CIGNA In-Net 20 Plan
The CIGNA In-Net 20 plan offers in-network coverage only. That is to say that your provider must be contracted through the CIGNA Open Access Plus network, which is a national network (in-network providers are available nation-wide).
The features of this plan include:
$20 co-payment to visit a Primary Care Physician, OB-GYN, or Specialist.
No referrals are needed.
The annual (calendar year) Out-of-Pocket Maximum is $2,000 for individual coverage and $4,000 for employee +1 and family coverage.
Preventive care exams are covered at 100%.
No charge for in-network hospitalization.
$75 Emergency Room co-payment, which is waived if you (or a covered dependent) are admitted to the hospital.
- In-network prescription co-payments of: $10 for generic medications, $25 for preferred brand medications, and $50 for non-preferred brand medications, after the calendar year deductible for non-generic prescriptions ($100 per person, $300 for +1 and family) has been satisfied. Certain maintenance medications are available via mail order for 1 co-payment for a 90-day supply.
There is no coverage for out-of-network services. The only exception may apply for an emergency situation, in which the charges are specifically coded as such.
Per Paycheck Premiums (July 1, 2014 through June 30, 2015)
CIGNA In-Net 20 Plan Certificate of Coverage (COMING SOON!)