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  • Home Employers Group Health Insurance Medical Plans Preferred Provider Organization (PPO)

    Preferred Provider Organization (PPO) Medical Plans

    Offers employees options and convenience with in-network care savings.

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    Cigna Healthcare PPO Health Plan Overview

    Cigna HealthcareSM* PPO plans are a large, national network similar to Open Access Plus (OAP) plans, but offers more choice with flexibility for out-of-network care. Our national network of Primary Care Providers (PCPs) and facilities makes it easy for employees to get access to care when needed.

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

    PPO Plan
    PCP Required
    PCP Auto-Assignment Included
    Referrals to Specialists Required
    Out-of-Network Coverage
    **
    Urgent/Emergent Services Coverage
    Prior Authorization Required
    ***
    Self-funded Options Available
    Option to Offer HSA, HRA, or FSA
    Cost-Sharing Options
    ****

    ** Lock-in plans are available to restrict out-of-network coverage.

    *** May be required for hospitalizations and some types of outpatient care

    **** Available through customized deductibles, copays, coinsurance, and out-of-pocket maximums

    Find in-network providers

    Staying in-network can help your clients lower costs.

    View prescription drug lists

    See which drugs are covered by your plan.

    Explore Products and Solutions

    *Offered by Cigna Health and Life Insurance Company or its affiliates

    In Utah, plans are offered by Cigna Health and Life Insurance Company.

    View Cigna Healthcare Company Names

    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 details of coverage, contact a Cigna Healthcare representative.

    Cigna Healthcare PPO plans are insured and/or administered by Cigna Health and Life Insurance Company. 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 Healthcare representative. Policy forms: OK - HP-APP-1 et al., OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al

    © Cigna Healthcare.

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    Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of The Cigna Group Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT). The Cigna Healthcare name, logo, and other Cigna Healthcare marks are owned by The Cigna Group Intellectual Property, Inc.

    All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna Healthcare sales representative. This website is not intended for residents of New Mexico.

    Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna Healthcare website. Cigna Healthcare may not control the content or links of non-Cigna Healthcare websites. Details

    La aseguradora publica el formulario traducido para fines informativos y la versión en inglés prevalece para fines de solicitud e interpretación.

    The insurer is issuing the translated form on an informational basis and the English version is controlling for the purposes of application and interpretation.