AGA Cigna PPO 3000

Cigna PPO Network

AGA Cigna PPO 3000 — Deductible: $3,000 / $6,000; Max Out of Pocket: $8,150 / $16,300; Copay: $40 / $60 / $40; Coinsurance: 30% after deductible; Emergency Room: Deductible & coinsurance.

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Monthly premiums

Member: $1,145.00/mo
Member & Children: $1,953.00/mo
Member & Spouse: $2,304.00/mo
Member & Family: $2,897.00/mo

Plan details

Deductible (Individual): $3,000
Deductible (Family): $6,000
Out-of-Pocket Max (Individual): $8,150
Out-of-Pocket Max (Family): $16,300
Coinsurance (In-Network): 30%
Primary Care Copay: $40
Specialist Copay: $60
Urgent Care Copay: $40

Benefits

Deductible
$3,000 / $6,000
OON: $6,000 / $12,000
Max Out of Pocket
$8,150 / $16,300
OON: Unlimited
Copay
$40 / $60 / $40
PCP / Specialist / Urgent Care
Coinsurance
30% after deductible
OON: 40% after deductible
Emergency Room
Deductible & coinsurance
Rx Coverage
$0 / 25% / 50%
Generic / Preferred / Non-Preferred — no deductible
X-Ray & Bloodwork
No charge in-network
Pregnancy
Covered
Mental Health
Covered
Deductible & coinsurance
Chiropractic Care
Covered
30 visits per year
Child Eye Exam & Dental
No charge in-network
Work Requirement
Work Required
20+ hrs/week

Plan documents

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