Select from two medical options through Cigna. Both plans cover in-network preventive care at 100%, prescription drugs and include an annual limit on your expenses. The differences are:
1. What you pay for the plan
2. What you pay when you get care
3. How out-of-network care is covered and
4. Your annual maximum cost of care.
Your medical benefit: to most, it’s the most important benefit we have available, but many of us don’t use our plan to the fullest. Medical benefits are not just for when you are sick… For example, if you use preventive benefits when you are well, you might actually be able to avoid getting sick!
Understanding your prescription drug benefit, and knowing how different types of medications will be covered, can help you save money and learn how to talk with your doctor about your options.
Your prescription drug benefit gives you options for paying more or less for your prescription. When you fill a prescription from your doctor, you and the company share the cost. How you share costs depends on how your plan is set up.
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Deductible
The amount of covered expenses you must pay before the Plan starts paying benefits.
In-network:
Individual: $3,500
Family: $7,000Out-of-network:
Individual: $7,000
Family: $14,000
-
Coinsurance
Cost-sharing between you and the company. This is applied after you meet your deductible.
In-network:
You pay 10% (after deductible)
Plan pays 90%Out-of-network:
You pay 50% (after deductible)
Plan pays 50%
-
Out-of-Pocket Maximum
The most you are required to pay out of your own pocket in a plan year. Some expenses may not apply.
In-network:
Individual: $9,000
Family: $18,000Out-of-network:
Individual: $12,000
Family: $24,000
-
Doctor’s Office Visit
In-network:
You pay a $30 copay
Out-of-network:
You pay 50% (after deductible)
Plan pays 50%
-
Specialist Office Visit
Specialists include doctors trained in a specific area or function of the body, or a specific age group (cardiologist, pediatrician, orthopedic surgeon, neurologist, etc.).
In-network:
You pay a $60 copay
Out-of-network:
You pay 50% (after deductible)
Plan pays 50%
-
Preventive/Well Child Care
Care focused on prevention or early detection of health conditions. Includes routine physical exam, immunizations, cancer screenings, vision and hearing exams, etc.
In-network:
You pay $0
Plan pays 100%Out-of-network:
You pay 50% (after deductible)
Plan pays 50%
-
Emergency Room
Provides accidental injury and medical emergency care. Note: Call your plan immediately if you are admitted to the hospital.
In-network:
You pay $300 copay (after deductible), and plan pays 100%
Out-of-network:
You pay $300 copay (after deductible), and plan pays 100%
-
Urgent Care
Non-emergency care received from an urgent care clinic or other medical facility; typically used after hours or when your regular doctor is not available.
In-network:
You pay $100 copay, and plan pays 100%
Out-of-network:
You pay $100 copay, and plan pays 100%
-
Hospitalization
Inpatient In-network:
You pay 10% (after deductible)
Plan pays 90%Inpatient Out-of-network:
You pay 50% (after deductible)
Plan pays 50%Outpatient In-network:
You pay 10% (after deductible)
Plan pays 90%Outpatient Out-of-network:
You pay 50% (after deductible)
Plan pays 50%
-
Are you required to use network providers?
No (but your costs will be lower when you do)
-
Do you need a referral to a specialist?
No
-
Can I use a Health Savings Account (HSA) or Health Reimbursement Account (HRA)?
A feature of high-deductible or consumer-driven medical plans, this is a tax-advantaged savings account you can use for medical expenses now or save for later.
No
-
Can I use a Health Care Flexible Spending Account (FSA)?
An account you contribute to before taxes, then use the money for qualified health-related expenses.
