Call Cigna to talk

LET'S TALK

1-866-GET-CIGNA
(1-866-438-2446)

8:00 AM - 10:00 PM ET MONDAY-FRIDAY

Florida Eligibility Requirements

All applicants applying for coverage must meet age, dependent status and residency requirements.


Age and Dependent Requirements:

  • Eligible applicants must be under age 65 on the assigned effective date
  • Primary applicants must be age 19 or older; children under the age of 19 may only apply as a dependent on a family plan with one or both parents
  • Dependent children are covered up to age 26. Dependent children who have reached age 26 can continue to be covered up to the end of the calendar year in which they reach age 30 provided the child is unmarried and does not have a dependent of their own and is a resident of Florida or a full-time or part-time student and is not provided coverage as a named subscriber, insured, enrollee, or covered person under any other group, blanket, or franchise health insurance policy or individual health benefits plan, or is not entitled to benefits under Title XVIII of the Social Security Act
  • A newborn child or newly adopted child, born or adopted to an enrolled subscriber, may be added to the subscriber’s plan within 31 days of the birth or adoption. Requests for enrollment beyond 31 days of the birth or adoption will be subject to the full application and medical underwriting evaluation
  • Foster children will automatically be covered for 31 days from the date of placement in the subscriber’s residence. To continue coverage, the foster child must be enrolled as an insured family member by notifying Cigna within 31 days after placement and paying any additional premium. Requests for enrollment beyond 31 days of the foster placement will be subject to the full application and medical underwriting evaluation
  • A child born to one of the subscriber’s dependent children will be eligible for coverage from birth through 18 months of age. This child is automatically covered for the first 31 days of life. To continue coverage, the newborn must be enrolled as an insured family member by notifying Cigna, in writing, within 31 days of the birth and paying any additional premium. Requests for enrollment beyond 31 days of the birth will be subject to the full application and medical underwriting evaluation
  • Foreign exchange students are not eligible dependents

Residency Requirements:

Non-Citizen Residence
  • Must be a legal U.S. resident and must reside within the U.S. for 6 consecutive months prior to applying for coverage
  • Must reside within the state of Florida at the time of application
U.S. Citizens and Expatriates
  • Citizens residing within the U.S. must reside within the state of Florida at time of application
  • Citizens/Expatriates who have been living and working outside the U.S. and who are in process of returning to the U.S. are eligible to apply; the requested effective date must be after their return to the U.S.

Florida Individual Health Insurance Plans Select a state Select State

State of Florida Icone

You’re one-of-a-kind—and so are your health care needs. With many individual health insurance plans in Florida to choose from, we offer affordable plans designed to fit you and your family.

Cigna plans offer 100% coverage for in-network annual check-ups, and you can visit any doctor or specialist, either in-network or out-of-network, with no referral required. With nearly 32,300 in-network health care professionals in our Florida network, you have a lot of options. Plus, you’re covered for emergency and hospital care, and for surgery. What’s healthier than that?

Open Access Plans

Best if you have a lot of doctor’s visits, or may have surgery or hospital stays this year. These plans offer the highest level of coverage after you meet your deductible.

 

PDF Compare All Open Access Plans

Open Access Value Plans

Good if you have fewer visits to the doctor and no major health care needs. Lower premiums, higher annual deductibles, and out-of-pocket maximums mean you pay less per month. 

 

 PDF Compare All Open Access Value Plans 

Health Savings Plans

Health Savings Plans are high deductible plans that can be used with a Health Savings Account to pay for medical costs with pre-tax funds. Best if you have predictable health care costs that you can plan around. 

