance coverage through
DHA.
The
Voucher Program can be offered by employers for as
little as a 5 percent contribution towards the part-time
or seasonal employee's monthly premium, the rest of
which is picked up by the employee and the federal
government. The amount the employee pays on
a monthly basis is determined by annual income and
assets. There is a sliding scale to
determine how much of a subsidy the government will
contribute.
Last
year, DHA did not raise its individual rates at all and
increased its small group rates by only 2
percent. Because of its competitive
rates and quality benefits, DHA remains a viable option for
insurance coverage for many, and in some instances is
the ONLY option for thousands of Mainers who would
otherwise not have access to quality, affordable health
care. Many of these people are
hard-working Mainers struggling to provide for
themselves and their families.
For more
information on the current list of pre-existing conditions,
please click here.
For more
information on insurance plans offered by DHA, please
click here.
Please
click here for a copy of the 580 small
businesses enrolled in DHA plans.
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