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Cigna Connect 4750
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Cigna Connect 4750

Overview
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Cigna Connect 4750 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 Knox 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
99248TN0060053
Coverage area
Knox 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
$4,750
Out-of-pocket maximum
$7,900
Generic drug co-pay
$25
Preferred brand drug co-pay
$75
Primary care physician visit cost
$35
Specialist doctor visit cost
40% Coinsurance after deductible
Doctor Visits
Primary Care Visit $35
Specialist Visit 40% Coinsurance after deductible
Emergency Room Visit $1000 Copay after deductible
Inpatient Facility Visit 40% Coinsurance after deductible
Inpatient Physician Visit 40% Coinsurance after deductible
Prescription Drugs
Generic Drugs $25
Preferred Brand Drugs $75
Non-preferred Brand Drugs 50% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $4,750
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $9,500
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 0-14 293
Premium Child Age 18 350
Premium Adult Individual Age 21 384
Premium Adult Individual Age 27 402
Premium Adult Individual Age 30 435
Premium Adult Individual Age 40 490
Premium Adult Individual Age 50 685
Premium Adult Individual Age 60 1,042
Premium Couple 21 768
Premium Couple 30 871
Premium Couple 40 981
Premium Couple 50 1,371
Premium Couple 60 2,084
Couple+1 child, Age 21 1,061
Couple+1 child, Age 30 1,165
Couple+1 child, Age 40 1,275
Couple+1 child, Age 50 1,665
Couple+2 children, Age 21 1,355
Couple+2 children, Age 30 1,459
Couple+2 children, Age 40 1,569
Couple+2 children, Age 50 1,959
Couple+3 or more Children, Age 21 1,649
Couple+3 or more Children, Age 30 1,753
Couple+3 or more Children, Age 40 1,862
Couple+3 or more Children, Age 50 2,253
Individual+1 child, Age 21 677
Individual+1 child, Age 30 729
Individual+1 child, Age 40 784
Individual+1 child, Age 50 979
Individual+2 children, Age 21 971
Individual+2 children, Age 30 1,023
Individual+2 children, Age 40 1,078
Individual+2 children, Age 50 1,273
Individual+3 or more children, Age 21 1,265
Individual+3 or more children, Age 30 1,317
Individual+3 or more children, Age 40 1,372
Individual+3 or more children, Age 50 1,567
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