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Cigna OAP In-Network

Plan Overview
The Cigna OAP In-Network plan offers one tier of coverage within a single plan design.  As a participant, you are encouraged to choose a participating Primary Care Physician for the in-network physicians.  No pre-selection of primary care physicians are required.  This plan does not have any deductibles and includes a $2,500 (individual)/$5,000 (family) annual out-of-pocket maximum.  As a participant, you can go directly to a network specialist without a Primary Care Physcian referral.  Except for emergency or out-of-area urgent care, benefits are not covered outside of the network.  Wellness and preventive programs included (see below). 

Provider Network
The Cigna OAP In-Network medical plan has an enhanced network of physicians and other healthcare providers.  Cigna OAP In-Network members may also recieve services from the Mayo Clinic Scottsdale and Mayo Clinic Hospital, however, the doctors and hospitals will not be listed in the Cigna directories and additional charges may apply.   

Cigna Prescription Program

Retail pharmacy

When visiting the pharmacy, provide them with your Cigna ID card.  The pharmacy will need the information on your card to check eligibility and to update your records. 

Mail Order Drug Program

Please see below for the Mail Order Drug Request Form in the Links section or at Cigna's website at www.cigna.com. When completing the form, provide all requested information including the Group# as indicated on your card.

Monthly Premiums - Cigna OAP-In-Network (FY 14/15)

Rates apply to full-time, part-time and job share employees.
  Full-Time
Employee Pays
Job-Share or
Part-Time
Employee Pays
Employee Only $95.00 $190.00
Employee & Spouse/Partner $233.00 $432.00
Employee & Children $192.00 $360.00
Employee & Family $346.00 $629.00

Web Links

www.mycigna.com

 


          
Reference Documents

Cigna OAP-In-Network Summary of Benefits and Coverage

Cigna OAP In-Network Summary Plan Description

Cigna Women Preventive Well Care

Cigna Men Preventive Well Care Flier

Cigna Child Preventive Well Care Flier

Cigna Vision Program Flier

Cigna Hearing Program Flier

Cigna Urgent Care

Forms

Cigna Prescription Order Form

Cigna Continuity of Care Form

Contacts

Member Services Toll-Free Number: 1-800-244-6224
(available 24 hours a day)
 


Produced by Human Resources

This guide represents a summary of benefits provided by the City of Scottsdale to benefited employees. Every effort has been made to report information accurately. All information, including the amount of any benefit and employee eligibility of benefits, is subject to and governed by the terms and conditions of the applicable policy or plan documents. In all cases where any of the information provided in this guide differs from the amount of benefit actually provided by the policy or plan, the terms of the legal documents will control.