One guide helps you navigate the health care system and make the. In texas, open access plus plans are considered preferred provider plans with certain managed care features and open access plusin plans are considered exclusive provider plans with certain managed care features. To find a provider or hospital within a local plus area, visit cigna. Family physicians who accept cigna open access plus near. In partnership with its intergovernmental igo and nongovernmental ngo clients, cigna designs and administers employee benefits programmes, and provides expert advice on funding. Middle plan open access epo the middle plan is a network based program which exclusively offers access to cigna healthcare s network. See all family physician office locations in corpus christi that accept cigna open access plus and. In texas, open access plus plans are considered preferred provider plans, and open access plus innetwork plans are considered exclusive provider plans, with certain managed care features. Churchill county group policys coverage 00607947 open access plus medical benefits effective date. Cigna health and life insurance company a cigna company hereinafter called cigna certifies that it insures certain employees for the benefits provided by the following policys. If you or your dependents need medical care while away from home, you may have access to a national network of participating providers through. Cigna oap option plan benefit summary stetson university. The medical and drug benefits described in this booklet are selffunded by the employer.
In the event of any inconsistency between this summary and the health benefits booklet, the provisions as defined. Open access plus proclaim be 7857937 cigna oap option 7857937. If cigna, in its role as benefits administrator, determines that a pharmacy, pharmaceutical manufacturer or other third party is waiving, discounting, reducing, forgiving or has waived, discounted, reduced, or forgiven any portion of the charges andor any. Find a family physician who accepts cigna open access plus near you in corpus christi, tx.
Benefits outlined below are intended as a general summary and are covered only when using a cigna open access plus network participating provider. The downloading and use of the mycigna app is subject to the terms and conditions of the app and the online store from which it is downloaded. Plan name innetwork providers are not available in chicago, il. The exact figures will vary with your plan and employer. In addition, when using this skill, please understand that your protected health information is safeguarded by state and federal data privacy laws, including the health insurance portability and accountability act of. Visit any cigna open access plus network providerno referrals. You may find a provider at the premier plans utilize the open access plus network while the. January 1, 2012 aso17 3330877 this document printed in july,2012 takes the place of any documents previously issued to you which described your benefits. The plan helps keep costs lower and save you money on outofpocket expenses. Our contact centre is available 247, 365 days a year. The employer is fully responsible for the selffunded benefits.
Always confirm that all your provides are part of the cigna open access plus network. The employee benefit highlights booklet provides a general summary of these benefit options as a convenient reference. Cigna health and life insurance company, connecticut general life insurance company or their affiliates. Diagnosticrelated services are covered at the same level of benefits as other. Cignas open access innetwork plan oapin includes a vision plan benefit.
Wesleyan home human resources faculty benefits cigna oapin. Sample booklets cigna open access plus plan cigna comprehensive plan cigna exclusive provider plan cigna localplus plan cigna preferred provider plan cigna healthcare hmoopen access plan cigna healthcare point of service plan. Check the location settings on your devicebrowser to allow. Your summary of benefits your summary of bene ts gives you important information on the medical bene ts and other types of services your plan covers. Group health insurance and health benefit plans are insured or administered by chlic, connecticut general life insurance company cglic, or their affiliates see a listing of the legal entities that insure or administer group hmo, dental hmo, and other. The certificate booklet will govern should a conflict arise related to the information contained in this website. Again, you have access to caregivers outside the network, but youll pay for the privilege. January 1, 20 aso24 oap4r 3173992 this document printed in april, 20 takes the place of any documents previously issued to you which described your benefits.
Cignas range of open access plans are also ppo plans at heart, but they offer access to a larger national network of health care providers. All benefits are subject to the terms and conditions of your health benefits booklet. Local plus networks provide access to selected groups of local, quality health care professionals and facilities. This skill is part of s platform and is operated and serviced by amazon, not cigna.
To search for providers who participate in the cigna open access plus network, click the cigna innetwork link. It is possible that an employee on the oapin plan could have both vision plans, if the optional vsp coverage was selected during benefit reenrollment in november. The cigna website does not have permission to use your location. You may have to pay a deductible annual amount before the plan begins to pay for covered health care costs.
Please read the entire booklet for details about your benefits. Thats why we offer so many resources to help you stay healthy and happy from helping you budget for health care expenses through an hsa or fsa, to providing innovative telemedicine access with amwell and our virtual healthy life centers, to delivering resources to help you. Medical plans are insured andor administered by cigna health and life insurance company chlic or connecticut general life insurance company. The plan contains limitations and restrictions that could reduce the benefits payable under the plan. Cigna offers tailored health insurance and employee benefits programmes for igos, ngos, international businesses and their globally mobile employees.