Yes
-
Prescription Drug
Deductible - See Deductible above
Retail (Up to 30-day supply)
In-network Only
Generic: You pay $15
Preferred Brand: You pay $35
Non-Preferred Brand: You pay $50Retail and Home Delivery (per 30-day supply):
In-network Only
Specialty: You pay 50%, up to a maximum of $150Retail and Home Delivery (per 90-day supply):
In-network Only
Generic: You pay $30
Preferred Brand: You pay $70
Non-Preferred Brand: You pay $100Retail:
You pay 50%
Plan pays 50%Home Delivery:
Not Covered
-
Payroll Deduction
Employee Only: $141.51
Employee + Spouse: $641.97
Employee + Child(ren): $444.12
Family: $884.29
Open Access Plus Plan
Provider: Cigna
Phone: 800-997-1654
Website: https://www.cigna.com/
Provider Finder: Cigna Health Care Provider Directory
| Open Access Plus Plan | HSA Open Access Plus Plan |
|---|---|
DeductibleIn-network: Individual: $3,500 |
DeductibleIn-network: Individual: $4,000
Family: $8,000 |
CoinsuranceIn-network: You pay 10% (after deductible) |
CoinsuranceIn-network: You pay 10% (after deductible) |
Out-of-Pocket MaximumIn-network: Individual: $9,000 |
Out-of-Pocket MaximumIn-network: Individual: $7,500 |
Doctor’s Office VisitIn-network: You pay a $30 copay |
Doctor’s Office VisitIn-network: You pay $30 copay (after deductible) |
Specialist Office VisitIn-network: You pay a $60 copay |
Specialist Office VisitIn-network: You pay $60 copay (after deductible) |
Preventive/Well Child CareIn-network: You pay $0 |
Preventive/Well Child CareIn-network: Plan pays 100% |
Emergency RoomIn-network: You pay $300 copay (after deductible), and plan pays 100% |
Emergency RoomIn-network: You pay $300 copay (after deductible), and plan pays 100% |
Urgent CareIn-network: You pay $100 copay, and plan pays 100% |
Urgent CareIn-network: You pay $50 copay (after deductible), and plan pays 90% |
HospitalizationInpatient In-network: You pay 10% (after deductible) |
HospitalizationInpatient In-network: You pay 10% (after deductible) |
Are you required to use network providers?No (but your costs will be lower when you do) |
Are you required to use network providers?No (but your costs will be lower when you do) |
Do you need a referral to a specialist?No |
Do you need a referral to a specialist?No |
Can I use a Health Savings Account (HSA) or Health Reimbursement Account (HRA)?No |
Can I use a Health Savings Account (HSA) or Health Reimbursement Account (HRA)?Yes |
Can I use a Health Care Flexible Spending Account (FSA)?Yes |
Can I use a Health Care Flexible Spending Account (FSA)?No; you use your HSA or HRA instead. You can use an FSA for dental and vision expenses. |
Prescription DrugRetail (Up to 30-day supply) In-network Only |
Prescription DrugRetail (Up to 30-day supply) In-network Only |
Payroll DeductionEmployee Only: $141.51 |
Payroll DeductionEmployee Only: $34.07 |
-
Deductible
The amount of covered expenses you must pay before the Plan starts paying benefits.
In-network:
Individual: $4,000 Family: $8,000
Out-of-network:
Individual: $7,000
Family: $14,000
-
Coinsurance
Cost-sharing between you and the company. This is applied after you meet your deductible.
In-network:
You pay 10% (after deductible)
Plan pays 90%Out-of-network:
You pay 50% (after deductible)
Plan pays 50%
-
Out-of-Pocket Maximum
The most you are required to pay out of your own pocket in a plan year. Some expenses may not apply.
In-network:
Individual: $7,500
Family: $15,000Out-of-network:
Individual: $13,000
Family: $26,000
-
Doctor’s Office Visit
In-network:
You pay $30 copay (after deductible)
Out-of-network:
You pay 50% (after deductible)
Plan pays 50%
-
Specialist Office Visit
Specialists include doctors trained in a specific area or function of the body, or a specific age group (cardiologist, pediatrician, orthopedic surgeon, neurologist, etc.).
In-network:
You pay $60 copay (after deductible)
Out-of-network:
You pay 50% (after deductible)
Plan pays 50%
-
Preventive/Well Child Care
Care focused on prevention or early detection of health conditions. Includes routine physical exam, immunizations, cancer screenings, vision and hearing exams, etc.
In-network:
Plan pays 100%
Out-of-network:
You pay 50% (after deductible)
Plan pays 50%
-
Emergency Room
Provides accidental injury and medical emergency care. Note: Call your plan immediately if you are admitted to the hospital.
In-network:
You pay $300 copay (after deductible), and plan pays 100%
Out-of-network:
You pay $300 copay (after deductible), and plan pays 100%
-
Urgent Care
Non-emergency care received from an urgent care clinic or other medical facility; typically used after hours or when your regular doctor is not available.
