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Cigna Open Access Plus Medical Plans

Choices for employees with competitive network discounts

For organizations outside of our LocalPlus® service areas, Open Access Plus health plans provide employees with access to a large national network of quality providers.

About the Network

Cigna's large provider network makes it easy for employees to get quality in-network care. Our Cigna Collaborative Care1 value-based arrangements are embedded in our network. Through the Open Access Plus National Network, 88% of customers in our top 40 markets have access to Cigna Collaborative Care participating providers.2

Typical Plan Structure

Your plan will vary based on what you discuss with your local Cigna representative, but here is a basic summary of how Open Access Plus plans typically work:

Open Access Plus

  • Primary care physician (PCP) selection is recommended to serve as the employee's personal health advocate. PCP selection is not required.
  • Referrals are not required to see a specialist
  • Out-of-network coverage is included at a higher out-of-pocket cost
  • Pre-certification may be required for hospitalizations and some types of outpatient care
  • Cost control through customizable plan designs

Open Access Plus In-Network

  • Primary care physician (PCP) selection is recommended to serve as the employee's personal health advocate. PCP selection is not required.
  • Referrals are not required to see a specialist
  • Out-of-network care is excluded from coverage, unless it's an emergency
  • Pre-certification may be required for hospitalizations and some types of outpatient care

Benefits of all Cigna Medical Plans

  • 24/7/365 live customer service, when and where employees need it
  • Award-winning digital tools for employees, including the myCigna® mobile app
  • Worldwide in-network coverage for emergencies
  • Access to Cigna's large national network of labs, x-ray and radiology offices, and dialysis centers
  • Option for employers to offer consumer driven health plan (CDHP) accounts, including health reimbursement accounts (HRAs,) health savings accounts (HSAs), and flexible spending accounts (FSAs) (available with most plan types) Option for employers to bundle pharmacy, behavioral health, dental, and more
  • Optional health and wellness incentive programs to encourage and reward employees
  • Self-funded and fully insured funding options for employers, if applicable
  • Dedicated client service team

Coverage for quality in-network care

Contact your broker or your Cigna representative to learn more about our Open Access plans

1Cigna Collaborative Care (CCC) is Cigna's approach to achieving the same population health goals as ACOs: better health, affordability and experience. CCC participating providers are not available in all areas.

2Cigna 10/1/16 analysis of medical book of business customers, 88% have access in Top 40 markets within 15-mile zip code radius of large physician group PCPs. 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 complete details of coverage, contact your Cigna representative. Cigna Open Access Plus plans are insured and/or administered by Cigna Health and Life Insurance Company. Policy forms: OK - HP-APP-1 et al., OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al.