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Cigna Connect 5400
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Cigna Connect 5400

Overview
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Cigna Connect 5400 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 Jefferson 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
99248TN0060050
Coverage area
Jefferson 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
$5,400
Out-of-pocket maximum
$7,900
Generic drug co-pay
40% Coinsurance after deductible
Preferred brand drug co-pay
40% Coinsurance after deductible
Primary care physician visit cost
$40 and 40% Coinsurance after deductible
Specialist doctor visit cost
40% Coinsurance after deductible
Doctor Visits
Primary Care Visit $40 and 40% Coinsurance after deductible
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 40% Coinsurance after deductible
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) $5,400
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $10,800
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 0-14 262
Premium Child Age 18 312
Premium Adult Individual Age 21 342
Premium Adult Individual Age 27 359
Premium Adult Individual Age 30 389
Premium Adult Individual Age 40 438
Premium Adult Individual Age 50 612
Premium Adult Individual Age 60 930
Premium Couple 21 685
Premium Couple 30 778
Premium Couple 40 876
Premium Couple 50 1,224
Premium Couple 60 1,860
Couple+1 child, Age 21 947
Couple+1 child, Age 30 1,040
Couple+1 child, Age 40 1,138
Couple+1 child, Age 50 1,486
Couple+2 children, Age 21 1,210
Couple+2 children, Age 30 1,302
Couple+2 children, Age 40 1,400
Couple+2 children, Age 50 1,748
Couple+3 or more Children, Age 21 1,472
Couple+3 or more Children, Age 30 1,564
Couple+3 or more Children, Age 40 1,662
Couple+3 or more Children, Age 50 2,011
Individual+1 child, Age 21 605
Individual+1 child, Age 30 651
Individual+1 child, Age 40 700
Individual+1 child, Age 50 874
Individual+2 children, Age 21 867
Individual+2 children, Age 30 913
Individual+2 children, Age 40 962
Individual+2 children, Age 50 1,136
Individual+3 or more children, Age 21 1,129
Individual+3 or more children, Age 30 1,175
Individual+3 or more children, Age 40 1,224
Individual+3 or more children, Age 50 1,398
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