Compare Medical Plans
| scroll right on mobile to view -> | Cigna Select Network HMO | Cigna Full Network HMO | Cigna HDHP | Cigna PPO | ||
| In-Network | In-Network | In-Network | Out-of-Network | In-Network | Out-of-Network | |
| Annual Deductible | $250 individual $500 family |
$500 individual $1,000 family |
$2,000 individual $3,000 individual within a family $4,000 family |
$4,000 individual $3,000 individual within a family $8,000 family |
$1,000 individual $2,000 family |
$1,000 individual $2,000 family |
| Annual Out-of-Pocket Maximum | $1,500 individual $3,000 family | $1,500 individual $3,000 family | $4,000 individual $8,000 family | $8,000 individual $16,000 family | $4,000 individual $8,000 family | $6,000 individual $12,000 family |
| Physician Care | Select HMO (In-Network) | Full HMO (In-Network) | HDHP (In-Network) | HDHP (Out-of-Network) | PPO (In-Network) | PPO (Out-of-Network) |
| Office Visit | $25 | $30 | 20% | 40% | 20% | 40% |
| Specialist Visit | $40 | $50 | 20% | 40% | 20% | 40% |
| Preventive Health Services (includes annual health screening) | No Charge | No Charge | No Charge | Not Covered | No Charge | Not Covered |
| Physical, Occupational, & Speech Therapy | $25 | $30 | 20% | 40% | 20% | 40% |
| Chiropractic | $10 (20 visits max per year) |
$10 (20 visits max per year) |
20% | 40% | 20% | 40% |
| Urgent Care | $50 (copay waived if admitted) | $50 (copay waived if admitted) | 20% | 20% | $50 | $50 |
| Inpatient Care | Select HMO (In-Network) | Full HMO (In-Network) | HDHP (In-Network) | HDHP (Out-of-Network) | PPO (In-Network) | PPO (Out-of-Network) |
| Inpatient Hospital Services | 20% after deductible |
20% after deductible |
20% | 40% | 20% | 40% |
| Outpatient Care | Select HMO (In-Network) | Full HMO (In-Network) | HDHP (In-Network) | HDHP (Out-of-Network) | PPO (In-Network) | PPO (Out-of-Network) |
| Lab & X-ray | No Charge | No Charge | 20% | 40% | 20% | 40% |
| Advanced Radiology | $100 (per test) | $100 (per test) | 20% | 40% | 20% | 40% |
| Outpatient Surgery | $250 | $250 | 20% | 40% | 20% | 40% |
| Emergency Room | $200 (waived if admitted) |
$200 (waived if admitted) |
20% | 20% | $200 (waived if admitted) |
$200 (waived if admitted) |
| Mental Health/Substance Abuse | Select HMO (In-Network) | Full HMO (In-Network) | HDHP (In-Network) | HDHP (Out-of-Network) | PPO (In-Network) | PPO (Out-of-Network) |
| Inpatient/Facility Based Stay | 20% after deductible | 20% after deductible | 20% | 40% | 20% | 40% |
| Outpatient Provider Visit | $25 | $30 | 20% | 40% | 20% | 40% |
| Prescriptions | Select HMO (In-Network) | Full HMO (In-Network) | HDHP (In-Network) | HDHP (Out-of-Network) | PPO (In-Network) | PPO (Out-of-Network) |
| Retail/Mail Order | 30 Day / 90 Day | 30 Day / 90 Day | 30 Day / 90 Day | 30 Day / 90 Day | 30 Day / 90 Day | 30 Day / 90 Day |
| Generic | $15 / $40 | $15 / $40 | $10/$20 After Deductible |
Not Covered | $15/$30 | Not Covered |
| Brand | $40 / $115 | $50 / $145 | $30/$60 After Deductible |
Not Covered | $30/$60 | Not Covered |
| Non-Formulary | $60 / $175 | $75 / $220 | $50/$100 After Deductible |
Not Covered | $45/$90 | Not Covered |
| Specialty | $60 / $175 | $75 / $220 | $50/$100 After Deductible |
Not Covered | $45/$90 | Not Covered |
