Post on 21-Dec-2015
transcript
What IfYou Could Find More Value In Your Health
Plan
Knowing what your plan offers – and using it effectively – will help you get healthy and stay healthy
YOU CAN
Open Access PlusWith a CIGNA HealthCare Open Access Plus plan, you get:
Access to a nationwide network of doctors and hospitals – Services received outside of New Mexico receive the same coverage
No Borders --- seeking care including El Paso works the same way – full network of Providers –Sierra, Providence, Del Sol, Las Palmas, Physicians Hospitals
Freedom to visit any provider — Including non-contracted providers
Plan Highlights Focus on wellness and preventive care
Lower out-of-pocket costs and no claim forms with participating providers
No Primary Care Physician Required
No Referrals Required for Specialty Care
Plan HighlightsBENEFIT In-Network Out-of-Network
Wellness Office Visit
No Charge* No Charge*
Primary Care $10 copay per visit*
30% after plan deductible
Specialty Care $25 copay per visit 30% after plan deductible
Urgent Care
Emergency Room
$35 copay per visit
$150 copay per visit
30% after plan deductible
Laboratory Services
No Charge* 30% after plan deductible
X-Ray
MRI/PET Scans
No Charge
10% Coinsurance
30% after plan deductible
*Deductible does not apply
Plan HighlightsBENEFIT In-Network Out-of-Network
Inpatient Hospital $300 copay 30% after plan deductible
Outpatient Facility
(other services 100%)
10% Coinsurance 30% after plan deductible
Short Term Rehab (Physical, Speech Occupational,
Pulmonary, Cardiac)
$25 copay per visit 30% after plan deductible
Rehabilitative Therapy
(Chiropractic, Napropathy, Acupuncture, Massage Therapy, Rolfing)
($1,500 maximum/yr)
$25 copay per visit 30% after plan deductible
InformedTurn to myCIGNA.com for Facts and
Guidance
Cost Reference Tool
Learn more about hospitals
— Select Quality Care
— “Centers of Excellence”
WebMDSM Health Record
WebMDSM Personal Health Manager
Healthwise® Medical Encyclopedia
PreventionGet an ounce (or more) of
prevention
100% Coverage for Wellness Exams
Visit myCIGNA.com for easy, secure access to health and wellness tools, including guidelines for proper preventive care
“My Health at-a-Glance” – CIGNA/WebMD Health Quotient Risk Assessment
Awareness
Let CIGNA HealthCare be your consumer health source – online or on the phone
Assistance and direction from a nurse – 24-Hour Health Information Line
Guidance for a happy and healthy pregnancy – Healthy Babies
Help managing chronic conditions – Well Aware for Better Health
Awareness
Resources for members with chronic conditions - Cardiac, Pulmonary Disease, Diabetes, Low Back Pain and Asthma
Educational materials
Self-care tools
Support and information
Case Management
Well Aware for Better Health
RewardedJust Walk 10,000 Steps-A-Day Walking Program8-week online program allows
Fitness Club MembershipsReduced rates at over 1600 participating fitness clubs
Weight Loss Program DiscountsDiscounted membership for traditional meetings, online, or at home
Book, Magazines, Videos & TapesDiscounts on a variety of health education and skill-building resources.
Health & Wellness Products5% Discount
Complementary & Alternative MedicineReduced rates at over 20,000 participating providers offering chiropractic, acupuncture, naturopathic medicine and massage therapy.Discounts on yoga magazines, books and CDs.
Laser Vision Correction (LASIK)Reduced rates at over 240 participating facilities
Eyeglasses & Contacts Reduced rates at nearly 15,000 participating retailers and providers.30% off on eyeglasses, 15% off contact lenses, and $5 vision exams.
Tobacco CessationEmployee-pay tobacco cessation program. Discounts on Habitrol nicotine replacement therapy.
Book, Magazines, Videos & TapesDiscounts on a variety of health education and skill-building resources.
“CIGNA HealthCare” refers to various operating subsidiaries of CIGNA Corporation. Products and services are provided by these subsidiaries and not by CIGNA Corporation. These subsidiaries include Connecticut General Life Insurance Company, Tel-Drug, Inc. and its affiliates, CIGNA Behavioral Health, Inc., Intracorp, and HMO or service company subsidiaries of CIGNA Health Corporation and CIGNA Dental Health, Inc.
In Arizona, HMO plans are offered by CIGNA HealthCare of Arizona, Inc. In California, HMO plans are offered by CIGNA HealthCare of California, Inc. In Virginia, HMO plans are offered by CIGNA HealthCare of Virginia, Inc. and CIGNA HealthCare Mid-Atlantic, Inc. In North Carolina, HMO plans are offered by CIGNA HealthCare of North Carolina, Inc. All other medical plans in these states are insured or administered by Connecticut General Life Insurance Company.
A Business of Caring
Our business is your health. We provide:
Access to quality health care
We want to make things simple for you. Call the helpful pre-enrollment hotline
1.800.CIGNA24 and press 3