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 $1,500 (individual)/ $3,000 (family) in-network deductible and a separate $4,000 (individual)/ $8,000 (family) out-of-network deductible. Wellness and preventive programs included. The city will make contributions to employee health savings accounts for those enrolled in this plan: $500 annually for employee only coverage and $1,000 annually for employee plus spouse, child, or family coverage.
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 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
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 - $3,600 (including city contribution)
- Family - $7,200 (including city contribution)
- 55+ - an additional $1,000
MONTHLY PREMIUMS - CIGNA OAP + HSA (FY 23/24)
Full-Time Employee Pays | |
Employee Only | $66.00 |
Employee & Spouse/Partner | $257.00 |
Employee & Children | $204.00 |
Employee & Family | $409.00 |
Retirees and COBRA Participants Monthly Premiums differ |
Web Links
Reference Documents
- Cigna OAP + HSA Summary of Benefits Coverage (PDF)
- Cigna OAP + HSA Summary Plan Description (PDF)
- Cigna Preventive Care Guide (PDF)
- Cigna Vision Program Flier (PDF)
- Cigna Hearing Program Flier (PDF)
- Cigna Urgent Care (PDF)
Forms
Produced by Human Resources:
This information 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 differs from the amount of benefit actually provided by the policy or plan, the terms of the legal documents will control.
Contact Information
9191 E. San Salvador Drive
Scottsdale, AZ 85258
Office Map
Member Services Toll-Free Number:
www.cigna.com
Benefit Links
