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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.  
 
The Pre-Existing Condition Insurance Plan (PCIP), which is administered by either your state or the U.S. Department of Health and Human Services, provides a health coverage option if you have been without health coverage for at least six months, you have a pre-existing condition or have been denied health coverage because of your health condition, and are a U.S. citizen or reside here legally.  
 
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 and you will no longer be discriminated against based on a pre-existing condition.  
 
Check out the State Plans page to learn more about how the Pre-Existing Condition Insurance Plan works in your state.  
 
Eligibility Requirements 
 
2011 Program Changes 
 
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 
 
 
 
 
 
PROVIDERS: Complete Your 2012 AFMC Membership Renewal, Today!  
        
Thank you for your continued participation with AFMC. While your current membership extends through December 31, 2011, it is time to renew your membership for the 2012 calendar year.  
 
All AFMC providers - individual and group - will receive a letter containing instructions for the 2012 AFMC Membership Renewal Process. AFMC provider members have three options for completing their renewal:       
  1. Renew online using your license number and Password PIN provided in the renewal instructions letter. We encourage all providers to take advantage of this time saving feature. 
  2. Download your renewal form online using your license number and Password PIN. Complete the renewal form and mail the form and membership dues to AFMC.
  3. Contact AFMC at 800-624-4277 or individualrenewal@azfmc.com to request a copy of your renewal form.
Please remember to completely fill out your renewal form; submit all applicable documents; and pay your dues
(if applicable) to AFMC in order for your application to be processed. Incomplete information will delay the processing of your application.  
 
If you have any questions regarding your membership renewal form or the renewal process, please contact Network Management by e-mail to individualrenewal@azfmc.com or by calling 800-624-4277, Monday – Friday, 8 am – 5 pm.
Do you know what Administrators work with AFMC? 
 
It's easy to find out! Simply click on the "Get Administrator Listing" button below.