Each state will usually have its own PCIP premiums. In certain cases, some will share the same costs. Those states are:

Participating states with individual premiums are listed below in alphabetical order:

These premium costs are based on the quoted monthly premiums listed by GEHA. States that are not included in these lists may have opted out of the federal program. They will have their own individual PCIP charges.

There are other costs involved in the program as well as premiums. According to data on the Pre-Existing Condition Insurance Plan website, these will be the same from state to state. There will be, for example, deductibles and copayments to take into account. Standard charges (for those that stay within a plan's network) are a $2,500 deductible for covered benefits a year. This will, however, not be applied to preventive services.

Once the deductible is reached, copayments include $25 for visits to a doctor. Prescription drugs purchased from a retail pharmacy come with a copayment of $4-30 for the first two prescriptions and 50% thereafter. Those that use mail order will pay $10 (generic drugs) or $75 (brand drugs) on the plan for a 90 day supply. There will also be a 20% payment for any other benefits covered. There is, however, a cap on out-of-pocket costs which is currently set at $5,950 each year.