In-network:
You pay $50 copay (after deductible), and plan pays 90%
Out-of-network:
You pay $50 copay (after deductible), and plan pays 90%
-
Hospitalization
Inpatient In-network:
You pay 10% (after deductible)
Plan pays 90%Inpatient Out-of-network:
You pay 50% (after deductible)
Plan pays 50%Outpatient In-network:
You pay 10% (after deductible)
Plan pays 90%Outpatient Out-of-network:
You pay 50% (after deductible)
Plan pays 50%
-
Are you required to use network providers?
No (but your costs will be lower when you do)
-
Do you need a referral to a specialist?
No
-
Can I use a Health Savings Account (HSA) or Health Reimbursement Account (HRA)?
A feature of high-deductible or consumer-driven medical plans, this is a tax-advantaged savings account you can use for medical expenses now or save for later.
Yes
-
Can I use a Health Care Flexible Spending Account (FSA)?
An account you contribute to before taxes, then use the money for qualified health-related expenses.
No; you use your HSA or HRA instead. You can use an FSA for dental and vision expenses.
-
Prescription Drug
Retail (Up to 30-day supply)
In-network Only
Generic: You pay $20 (after deductible)
Preferred Brand: You pay $40 (after deductible)
Non-Preferred Brand: You pay $70 (after deductible)Retail and Home Delivery (per 30-day supply):
In-network Only
Specialty: You pay 50% (after deductible), up to a maximum of $150Retail and Home Delivery (per 90-day supply):
In-network Only
Generic: You pay $40 (after deductible)
Preferred Brand: You pay $80 (after deductible)
Non-Preferred Brand: You pay $140 (after deductible)Retail:
You pay 50%
Plan pays 50%Home Delivery:
Not Covered
-
Payroll Deduction
Employee Only: $34.07
Employee + Spouse: $410.92
Employee + Child(ren): $271.94
Family: $590.81
-
Click To Download Plan Documents:
HSA Open Access Plus Plan
Provider: Cigna
Plan ID# 10525150
Phone: 800-997-1654
Website: https://www.cigna.com/
Provider Finder: Cigna Health Care Provider Directory
| HSA Open Access Plus Plan | Open Access Plus Plan |
|---|---|
DeductibleIn-network: Individual: $4,000
Family: $8,000 |
DeductibleIn-network: Individual: $3,500 |
CoinsuranceIn-network: You pay 10% (after deductible) |
CoinsuranceIn-network: You pay 10% (after deductible) |
Out-of-Pocket MaximumIn-network: Individual: $7,500 |
Out-of-Pocket MaximumIn-network: Individual: $9,000 |
Doctor’s Office VisitIn-network: You pay $30 copay (after deductible) |
Doctor’s Office VisitIn-network: You pay a $30 copay |
Specialist Office VisitIn-network: You pay $60 copay (after deductible) |
Specialist Office VisitIn-network: You pay a $60 copay |
Preventive/Well Child CareIn-network: Plan pays 100% |
Preventive/Well Child CareIn-network: You pay $0 |
Emergency RoomIn-network: You pay $300 copay (after deductible), and plan pays 100% |
Emergency RoomIn-network: You pay $300 copay (after deductible), and plan pays 100% |
Urgent CareIn-network: You pay $50 copay (after deductible), and plan pays 90% |
Urgent CareIn-network: You pay $100 copay, and plan pays 100% |
HospitalizationInpatient In-network: You pay 10% (after deductible) |
HospitalizationInpatient In-network: You pay 10% (after deductible) |
Are you required to use network providers?No (but your costs will be lower when you do) |
Are you required to use network providers?No (but your costs will be lower when you do) |
Do you need a referral to a specialist?No |
Do you need a referral to a specialist?No |
Can I use a Health Savings Account (HSA) or Health Reimbursement Account (HRA)?Yes |
Can I use a Health Savings Account (HSA) or Health Reimbursement Account (HRA)?No |
Can I use a Health Care Flexible Spending Account (FSA)?No; you use your HSA or HRA instead. You can use an FSA for dental and vision expenses. |
Can I use a Health Care Flexible Spending Account (FSA)?Yes |
Prescription DrugRetail (Up to 30-day supply) In-network Only |
Prescription DrugRetail (Up to 30-day supply) In-network Only |
Payroll DeductionEmployee Only: $34.07 |
Payroll DeductionEmployee Only: $141.51 |