Cigna – Colorado Health Plans

Cigna  is a global health service company dedicated to helping people improve their health, well-being and sense of security.

Medical plans are available to residents living in the following counties in Colorado:

Adams, Arapahoe, Broomfield, Denver, Douglas, Jefferson

You  have coast-to-coast coverage

Cigna medical plans in Colorado offer the freedom to use health care professionals in the LocalPlus® Network. When outside of the LocalPlus Network service areas we offer in-network access to providers in the Open Access Plus Network.

How it works:

The LocalPlus Network provides access to health care professionals in your area and other parts of the country. Some of the health care professionals in the LocalPlus Network have separately earned the Cigna Care Designation – recognized for achieving top results on Cigna quality and cost-efficiency measures. When you receive care from a health care professional or hospital in the LocalPlus Network the visit is considered in-network, which helps you incur less out-of-pocket expenses. The LocalPlus Network is a smaller network of participating health care professionals, specialists and hospitals within the larger Cigna Open Access Plus (OAP) Network. Cigna contracts with the LocalPlus Network of health care professionals to ensure that you have referral-free access to quality care, and to keep your health care costs lower. When you are traveling and you are not in a LocalPlus service area, you have access to health care professionals in the Open Access Plus Network and the visit is considered in-network. You also have the freedom to visit a health care professional or hospital not in the network at any time, but you will pay more out-of-pocket for that visit.

Plan Overviews

Catastrophic Bronze HSA Bronze 7150/100
Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim. – In Network(Single/Family) $7,150/$14,300 $6,500/$13,000 $7,150/$14,300
Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim. – Out of Network(Single/Family) $21,450/$42,900 $19,500/$39,000 $21,450/$42,900
Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services – In Network(Single/Family) $7,150/$14,300 $6,500/$13,000 $7,150/$14,300
Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services – Out of Network(Single/Family) $42,900/$85,800 $39,000/$78,000 $42,900/$85,800
CoinsuranceWhat % you pay after your deductible has been met and before your out of pocket max – In Network 0%
CoinsuranceWhat % you pay after your deductible has been met and before your out of pocket max – Out of Network 30%
PCP (In Network) $0 for 3; Copay Deductible $35 for 3; Deductible
Specialist (In Network) Deductible
Urgent Care (In Network) Deductible
Aurora Quickcare/Bellin Fastcare $0 for 3; the Copay Ded/Coins $15 Copay
Emergency Room (In- & Out-of-Network) Deductible
CGHC Doctor Line $0 for 3; then $40 $40 $0 for 3; then $35
In-Network Preventative Care $0
Prescription Drugs (Tier 1) Deductible
Prescription Drugs (Tier 2) Deductible
Prescription Drugs (Tier 3) Deductible
Prescription Drugs (Specialty) Deductible
Silver 3800/80 Silver HSA Silver 2500/80/Copay 35 Silver 2400/80 Silver 2000/70 Silver 3500/80 Silver 5200/80
Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim. – In Network(Single/Family) $3,800/$7,600 $3,000/$6,000 $2,500/$5,000 $2,400/$4,800 $2,000/$4,000 $3,500/$7,000 $5,200/$10,400
 Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim.– Out of Network (Single/Family) $11,400/$22,800 $9,000/$18,000 $7,500/$15,000 $7,200/$14,400 $6,000/$12,000 $10,500/$21,000 $15,600/$31,210
Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services – In Network(Single/Family) $7,150/$14,300 $5,600/$11,200 $7,150/$14,300 $7,150/$14,300 $7,000/$14,000 $7,150/$14,300 $7,150/$14,300
Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services – Out of Network(Single/Family) $21,450/$42,900 $16,800/$33,600 $21,450/$42,900 $21,450/$42,900 $21,000/$42,000 $21,450/$42,900 $21,450/$42,900
CoinsuranceWhat % you pay after your deductible has been met and before your out of pocket max – In Network 20% 20% 20% 20% 30% 20% 20%
CoinsuranceWhat % you pay after your deductible has been met and before your out of pocket max – Out of Network 50%
PCP (In Network) $35 Copay Ded/Coins $35 Copay Ded/Coins Ded/Coins $30 Copay $50 Copay
Specialist (In Network) $60 Copay Ded/Coins $75 Copay Ded/Coins Ded/Coins $65 Copay $80 Copay
Urgent Care (In Network) $50 Copay Ded/Coins $50 Copay Ded/Coins Ded/Coins $75 Copay Ded/Coins
Aurora Quickcare/Bellin Fastcare $15 Copay Ded/Coins $15 Copay Ded/Coins Ded/Coins $30 Copay $15 Copay
Emergency Room (In- & Out-of-Network) $300 Copay Ded/Coins $300 Copay Ded/Coins Ded/Coins Deductible; then $400 Ded/Coins; then $300
CGHC Doctor Line $0 for 3; then $35 $40 $0 for 3; then $35 $0 for 3; then $40 $0 for 3; then $40 $0 for 3; then $30 $0 for 3; then $40
In-Network Preventative Care $0
Prescription Drugs (Tier 1) $25 Copay Ded/Coins $25 Copay Ded/Coins $10 Copay $15 Copay $10 Copay
Prescription Drugs (Tier 2) $55 Copay Ded/Coins $65 Copay Ded/Coins Ded/Coins $50 Copay Deductible; then $75
Prescription Drugs (Tier 3) $75 Copay Ded/Coins $75 Copay Ded/Coins Ded/Coins $100 Copay Deductible; then $75
Prescription Drugs (Specialty) Ded/Coins Ded/Coins Ded/Coins Ded/Coins Ded/Coins 40% Coins; then Deductible Ded/Coins
Gold 1000/90
Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim. – In Network(Single/Family) $1,000/$2,000
Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim. – Out of Network(Single/Family) $3,000/$6,000
Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services – In Network(Single/Family) $7,150/$14,300
Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services – Out of Network(Single/Family) $21,450/$42,500
CoinsuranceWhat % you pay after your deductible has been met and before your out of pocket max – In Network 10%
CoinsuranceWhat % you pay after your deductible has been met and before your out of pocket max – Out of Network 40%
PCP (In Network) $35 Copay
Specialist (In Network) $60 Copay
Urgent Care (In Network) $50 Copay
Aurora Quickcare/Bellin Fastcare $15 Copay
Emergency Room (In- & Out-of-Network) $300 Copay
CGHC Doctor Line $0 for 3; then $35
In-Network Preventative Care $0
Prescription Drugs (Tier 1) $10 Copay
Prescription Drugs (Tier 2) $45 Copay
Prescription Drugs (Tier 3) $75 Copay
Prescription Drugs (Specialty) Ded/Coins

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