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Cigna Connect 3500
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Cigna Connect 3500

Overview
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Cigna Connect 3500 is an individual health health plan issued by Cigna Health and Life Insurance Company and is available for the year 2019. This health plan is offered by the federal government through HealthCare.gov and the Affordable Care Act (ACA).

Where Do I Need to Live to Quality for this Plan?

This plan is available for qualifying individuals who live in Cheatham county, Tennessee.

What Type of Health Plan Is This?

This plan is an EPO plan, which is also known as an "Exclusive Provider Organization." An EPO is a managed care plan where services are covered so long as the the hospitals, dentists, and other health providers in the plan's network are used.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Cigna Health and Life Insurance Company
Plan ID
99248TN0060044
Coverage area
Cheatham County, Tennessee
Phone
Local Phone: 1-877-900-1237
Toll-Free: 1-877-900-1237
TTY: 1-800-676-3777
Plan type
EPO
Coverage type
Medical deductible
$3,500
Out-of-pocket maximum
$7,900
Generic drug co-pay
$25
Preferred brand drug co-pay
40% Coinsurance after deductible
Primary care physician visit cost
$30
Specialist doctor visit cost
40% Coinsurance after deductible
Doctor Visits
Primary Care Visit $30
Specialist Visit 40% Coinsurance after deductible
Emergency Room Visit 40% Coinsurance after deductible
Inpatient Facility Visit 40% Coinsurance after deductible
Inpatient Physician Visit 40% Coinsurance after deductible
Prescription Drugs
Generic Drugs $25
Preferred Brand Drugs 40% Coinsurance after deductible
Non-preferred Brand Drugs 50% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $3,500
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $7,000
Medical Maximum Out Of Pocket (Family) $15,800
Drug Deductible
Drug Deductible (Individual) Included in Medical
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) Included in Medical
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 100.00%
Premium Child Age 0-14 319
Premium Child Age 18 381
Premium Adult Individual Age 21 417
Premium Adult Individual Age 27 437
Premium Adult Individual Age 30 473
Premium Adult Individual Age 40 533
Premium Adult Individual Age 50 745
Premium Adult Individual Age 60 1,133
Premium Couple 21 835
Premium Couple 30 947
Premium Couple 40 1,067
Premium Couple 50 1,491
Premium Couple 60 2,266
Couple+1 child, Age 21 1,154
Couple+1 child, Age 30 1,267
Couple+1 child, Age 40 1,386
Couple+1 child, Age 50 1,810
Couple+2 children, Age 21 1,473
Couple+2 children, Age 30 1,586
Couple+2 children, Age 40 1,706
Couple+2 children, Age 50 2,130
Couple+3 or more Children, Age 21 1,793
Couple+3 or more Children, Age 30 1,906
Couple+3 or more Children, Age 40 2,025
Couple+3 or more Children, Age 50 2,449
Individual+1 child, Age 21 736
Individual+1 child, Age 30 793
Individual+1 child, Age 40 853
Individual+1 child, Age 50 1,065
Individual+2 children, Age 21 1,056
Individual+2 children, Age 30 1,112
Individual+2 children, Age 40 1,172
Individual+2 children, Age 50 1,384
Individual+3 or more children, Age 21 1,375
Individual+3 or more children, Age 30 1,432
Individual+3 or more children, Age 40 1,491
Individual+3 or more children, Age 50 1,703
Reference
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  • HealthCare.gov. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov
  • The 'metal' categories: Bronze, Silver, Gold & Platinum. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plans-categories
  • Health insurance plan & network types: HMOs, PPOs, and more. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plan-types