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Cigna OAP + HSA

Plan Overview
The City of Scottsdale Cigna OAP + HSA plan offers two tiers of coverage within a single plan design. As a participant, you have the choice of using a contracted network of providers for lower out-of-pocket expenses or you may utilize out-of-network providers and incur higher out-of-pocket expenses and possibly all billed charges. Participants can choose either tier of benefits at any time. This plan has a $1,250 (individual)/ $2,500 (family) in-network deductible and a seperate $3,500(individual)/ $7,000 (family) out-of-network deductible.  Wellness and preventive programs included (see below).  

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

Cigna Prescription Program
Retail Pharmacy
When visitng 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.  Click here to view the prescription drug list or view the online drug look up tool by clicking here

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.  The form on their website is called the Pharmacy Mail New Prescription Order Form.  When completing the form, provide all requested information including your Group# as indicated on your card.

Health Savings Account (HSA)
A health savings account is a tax-favored savings account created for the purpose of paying medical expenses.  The account is tax deductible, tax free and unused money isn't forfeited at the end of the year.  Qualified medical expenses include unreimbursed medical expenses of the employee, his or her spouse or dependents.  The HSA cannot be used to pay pre-tax premiums. 

In order to qualify for an HSA, the following conditions must be met:

  • Covered by an IRS qualified high deductible healthcare plan: the city's Cigna OAP + HSA plan qualifies.
  • Not covered under other health insurance
  • Not enrolled in Medicare
  • Not another person's dependent

HSA Contribution limits apply:

  • Single - $3,350
  • Family - $6,650
  • 55+ - an additional $1,000

Monthly Premiums - Cigna OAP + hsa (FY 15/16)

 Rates apply to full-time employees.
Employee Pays
Employee Only $42.00
Employee & Spouse/Partner $166.00
Employee & Children $129.00
Employee & Family $266.00

For additional information regarding the HSA, please click here

Web Links

Central Bank Enrollment
Please use this link to establish your HSA with Central Bank 


Reference Documents

Cigna OAP + HSA Summary of Benefits Coverage

Cigna OAP + HSA Summary Plan Description
Cigna Women Preventive Well Care
Cigna Men Preventive Well Care Flier
Cigna Child Preventive Well Care Flier

Cigna Well Baby Preventive Care Flier

Cigna Vision Program Flier

Cigna Hearing Program Flier
Cigna Urgent Care


Cigna Continuity of Care Form

Cigna Prescription Order Form


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.