 

 PDF Compare All Health Savings Plans

Sort Plans:
View By:

Open Access

1000 / 80%

Individual Deductible

$1,000/year

Family Deductible1

$2,000/year

You pay 20%

Office Visit

$252 or $502

Open Access

2000 / 80%

Individual Deductible1

$2,000/year

Family Deductible1

$4,000/year

You pay 20%

Office Visit

$252 or $502

Open Access

3000 / 80%

Individual Deductible1

$3,000/year

Family Deductible1

$6,000/year

You pay 20%

Office Visit

$302 or $602

Open Access

5000 / 80%

Individual Deductible1

$5,000/year

Family Deductible1

$10,000/year

You pay 20%

Office Visit

$302 or $602

Open Access

5000 / 100%

POPULAR

Individual Deductible1

$5,000/year

Family Deductible1

$10,000/year

You pay 0%

Office Visit

$302 or $602

Open Access

7500 / 100%

Individual Deductible1

$7,500/year

Family Deductible1

$15,000/year

You pay 0%

Office Visit

$302 or $602

Open Access

10000 / 100%

Individual Deductible1

$10,000/year

Family Deductible1

$20,000/year

You pay 0%

Office Visit

$302 or $602

Open Access Value

1500 / 80%

Individual Deductible1

$1,500/year

Family Deductible1

$4,500/year

You pay 20%

Office Visit

$402 or $602

Open Access Value

2500 / 80%

POPULAR

Individual Deductible1

$2,500/year

Family Deductible1

$7,500/year

You pay 20%

Office Visit

$402 or $602

Open Access Value

3000 / 70%

Individual Deductible1

$3,000/year

Family Deductible1

$9,000/year

You pay 30%

Office Visit

$402 or $602

Open Access Value

5000 / 70%

POPULAR

Individual Deductible1

$5,000/year

Family Deductible1

$15,000/year

You pay 30%

Office Visit

$402 or $602

Open Access Value

7500 / 70%

Individual Deductible1

$7,500/year

Family Deductible1

$15,000/year

You pay 30%

Office Visit

You pay 30%

Open Access Value

10000 / 70%

Individual Deductible1

$10,000/year

Family Deductible1

$15,000/year

You pay 30%

Office Visit

You pay 30%

Health Savings

1500

Individual Deductible1

$1,500/year

Family Deductible1

$3,000/year

You pay 20%

Office Visit

You pay 20%

Health Savings

3000

Individual Deductible1

$3,000/year

Family Deductible1

$6,000/year

You pay 0%

Office Visit

You pay 0%

Health Savings

5000

Individual Deductible1

$5,000/year

Family Deductible1

$10,000/year

You pay 0%

Office Visit

You pay 0%

IndividualFamily

Annual Deductible1

$1,000

$2,000

You pay 20%

You pay 20%

Office Visit: Basic Care

You pay $252

You pay $252

Office Visit: Specialist

You pay $502

You pay $502

$2,000

$4,000

$250 per member per year

IndividualFamily

Annual Deductible1

$2,000

$4,000

You pay 20%

You pay 20%

Office Visit: Basic Care

You pay $252

You pay $252

Office Visit: Specialist

You pay $502

You pay $502

$3,000

$6,000

$250 per member per year

IndividualFamily

Annual Deductible1

$3,000

$6,000

You pay 20%

You pay 20%

Office Visit: Basic Care

You pay $302

You pay $302

Office Visit: Specialist

You pay $602

You pay $602

$4,000

$8,000

$500 per member per year

IndividualFamily

Annual Deductible1

$5,000

$10,000

You pay 20%

You pay 20%

Office Visit: Basic Care

You pay $302

You pay $302

Office Visit: Specialist

You pay $602

You pay $602

$5,000

$10,000

$500 per member per year

POPULAR
IndividualFamily

Annual Deductible1

$5,000

$10,000

You pay 0%

You pay 0%

Office Visit: Basic Care

You pay $302

You pay $302

Office Visit: Specialist

You pay $602

You pay $602

$0

$0

$500 per member per year

IndividualFamily

Annual Deductible1

$7,500

$15,000

You pay 0%

You pay 0%

Office Visit: Basic Care

You pay $302

You pay $302

Office Visit: Specialist

You pay $602

You pay $602

$0

$0

