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.
     
  • 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.

 

CIGNA In-Net 20 Plan Summary

Per Paycheck Premiums (July 1, 2013 through June 30, 2014)

CIGNA In-Net 20 Plan Certificate of Coverage