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Pre-existing Condition Insurance Plan  
 
In March of 2010, Congress passed and President Obama signed the Affordable Care Act - the new health insurance law. The law creates a new program - Pre-existing Condition Insurance Plan (PCIP) to make health insurance available to you if you have been denied coverage by private insurance companies because of a pre-existing condition.  
 
PCIP provides comprehensive health coverage, including primary and specialty care, hospital care, prescription drugs, home health and hospice care, skilled nursing care, preventive health and maternity care. The program is available in 50 states and the District of Columbia and open to U.S. citizens and people who reside in the U.S. legally (regardless of income) who have been without insurance coverage for at least six months, and have a pre-existing condition, or have been denied health insurance coverage because of a health condition.   
 
This program may be able to help you, if you’ve been locked out of the insurance market, until 2014. In 2014, you will have access to affordable health insurance choices through a new competitive marketplace called an Exchange. 
 
Check out the State Plans page to learn more about how the Pre-Existing Condition Insurance Plan works in Arizona. 
 
The PCIP call center is open from 8 am to 11 pm, Eastern Time. Call toll-free 1-866-717-5826 (TTY 1-866-561-1604). 
 
Eligibility Requirements 
 
Learn more about the PCIP Benefits 
 
Premium Rates
Important Information for AFMC Contracted Providers 
 
Effective January 1, 2012, AFMC will be the Medical Management vendor providing pre-certification services for the City of Mesa. If you have a patient who obtains health benefits through City of Mesa, please be sure to note the new contact information on the back of the ID card. 
 
AFMC Pre-cert number: 602-252-4042 or 800-624-4277
AFMC Pre-cert Fax number: 602-254-3086
 
 
AFMC is NOT the network of providers for The City of Mesa. 
 
Please contact the City of Mesa Employee Benefits Administration at 480-644-2299 or benefits.info@mesaaz.gov for questions or to obtain a list of services requiring pre-certification. Additional information is available on the City of Mesa Web site: http://www.mesaaz.gov 
Foundation COMP - AFMC's Workers' Compensation Network Plan   
 
AFMC's Foundation COMP was designed for self-funded employers and workers' compensation carriers. Foundation COMP providers have been chosen for their experience and expertise in workers' compensation and their commitment to quality care and service. Maximizing the use of these providers reduces medical costs, but most importantly, saves critical time when an employee is hurt, ensuring more favorable health outcomes. 
 
Foundation COMP reduced hospital medical expenses by 42% for insured and self-funded employers in 2011! Clients include large corporations, small employers and Arizona government entities.  
 
 
Read Foundation COMP Flyer  
 
To learn more about AFMC's Foundation COMP network contact us.