In some cases location services may be disabled by default or not allowed based on a corporate browser restriction. Legal entity, plan terms and benefits, including cost sharing, may vary from your actual coverage based on the plan selected and state mandates which are not reflected in this sample document. Plan documents schoolcare, nh health benefit plans. State health benefit plan standard hra plan option. Our cigna collaborative care 1 valuebased arrangements are embedded in our network. Health benefits booklet dental benefits booklet 2020 cigna preventive care screenings list 2019 cigna prescription drug list. Access plus, oa plus, choice fund oa plus under select a plan if you are not yet covered by cigna but have questions about this coverage andor the network, please call cignas preenrollment hotline reference the matrix plan number 3342680. The information contained in this website does not establish eligibility to participate in or receive benefits from any benefit plan.
Cigna open access plus innetwork only plan ataglance 6. Cigna health and life insurance co open access plus coverage for. To understand how claims work for outofnetwork care and learn about the maximum reimbursable charge, see page 22. Open access plus open access plus innetwork cigna care. Open access plus medical benefits summary this summary provides a general description of your medical benefits. To search for providers who participate in the cigna open access plus network click the link below and you will be directed to the search page. January 1, 2012 aso 3330877 this document printed in november, 2012 takes the place of any documents previously issued to you. Cigna open access plus in network, human resources. Open access plus oap is a type of health insurance plan or health benefits plan that allows you to choose your health care providers. Individual and family medical and dental insurance plans are insured by cigna health and life insurance company chlic, cigna healthcare of arizona, inc. State health benefit plan wellness high deductible health plan option open access plus medical benefits effective date.
Mohawks benefits are here to help you make the right choices for you and your family. For a full description, refer to the plan document. The entire deductible must be met before coinsurance can apply. Retiree plan open enrollment november 1 loudoun county. When care is received from a doctor or facility that is not in the cigna healthcare. Cignas summary of benefits and coverage sbc document or. Members must use a cigna innetwork provider while participating in this plan. Medical benefit resource center welcome to nfp benefits. State health benefit plan wellness high deductible. They are a team of health care providers all working together to provide the right care for you and your family.
Our team is happy to answer any questions you may have, in your preferred language. Cigna open access plus plans offer choice and convenience access to a broad national provider network, while allowing members to make their own health care choices. While you may see either innetwork or outofnetwork providers, to make the most of your coverage, look for innetwork providers under find care on. You can also access many of these services and tools via the cigna health benefits app. Open access plus proclaim be oap copay plan to exclude from their plan, and not pay for, coverage for elective abortions. The benefits differ from the optional vsp vision plan. Cigna open access plus high deductible health plan hdhp ataglance 7. Consumer driven plan summaries for the cigna medicare surround plan in december. These providers will process at the innetwork benefit percentage level tier 3. Standard mobile phone carrier and data usage charges apply. Churchill county open access plus base plan effective. The following providers are in the cigna open access plus network. The employee benefit guide provides a general summary of these benefit.
You should look at the summary plan description from your employer, it will describe the benefits its often available on the companys benefits website, if you have one of those if not, you may have to request a. These two plans are your standard deductible, copay and coinsurance plans. Cigna health and life insurance company cigna processes claims and provides other services to the. Cignas dedicated international organisations unit is more than your typical insurance provider. O ered by cigna health and life insurance company, connecticut general life insurance company, or their a liates. This plan provides benefits for expenses incurred innetwork.
If youre covered under an employer that has 50 or fewer employees. Cigna open access innetwork plan vision benefit human. Tier 3 the cigna open access plus oap network includes physicians, hospitals and ancillary providers throughout the united states. Please be sure to confirm your doctor participation with cigna prior to your visit. Employee benefit highlights benefits administration.
Cigna health and life insurance co open access plus. Oap the summary of benefits and coverage sbc document will help you choose a health plan. You should read your plan documents to determine whether you have prescription drug coverage, coverage for mental health and substance abuse, andor vision care. Find a provider the cigna open access plus network includes physicians, hospitals and ancillary providers through the united states. January 1, 2020 cn017 00476a 1054672 this document printed in december, 2019 takes the place of any documents previously issued to you which described your benefits. Cignas large provider network makes it easy for employees to get quality innetwork care. Jan 1, 2019 open access plus proclaim be oap copay plan 7348527.
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