Cigna Healthcare Individual and Family Plan Benefits

¹Includes 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.

³Health 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. In Colorado, the preferred generic prescription drug tier is not available.

⁴The 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.

⁵The Reloadable Reward Card is just one example of what may be redeemed with earned points in the Cigna Take Control Rewards^® program marketplace. The Health Assessment must be completed on myCigna and all four behaviors associated with the Annual Wellness/Preventive Care tile on the Take Control Rewards site must be completed. Points for the Wellness Exam and A1C Test are applied 10-15 business days after the health care provider submits the claim and that claim is received by Cigna Healthcare. There can be significant delays with getting your points added to your balance as it depends on when your health care provider submitted the claim to Cigna Healthcare.

⁶Healthy 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.

⁷Discounts 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.

⁸Includes Dexcom G6 Receiver and Dexcom G6 Sensor and Transmitter, Dexcom G7 Receiver and Dexcom G7 Sensor, FreeStyle Libre 14 Day Reader and FreeStyle Libre 14 Day Sensor, FreeStyle Libre 2 Reader and FreeStyle Libre 2 Sensor, FreeStyle Libre 3 Reader, FreeStyle Libre 3 Sensor, OneTouch Ultra2 Glucose Meter, OneTouch Verio Flex Meter.

⁹$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. Virtual dermatological visits through MDLIVE are completed via asynchronous messaging. Diagnoses requiring testing cannot be confirmed. Customers will be referred to seek in-person care.

¹⁰The 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.

¹¹Just 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.

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.