$500 per member per year

IndividualFamily

Annual Deductible1

$10,000

$20,000

You pay 0%

You pay 0%

Office Visit: Basic Care

You pay $302

You pay $302

Office Visit: Specialist

You pay $602

You pay $602

$0

$0

$500 per member per year

IndividualFamily

Annual Deductible1

$1,500

$4,500

You pay 20%

You pay 20%

Office Visit: Basic Care

You pay $402

You pay $402

Office Visit: Specialist

You pay $602

You pay $602

$5,000

$10,000

$500 per member per year

POPULAR
IndividualFamily

Annual Deductible1

$2,500

$7,500

You pay 20%

You pay 20%

Office Visit: Basic Care

You pay $402

You pay $402

Office Visit: Specialist

You pay $602

You pay $602

$5,000

$10,000

$500 per member per year

IndividualFamily

Annual Deductible1

$3,000

$9,000

You pay 30%

You pay 30%

Office Visit: Basic Care

You pay $402

You pay $402

Office Visit: Specialist

You pay $602

You pay $602

$5,000

$10,000

$500 per member per year

POPULAR
IndividualFamily

Annual Deductible1

$5,000

$15,000

You pay 30%

You pay 30%

Office Visit: Basic Care

You pay $402

You pay $402

Office Visit: Specialist

You pay $602

You pay $602

$5,000

$10,000

$500 per member per year

IndividualFamily

Annual Deductible1

$7,500

$15,000

You pay 30%

You pay 30%

Office Visit: Basic Care

You pay 30%

You pay 30%

Office Visit: Specialist

You pay 30%

You pay 30%

$5,000

$10,000

$500 per member per year

IndividualFamily

Annual Deductible1

$10,000

$15,000

You pay 30%

You pay 30%

Office Visit: Basic Care

You pay 30%

You pay 30%

Office Visit: Specialist

You pay 30%

You pay 30%

$5,000

$10,000

$500 per member per year

IndividualFamily

Annual Deductible1

$1,500

$3,000

You pay $20

You pay $20

Office Visit: Basic Care

You pay 20%

You pay 20%

Office Visit: Specialist

You pay 20%

You pay 20%

$3,000

$6,000

Subject to annual medical deductible

IndividualFamily

Annual Deductible1

$3,000

$6,000

You pay 0%

You pay 0%

Office Visit: Basic Care

You pay 0%

You pay 0%

Office Visit: Specialist

You pay 0%

You pay 0%

$3,000

$6,000

Subject to annual medical deductible

IndividualFamily

Annual Deductible1

$5,000

$10,000

You pay 0%

You pay 0%

Office Visit: Basic Care

You pay 0%

You pay 0%

Office Visit: Specialist

You pay 0%

You pay 0%

$5,000

$10,000

Subject to annual medical deductible

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived

Open Access

1000 / 80%

A lower deductible plan, you’ll have 80% of eligible in-network expenses covered after meeting your deductible. Low copays for office visits, in-network annual check-ups covered at 100% and emergency care coverage will help you and your family be your best.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$1,000

Family Annual Deductible1

$2,000

Coinsurance

You pay 20%

Individual Out-of-Pocket Maximum

$2,000

Family Out-of-Pocket Maximum

$4,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay $252

Office Visit – Specialist

You pay $502

Preventive Care

You pay 0%2

Emergency Room

You pay $5002

Urgent Care

You pay $502

Separate Prescription Drug Deductible

$250 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $10/$35/$60

Home Delivery Pharmacy (90 day supply)

You pay $25/$85/$150

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Open Access

2000 / 80%

With this lower deductible plan, you also have lower copays for office visits and in-network annual check-ups are covered at 100%. After meeting your deductible, you’ll have 80% of eligible in-network expenses, including surgeries, mental health care and much more, covered.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$2,000

