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The higher your coinsurance percentage, the higher your share of the cost is. Out-of-pocket maximum is the most you could pay for covered medical expenses in a year. This amount includes money you spend on deductibles, copays, and coinsurance. Once you reach your annual out-of-pocket maximum, your health plan will pay your covered medical and prescription costs for the rest of the year. Then, your coinsurance kicks in.
Depending on your plan, the numbers will vary—but you get the idea. View Cigna Company Names. 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. Refer to your plan documents for costs and details of coverage under your specific health plan. All rights reserved. All insurance policies and group benefit plans contain exclusions and limitations.
For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative.
This website is not intended for residents of New Mexico. Selecting these links will take you away from Cigna. Cigna may not control the content or links of non-Cigna websites. Special Enrollment See all topics Looking for Medicare coverage? Shop for Medicare plans.
Member Guide. Find a Doctor. Home Knowledge Center Deductible vs. Copay and Coinsurance. Copays, Deductibles, and Coinsurance. How do out-of-pocket costs work? Length: Watch Video. Copays, Deductibles, and Coinsurance Definitions Let's take an in-depth look at what these terms mean, how they work together, and how they are different.
Copays What is a copay? Do I always have a copay? Deductibles What is a deductible? Benefits Information Error loading table data. Cigna may receive payments from manufacturers of certain preferred brand medications, and in limited instances, certain non-preferred brand medications, that may or may not be shared with your plan depending on its arrangement with Cigna.
Health benefit plans vary, 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 medically necessary.
If your plan provides coverage for certain prescription drugs with no cost-share, you may be required to use an in-network pharmacy to fill the prescription.
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 representative. All rights reserved. All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative.
This website is not intended for residents of New Mexico. Selecting these links will take you away from Cigna. Cigna may not control the content or links of non-Cigna websites. Special Enrollment See all topics Looking for Medicare coverage? Shop for Medicare plans.
Member Guide. Find a Doctor.
WebCall Cigna () if you have additional questions When used together, the Cigna Cost of Care Estimator and electronic eligibility and benefits can help streamline . WebSearch for in-network providers, procedures, cost estimates, and more. View Claims. See a list of your most recent claims, their status, and reimbursements. Selecting these links . WebPlans 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 .