Cigna Health and Life Insurance Company

Cigna Connect Colorado Option Silver

Plan Overview

Medical Deductible
  • Individual: $4,000
  • Family: $8,000
  • Per Person: $4,000
Prescription Drug Deductible
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical
Medical Out-of-Pocket Maximum
  • Individual: $9,000
  • Family: $18,000
  • Per Person: $9,000
Drug Out-of-Pocket Maximum
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical

Office Visit

Primary Doctor
  • Standard: Copay: No Charge | Coinsurance: Not Applicable
Specialist
  • Standard: Copay: $80.00 | Coinsurance: Not Applicable

Prescription Drug Information

Preferred Brand Drugs
  • Standard: Copay: $125.00 | Coinsurance: Not Applicable
Non Preferred Brand Drugs
  • Standard: Copay: $300.00 | Coinsurance: Not Applicable
Generic Drugs
  • Standard: Copay: $20.00 | Coinsurance: Not Applicable
Specialty Drugs
  • Standard: Copay: $650.00 | Coinsurance: Not Applicable

Inpatient Coverage

Hospital Services
  • Standard: Copay: Not Applicable | Coinsurance: 40.00% Coinsurance after deductible
Inpatient Services
  • Standard: Copay: Not Applicable | Coinsurance: 40.00% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: Copay: Not Applicable | Coinsurance: 40.00% Coinsurance after deductible
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of North Carolina, Inc. and Cigna Dental Health, Inc. The Cigna name, logo and other Cigna marks are owned by Cigna Intellectual Property, Inc.