Family Annual Deductible1

$4,000

Coinsurance

You pay 20%

Individual Out-of-Pocket Maximum

$3,000

Family Out-of-Pocket Maximum

$6,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay $252

Office Visit – Specialist

You pay $502

Preventive Care

You pay 0%2

Emergency Room

You pay $5002

Urgent Care

You pay $502

Separate Prescription Drug Deductible

$250 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $10/$35/$60

Home Delivery Pharmacy (90 day supply)

You pay $25/$85/$150

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Open Access

3000 / 80%

After you meet your deductible, you’ll have 80% of in-network inpatient and outpatient services—including surgeries and lab work—covered. This plan can help you get and stay healthy with in-network annual check-ups covered at 100% and lower copays for office visits.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$3,000

Family Annual Deductible1

$6,000

Coinsurance

You pay 20%

Individual Out-of-Pocket Maximum

$4,000

Family Out-of-Pocket Maximum

$8,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay $302

Office Visit – Specialist

You pay $602

Preventive Care

You pay 0%2

Emergency Room

You pay $7002

Urgent Care

You pay $502

Separate Prescription Drug Deductible

$500 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $10/$35/$60

Home Delivery Pharmacy (90 day supply)

You pay $25/$85/$150

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Open Access

5000 / 80%

This plan offers 80% in-network coverage after you meet your deductible. Office visits have lower copays, and in-network annual check-ups are covered at 100% to help you maintain your health.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$5,000

Family Annual Deductible1

$10,000

Coinsurance

You pay 20%

Individual Out-of-Pocket Maximum

$5,000

Family Out-of-Pocket Maximum

$10,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay $302

Office Visit – Specialist

You pay $602

Preventive Care

You pay 0%2

Emergency Room

You pay $7002

Urgent Care

You pay $502

Separate Prescription Drug Deductible

$500 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $10/$35/$60

Home Delivery Pharmacy (90 day supply)

You pay $25/$85/$150

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Open Access

5000 / 100%

Use in-network providers and enjoy 100% coverage of your medical bills, including surgeries and lab work, after meeting your deductible. In-network annual check-ups are covered at 100% so you can be as healthy as possible.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$5,000

Family Annual Deductible1

$10,000

Coinsurance

You pay 0%

Individual Out-of-Pocket Maximum

$0

Family Out-of-Pocket Maximum

$0

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay $302

Office Visit – Specialist

You pay $602

Preventive Care

You pay 0%2

Emergency Room

You pay $7002

Urgent Care

You pay $502

Separate Prescription Drug Deductible

$500 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $10/$35/$60

Home Delivery Pharmacy (90 day supply)

You pay $25/$85/$150

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Open Access

7500 / 100%

With this plan, use in-network providers and you’re covered 100% once you meet your deductible. Live well with 100% coverage of most in-network preventive care and annual check-ups, as well as surgeries, lab work and more.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$7,500

Family Annual Deductible1

$15,000

Coinsurance

You pay 0%

Individual Out-of-Pocket Maximum

$0

Family Out-of-Pocket Maximum

$0

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay $302

Office Visit – Specialist

You pay $602

Preventive Care

You pay 0%2

Emergency Room

You pay $7002

Urgent Care

You pay $502

Separate Prescription Drug Deductible

$500 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $10/$35/$60

Home Delivery Pharmacy (90 day supply)

You pay $25/$85/$150

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Open Access

10000 / 100%

With this plan, you’ll have no out-of- pocket expenses once your deductible is reached. Use in-network providers and you’ll get 100% coverage for eligible health services that keep you at your best, including annual check-ups, surgeries, lab work and more.

