Cigna Healthcare Individual and Family Plan Benefits

Why choose Cigna Healthcare? Whether you want personalized health care support or lower costs, we provide you with access to the expertise and care you need, when you need it.

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Affordability

Our health insurance plans and programs give you affordable, quality care options that fit every budget.

$0 Product Features and Additional Copay Savings

Cigna Healthcare SM * customers can access flexible plan features that make health care more affordable. Choose from plans that offer:

Assistance for Those with Diabetes

If you have diabetes, lower your out-of-pocket costs by 40% or more. 4 Benefits include:

24/7 Virtual Care

It’s hard to find time to take care of yourself and your family members. That’s why Cigna Healthcare plans give you access to 24/7 medical and behavioral health virtual care. 8

Whether it’s late at night and your preferred doctor or therapist isn’t available, or you can’t schedule appointments because of work or family obligations, you can:

Medical Virtual Care

Board-certified doctors and pediatricians can diagnose and treat, as well as prescribe most medications for, minor medical conditions, such as:

Behavioral Health Virtual Care

Licensed counselors and psychiatrists can diagnose and treat, as well as prescribe most medications for, nonemergency behavioral/mental health conditions, such as:

Guided Customer Care

Cigna Healthcare provides all our customers the support they need to effectively navigate the world of health care.

We also understand that sometimes you may have a concern that requires additional attention. For challenging situations that require more time, energy, and expert assistance, Cigna Healthcare customers can access the following programs.

My Personal Champion ®

If you have severe health circumstances or highly complex, specialized conditions, Cigna Healthcare realizes you need dedicated support. That's why we offer the My Personal Champion program—at no additional cost—for individuals faced with challenging situations that require more time, energy, and expert assistance. A personal champion’s role may alternate between advocate, coordinator, researcher, and teacher to accomplish the key objectives of the customized plan, including:

Therapeutic Resource Centers

Get direct access to specialty pharmacists for expert guidance on your medications, potential drug interactions, and condition-specific counsel including:

Personalized Digital Tools

The myCigna ® website and app is your comprehensive and personalized health management portal. 9

Our online experience can help you identify the right providers, care settings, and health improvement programs that can result in a healthier you. Here are some ways you can use our online tools:

Rewards and Discounts

Make the most of your health plan with programs designed to help you earn up to $325 in rewards and save money.

Take Control Rewards

Watch informative videos, read helpful information, and complete other simple activities to earn reward points. Redeem points for a Reloadable Reward Card which could be used toward health care costs. 10

Choose from a variety of Marketplace rewards including:

Roku ® Express Streaming Player

Enjoy high-definition TV of your favorite TV shows, movies, sports, music, and more.

Fitbit ® – Charge 4 Activity Tracker

Pursue your fitness goals with an activity tracker that covers all the bases.

COSTCO ® 1-year Membership Certificate

Save on brand-name products for one year at any Costco location and online at Costco.com.

Healthy Rewards Discount Program

Get discounts on the products and programs you use every day. 11 Cigna Healthcare customers can access discounts to products and services via myCigna.com, including:

24/7/365 Customer Service

We are here for you when you need us the most.

Have questions about your plan or claims? Contact us by phone anytime. Translation services are available in 150 languages. You can also access myCigna.com and the myCigna app to see your plan details and review transactions on your schedule.

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Dental Coverage

Supplemental Coverage

* Plans are insured by Cigna Health and Life Insurance Company or its affiliates: For Arizona residents, health plans are offered by Cigna HealthCare of Arizona, Inc. For Georgia residents, health plans are offered by Cigna HealthCare of Georgia, Inc. For Illinois residents, health plans are offered by Cigna HealthCare of Illinois, Inc. For North Carolina residents, health plans are offered by Cigna HealthCare of North Carolina, Inc. For South Carolina residents, health plans are offered by Cigna HealthCare of South Carolina, Inc. For Texas residents, health plans are offered by Cigna HealthCare of Texas, Inc. In Utah, products and services provided by Cigna Health and Life Insurance Company (CHLIC), (Bloomfield, CT).

