
Better Solutions for Your Health
At CIGNA HealthCare, we understand that health care is more than just about
products. It's about quality, choice and value. Quality networks of
physicians, specialists and hospitals. Choice among providers, benefits and
services that are right for you. And value‑added services such as
prescription drugs, dental care, mental health and substance abuse programs,
discounts on vision care, therapeutic massages and acupuncture, and so much
more specifically designed to meet your needs.
For more than 125 years, the CIGNA HealthCare companies have been providing
extensive health benefit programs. Now, these benefit programs are available
to you. NETWORKS & GEOGRAPHIC SCOPE
Our networks offer consistent, quality coverage. Coast to
coast.
-
We have 503,000 physicians participating in our PPO network.
-
More than 4,300 hospitals participate in our network nationwide.
-
Our dental networks include over 52,000 dentists.
-
There are 28,000 laboratories that provide services for CIGNA
HealthCare nationwide.
-
More than 90 percent of all retail pharmacies in the United States,
including WalMart, Osco, Rite Aid, CVS, and Walgreens participate in the
CIGNA HealthCare pharmacy network.
-
We offer over 15,000 complementary health care providers and services,
including chiropractors and acupuncturists.
CAREFULLY MONITORED QUALITY
Our participating health care providers must meet our quality
standards.
-
We credential all physicians and dentists before admission to our
network and re-credential them again every two years.
-
Our clinical teams ob board-certified or board-eligible physicians
work together to help make sure you have access to consistent quality
care.
-
Our award-winning health management programs help physicians and
their patients better manage chronic illnesses, such as diabetes and
heart disease.
HEALTH & WELLNESS
CIGNA HealthCare offers a broad range of health and wellness
programs.
-
CIGNA HealthCare Healthy Rewards® provides
you with discounts on chiropractic care, therapeutic massage,
acupuncture, nutrition counseling, laser vision correction, vitamins
and herbal supplements.
-
CIGNA HealthCare 24-Hours Health Information
Line gives you around-the-clock access to a registered nurse and
reliable information on a wide range of health-related topics.
-
CIGNA Tel-Drug adds the convenience of mail
order or web access prescriptions to meet all your maintenance
medication needs.
DENTAL CARE
Our dentists use their skills to meet
your dental care needs.
-
Our dental plans offer coverage for
preventive and diagnostic care.
-
We cover basic restorative care, such as
fillings and root canals.
-
We also cover bridges, crowns, dentures,
and orthodontia.
CUSTOMER SERVICE
CIGNA HealthCare customer service
features are designed to meet your needs wherever you are.
-
Enhanced Web technology gives you access
to information and answers - 24 - hours a day, seven days a week
at www.cigna.com.
-
Our single toll-free 800 number routes
your calls to the right place.
-
Our interactive telephonic voice response
system improves your access to information and service when you
need it.
-
We offer instant online access to a
complete list of participating physicians, specialists and
facilities at www.cigna.com.
*Healthy
Rewards is not available in every state.
"CIGNA HealthCare" refers to various operating subsidiaries of
CIGNA Corporation. Products and services are provided by
these subsidiaries and not CIGNA Corporation. These
subsidiaries include Connecticut General Life Insurance Company,
CIGNA Behavioral Health, Inc, Introcorp, and HMO or service
company subsidiaries of CIGNA Health Corporation and CIGNA Dental
Health, Inc. "CIGNA Tel-Drug" refers to Tel-Drug, Inc. and
Tel-Drug of Pennsylvania, LLC., which are also operating
subsidiaries of CIGNA Corporation.
CIGNA HealthCare
Better solutions for your health
OVERVIEW OF PremierHealth
An MMBB Endorsed Program*
| MEDICAL OPTION |
|
|
| FEATURES |
PPO PLAN |
|
| |
IN-NETWORK |
OUT-OF-NETWORK |
| Coinsurance |
80% |
60% |
| Lifetime Benefit Maximum |
Unlimited |
$2,000,000 |
| Annual Deductible (Individual/Family) |
$250/$500 |
$1,000/$2,000 |
| Annual Out-of-Pocket Maximum* (Indiv/Fam) |
$2,250/$5,000 |
$5,000/$10,000 |
| Routine/Specialist Office Visit |
$15/$25 copay |
60% after deductible |
| Preventive Care |
$10 copay |
Not covered |
| Laboratory and Radiology |
100% no deductible |
60% after deductible |
| Hospital |
80% after deductible |
60% after deductible |
| Outpatient Surgery |
80% after deductible |
60% after deductible |
| Emergency/Urgent Care Facility |
$50/$25 copay |
$50/$25 copayment |
| Outpatient Rehabilitation |
$10 copayment |
60% after deductible |
| Durable Medical Equipment |
80% after deductible |
60% after deductible |
| Retail Prescription Drugs (1
month supply) |
$15 generic/$30 brand/$45
Non-Preferred |
Not covered |
| Mail Order Prescription Drugs (3
month supply) |
$30 generic/$60 brand |
Not covered |
| *Medical
Out-of-Pocket Maximum excludes deductible |
| |
|
|
| DENTAL OPTIONS |
|
|
| FEATURES |
PASSIVE DPPO PLAN |
|
| |
IN-NETWORK |
OUT-OF-NETWORK |
| Annual Deductible (Individual/Family) |
$125/$375 applies to all but diagnostic and
preventative care |
$125/$275 applies to all but diagnostic and
preventative care |
| Annual Benefit Maximum |
$1,000 |
$1,000 |
| Diagnostic and Preventive Care |
80% no deductible |
80% after deductible |
| Basic Restorative Care |
80% after deductible |
80% after deductible |
| Major Restorative Care |
50% after deductible |
50% after deductible |
| Orthodontia |
50% after deductible |
50% after deductible |
| Lifetime Orthodontia Benefit Maximum |
$1,000 |
$1,000 |
| |
|
|
| FEATURES |
DHMO PLAN |
|
| |
IN-NETWORK |
OUT-OF-NETWORK |
| Annual Deductible (Individual/Family) |
None |
Not covered |
| Annual Benefit Maximum |
None |
Not covered |
| Diagnostic and Preventive Care |
Most services at $0 copayment |
Not covered |
| Basic Restorative Care |
Copayments from $0 to $335 |
Not covered |
| Major Restorative Care |
Copayments from $10 to $440 |
Not covered |
| Orthodontia |
Copayments from $40 to $1900 |
Not covered |
| Lifetime Orthodontia Benefit Maximum |
24 continuous months |
Not covered |
*Where PPO networks are not available, an indemnity plan is
offered
*To obtain enrollment packets and premium rates, contact
Marsh@Worksolutions,
the third party administrator for the plan at 1-800-557-1053 |
|