 

See below for highlights and more information on in-network plan coverage details

In-Network
Individual / Family

Individual Annual Deductible1

$10,000

Family Annual Deductible1

$20,000

Coinsurance

You pay 0%

Individual Out-of-Pocket Maximum

$0

Family Out-of-Pocket Maximum

$0

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay $302

Office Visit – Specialist

You pay $602

Preventive Care

You pay 0%2

Emergency Room

You pay $7002

Urgent Care

You pay $502

Separate Prescription Drug Deductible

$500 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $10/$35/$60

Home Delivery Pharmacy (90 day supply)

You pay $25/$85/$150

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Open Access Value

1500 / 80%

This low deductible plan will help you be at your best with 80% coverage for eligible in-network services after meeting your deductible. You can also take advantage of 100% coverage for most in-network preventive care services and annual check-ups.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$1,500

Family Annual Deductible1

$4,500

Coinsurance

You pay 20%

Individual Out-of-Pocket Maximum

$5,000

Family Out-of-Pocket Maximum

$10,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay $402

Office Visit – Specialist

You pay $602

Preventive Care

You pay 0%2

Emergency Room

You pay $200, then 20% after deductible

Urgent Care

You pay $502

Separate Prescription Drug Deductible

$500 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $15/$40/$65

Home Delivery Pharmacy (90 day supply)

You pay $40/$100/$165

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Open Access Value

2500 / 80%

This value plan features 80% coverage of eligible in-network expenses once your deductible is met. You’ll keep costs in line and health in check with a lower deductible, office visits with low copays and in-network annual check-ups covered at 100%.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$2,500

Family Annual Deductible1

$7,500

Coinsurance

You pay 20%

Individual Out-of-Pocket Maximum

$5,000

Family Out-of-Pocket Maximum

$10,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay $402

Office Visit – Specialist

You pay $602

Preventive Care

You pay 0%2

Emergency Room

You pay $200, then 20% after deductible

Urgent Care

You pay $502

Separate Prescription Drug Deductible

$500 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $15/$40/$65

Home Delivery Pharmacy (90 day supply)

You pay $40/$100/$165

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Open Access Value

3000 / 70%

With this value plan, you’ll have peace of mind knowing that eligible in-network benefits are covered at 70% after meeting your deductible. Plus, in-network annual check-ups are covered at 100% to help you be your best.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$3,000

Family Annual Deductible1

$9,000

Coinsurance

You pay 30%

Individual Out-of-Pocket Maximum

$5,000

Family Out-of-Pocket Maximum

$10,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay $402

Office Visit – Specialist

You pay $602

Preventive Care

You pay 0%2

Emergency Room

You pay $200, then 30% after deductible

Urgent Care

You pay $502

Separate Prescription Drug Deductible

$500 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $15/$40/$65

Home Delivery Pharmacy (90 day supply)

You pay $40/$100/$165

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Open Access Value

5000 / 70%

After you reach your deductible with this value plan, you’ll receive 70% coverage for eligible in-network services. You can keep up with your health with affordable office visits and pharmacy rates and 100% in-network coverage for most preventive services and annual check-ups.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$5,000

Family Annual Deductible1

$15,000

Coinsurance

You pay 30%

Individual Out-of-Pocket Maximum

$5,000

Family Out-of-Pocket Maximum

$10,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay $402

Office Visit – Specialist

You pay $602

Preventive Care

You pay 0%2

Emergency Room

You pay $200, then 30% after deductible

Urgent Care

You pay $502

Separate Prescription Drug Deductible

$500 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $15/$40/$65

Home Delivery Pharmacy (90 day supply)

You pay $40/$100/$165

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Open Access Value

7500 / 70%

This value plan covers 70% of eligible in-network services once you reach your deductible. Get great value with in-network annual check-ups covered at 100%, office visits with low costs and emergency coverage—all with a monthly bill that fits your budget.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$7,500

Family Annual Deductible1

$15,000

Coinsurance

You pay 30%

Individual Out-of-Pocket Maximum

$5,000

Family Out-of-Pocket Maximum

$10,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay 30%

Office Visit – Specialist

You pay 30%

Preventive Care

You pay 0%2

Emergency Room

You pay $200, then 30% after deductible

Urgent Care

You pay 30%

Separate Prescription Drug Deductible

$500 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $15/$40/$65

Home Delivery Pharmacy (90 day supply)