**Just because a health care provider is listed in the directory doesn't mean that your health plan will cover all services. Look at your official plan documents, or call the number listed on your ID card, for information about the services your plan covers.

1 Availability of $0 preventive care (no cost share) by plan may vary. Includes eligible in-network preventive care services. Some preventive care services may not be covered, including most immunizations for travel. Reference plan documents for a list of covered and non-covered preventive care services.

2 $0 deductible and $0 copay are available on select Cigna Healthcare individual and family health care plans. Reference plan documents for more information.

3 Health benefit plans may be different, but in general to be eligible for coverage a drug must be approved by the Food and Drug Administration (FDA), prescribed by a health care professional, purchased from a licensed pharmacy and be medically necessary. If your plan provides coverage for certain prescription drugs with no cost-share, you have to use an in-network pharmacy to fill the prescription. If you use a pharmacy that does not participate in your plan’s network, your prescription may not be covered or reimbursement may be limited by your plan’s copayment, coinsurance or deductible requirements. Look at your plan documents for more information about your plan’s prescription drug coverage.

4 Discounts available with the Cigna Healthcare Patient Assurance Program. $25 is the maximum out-of-pocket cost for a 30-day supply of covered, eligible insulin. Customers in HSA plans will need to meet their deductible prior to receiving any of the $0 diabetes benefits mentioned.

5 Supplies include infusion pump maintenance, infusion sets, and skin preparation supplies.

6 Refer to plan documents for a description of equipment, supplies, and select tests and services that are covered through these plans. Enhanced Diabetes Care plans not available in all states.

7 Includes Dexcom G6 Receiver and Dexcom G6 Sensor and Transmitter, Dexcom G7 Receiver and Dexcom G7 Sensor, FreeStyle Libre 10 Day Reader and Libre 10 Day Sensor, FreeStyle Libre 14 Day Reader and FreeStyle Libre 14 Day Sensor, FreeStyle Libre 2 Reader and FreeStyle Libre 2 Sensor, OneTouch Ultra2 Glucose Meter, OneTouch Verio Flex Meter, OneTouch Verio Reflect Meter.

8 $0 virtual care (no cost share) for eligible preventive care and Dedicated Virtual Urgent Care for minor acute medical conditions. Not available for all plans. HSA plans and non-minor acute medical care may apply a copay, coinsurance or deductible. Cigna Healthcare provides access to Dedicated Virtual Care through a national telehealth provider, MDLive® located on myCigna, as part of your health plan. Providers are solely responsible for any treatment provided to their patients. Video chat may not be available in all areas or with all providers. Virtual care does not guarantee that a prescription will be written. Refer to plan documents for complete description of virtual care services and costs, including other telehealth/telemedicine benefits. For IL customers a primary care provider referral may be required for specialist virtual visits.

9 The downloading and use of the myCigna Mobile App is subject to the terms and conditions of the App and the online store from which it is downloaded. Standard mobile phone carrier and data usage charges apply.

10 The Cigna Take Control Rewards® program is available in all states to all primary subscribers who are active Cigna Healthcare medical Individual and Family Plan policy-holders and who are 18 years of age or older. All rewards may be considered taxable income. Contact your personal tax advisor for details. Program participation along with reward redemption is dependent on qualifying premiums being current and fully paid.

11 Healthy Rewards® programs are NOT insurance. Rather, these programs give a discount on the cost of certain goods and services. The customer must pay the entire discounted cost. Some Healthy Rewards programs are not available in all states, and programs may be discontinued at any time. Participating providers are solely responsible for their goods and services.

Product availability may vary by location and plan type and is subject to change. All group health insurance policies and health benefit plans contain exclusions and limitations. For costs and details of coverage, review your plan documents or contact a Cigna Healthcare representative.

Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company, Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. In Utah, products and services provided by Cigna Health and Life Insurance Company (CHLIC), (Bloomfield, CT).