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MEDICAL PLANS 2018

CIGNA FORMS  CONTACT INFORMATION

Forms

Medical Claim Form
Mental Health Claim Form
Vision Claim Form

Cigna

1-855-869-8619
www.cigna.com
www.mycigna.com
 RELATED LINKS     OTHER INFORMATION

link

Medical Plan Comparison Chart
International Coverage
Mental Health Exception Benefit
Telehealth
Preventive Care
 Cigna Vision (VSP)

document 

Dartmouth Health Connect
Medical Plan Cost Estimator
Find a Cigna Provider
Find a Vision Provider
Manage Claims (mycigna.com)
Retiree Medical Coverage

 

MEDICAL PLAN SPOTLIGHT

CIGNA ONE-ON-ONE'S
A Cigna representative will be on campus to meet with you and answer any questions regarding your health benefits, medical claims issues, how your Health Reimbursement Account (HRA) works, and anything related to your medical insurance plan. Sign up for a pre-scheduled 30 minute in-person session at http://dartgo.org/lets-talk-benefits, while they last. Please note that these sessions are for your medical plan only and not for questions regarding your flexible spending or health savings accounts.

 THREE PLANS TO CHOOSE FROM

Open Access Plus Plan (OAP) Cigna Choice Fund Plan (CCF) High Deductible Health Plan (HDHP)


All three plans offer

  • Coverage by Cigna Health
  • Coverage for medical care, including visits to your doctor's office, hospital stays, mental health and substance abuse services, chiropractic treatment, physical therapy and other services.
  • A national network of providers, as well as emergency coverage when traveling abroad for personal travel.
  • No referral is needed to see a specialist, although precertification may be required.
  • In-network preventive care* services covered at no additional cost to you. See your plan materials for a list of covered preventive care services.
  • 24-hour emergency care, in- or out-of-network.
  • The amount you pay out-of-pocket is limited by your plan's out-of-pocket maximum. Once you spend the annual maximum amount, the medical plan pays your covered health care costs at 100%.
  • No-claim paperwork is necessary when you receive care in-network.
  • Medical plan rates are deducted from your paycheck pre-tax. Research Fellows pay on a post-tax basis.
  • Each family member pays toward their own individual deductible and out-of-pocket maximum. The family limits are in place to help minimize the total amounts of deductible and out-of-pocket maximums that your family would have to pay in a given year.
  • Manage and track claims, order ID cards, find doctors, and track account balances through the myCigna.com website.
*Some preventive services may not be covered. For example, immunizations for travel are generally not covered. Other non-covered services/supplies may include any service or device that is not medically necessary or services/supplies that are unproven (experimental or investigational).

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OPEN ACCESS PLUS PLAN (OAP)

Summary of Benefits

Key benefits

  • The deductible, medical copays and prescription copays are the lowest of the three plans.
  • Employees and employer may contribute to an HCFSA.
  • Dartmouth Health Connect is available.

Other considerations

  • The OAP has the highest rates of all three plans.
  • Medical and prescription copays DO NOT count toward annual deductibles, but DO count toward annual out-of-pocket maximums.
  • This is the only plan available to J VISA holders

Plan overview

OAP Chart 2018

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CIGNA CHOICE FUND PLAN (CCF)

Summary of Benefits

Key benefits

  • The deductible, co-pays and prescription copays are mid-level, but generic prescriptions are still $5.
  • Employer contributes to an HRA.
  • Employee may contribute to an HCFSA.
  • Dartmouth Health Connect is available.

Other considerations

  • Medical and prescription copays DO NOT count toward annual deductibles, but DO count toward annual out-of-pocket maximums.

Plan overview

 CCF Chart 2018

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HIGH DEDUCTIBLE HEALTH PLAN (HDHP)

Summary of Benefits

Key benefits

  • The plan has the lowest rates of all three plans.
  • Employer may contribute to an HRA or HSA – this is the only plan that allows HSA contributions.
  • Employees may contribute to an HCFSA when electing HDHP with HRA.
    • You should only choose the HDHP with HRA plan if you are not eligible for an HSA but would still like to participate in the High Deductible Health Plan. To see if you are eligible for an HSA, please click here.

Other considerations

  • This plan has the highest deductible of the three plans.
  • You pay 100% of all medical and prescription costs until your annual deductible has been met.

Plan overview

 HDHP Chart 2018

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TELEHEALTH

Cigna now provides access to two Telehealth services as part of your medical plan.  Now you can connect with a board-certified doctor via video chat or phone, without leaving your home or office.  When, were and how it works best for you. The cost of a phone call or online visit is the same or less than a visit with your primary care provider. Remember, your Telehealth services are only available for minor, non-life threatening conditions. In an emergency, dial 911 or go to the nearest hospital.

About Telehealth

Telehealth Behavioral Health Services

MD Live App Instructions

Amwell App Instructions

 

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Last Updated: 7/24/18