You pay $40/$100/$165

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Open Access Value

10000 / 70%

This value plan offers office visits with low costs, 100% coverage for in-network annual check-ups and emergency coverage. You’ll also receive 70% in-network coverage once your deductible is reached.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$10,000

Family Annual Deductible1

$15,000

Coinsurance

You pay 30%

Individual Out-of-Pocket Maximum

$5,000

Family Out-of-Pocket Maximum

$10,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay 30%

Office Visit – Specialist

You pay 30%

Preventive Care

You pay 0%2

Emergency Room

You pay $200, then 30% after deductible

Urgent Care

You pay 30%

Separate Prescription Drug Deductible

$500 Brand Name Deductible

Retail Pharmacy (30 day supply)

You pay $15/$40/$65

Home Delivery Pharmacy (90 day supply)

You pay $40/$100/$165

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Health Savings

1500

A low deductible health savings plan, you’ll enjoy most eligible in-network services covered at 80%, once you meet your deductible. You benefit by saving for your medical expenses with tax-deferred funds, and if you don’t need them, they will rollover annually. Be at your best with in-network annual check-ups covered at 100% and get affordable rates on prescription drugs.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$1,500

Family Annual Deductible1

$3,000

Coinsurance

You pay 20%

Individual Out-of-Pocket Maximum

$3,000

Family Out-of-Pocket Maximum

$6,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay 20%

Office Visit – Specialist

You pay 20%

Preventive Care

You pay 0%2

Emergency Room

You pay 20%

Urgent Care

You pay 20%

Separate Prescription Drug Deductible

Subject to annual medical deductible

Retail Pharmacy (30 day supply)

You pay $10/$35/$60

Home Delivery Pharmacy (90 day supply)

You pay $25/$85/$150

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Health Savings

3000

Once you meet your deductible, there are no costs for eligible in-network care. You’ll also benefit by saving for your health expenses with tax-deferred funds, and if you don’t need them, they will rollover annually.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$3,000

Family Annual Deductible1

$6,000

Coinsurance

You pay 0%

Individual Out-of-Pocket Maximum

$3,000

Family Out-of-Pocket Maximum

$6,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay 0%

Office Visit – Specialist

You pay 0%

Preventive Care

You pay 0%2

Emergency Room

You pay 0%

Urgent Care

You pay 0%

Separate Prescription Drug Deductible

Subject to annual medical deductible

Retail Pharmacy (30 day supply)

You pay 0%

Home Delivery Pharmacy (90 day supply)

You pay 0%

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.

Health Savings

5000

This health savings plan helps you manage your predictable expenses, with no in-network fees to think about once you reach your deductible. This plan can help you get and stay healthy with office visits, mental health care and in-network annual check-ups covered at 100%.

 

See below for highlights and more information on in-network plan coverage details.

In-Network
Individual / Family

Individual Annual Deductible1

$5,000

Family Annual Deductible1

$10,000

Coinsurance

You pay 0%

Individual Out-of-Pocket Maximum

$5,000

Family Out-of-Pocket Maximum

$10,000

Lifetime Maximum Benefit

Unlimited

Office Visit – Basic Care

You pay 0%

Office Visit – Specialist

You pay 0%

Preventive Care

You pay 0%2

Emergency Room

You pay 0%

Urgent Care

You pay 0%

Separate Prescription Drug Deductible

Subject to annual medical deductible

Retail Pharmacy (30 day supply)

You pay 0%

Home Delivery Pharmacy (90 day supply)

You pay 0%

1 All benefits listed are subject to deductible unless otherwise noted

2 Deductible waived 

This table highlights some of the benefits available under this plan. For additional details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, consult the Benefit Details attachment above.