Cigna High-Deductible Health Plan
A high-deductible health plan on the Cigna Open Access Plus network. Certain preventive drugs are covered at 100% with no deductible or copay.
Cigna High-Deductible Health Plan
Key Details
- Carrier
- Cigna
- Plan Type
- HDHP
- Network
- Cigna Open Access Plus
- HSA Eligible
- Yes
- FSA Eligible
- No
Employee Only
- Semi-Monthly Cost
- $42.50
Employee + Spouse
- Semi-Monthly Cost
- $144.00
Employee + Child(ren)
- Semi-Monthly Cost
- $118.00
Employee + Family (Spouse & Child(ren))
- Semi-Monthly Cost
- $175.00
Annual Deductible
- Cigna HDHP In-Network
- $2,000 Individual $4,000 Family (Aggregate)
- Cigna HDHP Out of Network
- $2,000 Individual $4,000 Family (Aggregate)
Annual Out-of-Pocket Maximum
- Cigna HDHP In-Network
- $4,000 Individual $8,000 Family
- Cigna HDHP Out of Network
- $4,000 Individual $8,000 Family
Office Visit Primary Provider
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 55% after deductible
Office Visit Specialist
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 55% after deductible
Preventive Care
- Cigna HDHP In-Network
- Covered in Full
- Cigna HDHP Out of Network
- 55% after deductible
Lab and X-ray
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 55% after deductible
Urgent Care
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 20% after deductible
Emergency Room
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 20% after deductible
Hospitalization
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 55% after deductible
Outpatient Surgery
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 55% after deductible
Retail (30-day supply) - Generic
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 55% after deductible
Retail (30-day supply) - Preferred Brand
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 55% after deductible
Retail (30-day supply) - Non-Preferred Brand
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 55% after deductible
Retail (30-day supply) - Specialty
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 55% after deductible
Mail Order (90-day supply) - Generic
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 55% after deductible
Mail Order (90-day supply) - Preferred Brand
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 55% after deductible
Mail Order (90-day supply) - Non-Preferred Brand
- Cigna HDHP In-Network
- 20% after deductible
- Cigna HDHP Out of Network
- 55% after deductible
Mail Order (90-day supply) - Specialty
- Cigna HDHP In-Network
- N/A
- Cigna HDHP Out of Network
- N/A
Plan Notes
- Certain preventive drugs are covered at 100% with no deductible or copay. To check the Preventive Prescription Drug List, visit the Hub or contact Rx Benefits.
- Aggregate Deductible - When covering more than 1 person, co-insurance applies after the entire family deductible has been met.