Cigna - Cigna Connect 5250

Tennessee, 2018

  • Plan Type

    EPO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $7,350

  • Deductible

    $5,250

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $5,250
Deductible (Family) $10,500
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit 40% Coinsurance after deductible
Specialist Visit 40% Coinsurance after deductible
Inpatient Facility 40% Coinsurance after deductible
Inpatient Physician 40% Coinsurance after deductible
Emergency Room Services 40% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 40% Coinsurance after deductible
X-Ray and Diagnostic Imaging 40% Coinsurance after deductible

Health Management Programs

Asthma Available
Depression Not available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient 40% Coinsurance after deductible
Rehabilitative Speech Therapy 40% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 40% Coinsurance after deductible
Outpatient Facility 40% Coinsurance after deductible
Outpatient Surgery 40% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 40% Coinsurance after deductible
Non Preferred Brand Rx Data Not Available
Specialty Drugs

Other Plans in Tennessee

Plan Cigna Connect 4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 4750 Deductible $4,750 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 7000 Deductible $7,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 4750 Deductible $4,750 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 4750 Deductible $4,750 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 1200 Deductible $1,200 Coinsurance Not applicable Out of Pocket $7,000
Plan Cigna Connect 1200 Deductible $1,200 Coinsurance Not applicable Out of Pocket $7,000
Plan Cigna Connect 7000 Deductible $7,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 7000 Deductible $7,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 1200 Deductible $1,200 Coinsurance Not applicable Out of Pocket $7,000
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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $5,250
Deductible (Family) $10,500
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit 40% Coinsurance after deductible
Specialist Visit 40% Coinsurance after deductible
Inpatient Facility 40% Coinsurance after deductible
Inpatient Physician 40% Coinsurance after deductible
Emergency Room Services 40% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 40% Coinsurance after deductible
X-Ray and Diagnostic Imaging 40% Coinsurance after deductible

Health Management Programs

Asthma Available
Depression Not available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient 40% Coinsurance after deductible
Rehabilitative Speech Therapy 40% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 40% Coinsurance after deductible
Outpatient Facility 40% Coinsurance after deductible
Outpatient Surgery 40% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 40% Coinsurance after deductible
Non Preferred Brand Rx Data Not Available
Specialty Drugs

Other Plans in Tennessee

Plan Cigna Connect 4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 4750 Deductible $4,750 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 7000 Deductible $7,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 4750 Deductible $4,750 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 4750 Deductible $4,750 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 1200 Deductible $1,200 Coinsurance Not applicable Out of Pocket $7,000
Plan Cigna Connect 1200 Deductible $1,200 Coinsurance Not applicable Out of Pocket $7,000
Plan Cigna Connect 7000 Deductible $7,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 7000 Deductible $7,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Cigna Connect 1200 Deductible $1,200 Coinsurance Not applicable Out of Pocket $7,000