When deciding which medical plan is right for you and your family, it is important to consider the total cost of coverage. This includes what you pay in premiums and what you pay for services out of your pocket. Take a look at the table below to compare the medical plans.
Benefit | PPO Plus HSA | PPO | HMO (CA Only) |
---|---|---|---|
Annual deductible to satisfy | Yes | Yes | N/A |
Coinsurance for services | Yes | Yes | N/A |
Copay for services | N/A | Yes | Yes |
Eligible to enroll in the HSA | Yes | N/A | N/A |
Eligible to enroll in the Health Care FSA | N/A | Yes | Yes |
Eligible to enroll in the Dependent Care FSA | Yes | Yes | Yes |
In-network coverage | Yes | Yes | Yes |
Out-of-network coverage | Yes | Yes | N/A |
Premiums | Low | High | Low |
Primary Care Physician (PCP) required | N/A | N/A | Yes |
Referrals for Specialists required | N/A | N/A | Yes |
Technicolor Group HSA employer and employee contributions | Yes | N/A | N/A |
Telemedicine services | Yes | Yes | Yes |
Cigna members with an infertility diagnosis will be eligible to receive additional fertility solutions up to a lifetime maximum of $25,000. Call Cigna at (800) 244-6224 for more plan details.
Balance billing occurs if you visit an out-of-network provider. The provider can bill you for the difference between what your health insurance chooses to reimburse and what the provider chooses to charge. To receive the highest level of coverage, always visit in-network providers.
Looking for ways to keep more dollars in your pocket? Mail-order pharmacy is a great way to save time and money by having your medications delivered to your door. For medications taken regularly (such as high blood pressure or diabetes medicine), Ask your doctor to provide you with a 90-day prescription.
Cigna:
Kaiser (CA Only):
The machine-readable files are made available in response to the federal Transparency in Coverage Rule and include negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.