Open Access Plus, OA Plus, Choice Fund OA Plus

  • ID card on your mobile app.
  • The pharmacy option for this plan is Navitus.

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Providers

Cigna Network is our national network, with providers located throughout the United States. This network is available if you have selected the Medical 750 Plan, Medical 1500 Plan and the HDHP.

Cigna Network

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Medical Plans

2020

Medical 1500

Type of Service

Network Providers

Non-Network Providers

Calendar Year Deductible $1500 Individual / $3000 Family
Coinsurance 85% Insurance /
15% Member
65% Insurance /
35% Member
Calendar Year Out of Pocket Maximum
(Includes Deductible, Coinsurance, Copayments, and Pharmacy)

$4,000 per Individual / $8,000 per Family
Lifetime Maximum Unlimited
  Medical 1500 Plan
Medical Rates

2020

Full Time
30+ Hours/Week
Part Time
20-29 Hours/Week
Penalty for No PHP Penalty for Tobacco Use

Exclusive 750 Plan (Cost per month)

Employee $55 $100 +$50 +$60
Employee + 1 Child $95 $180 +$50 +$60
Employee + Spouse $95 $180 +$100 +$60
Employee + Children $135 $265 +$50 +$60
Employee + Family $135 $265 +$100 +$60
COBRA Rates

2020

COBRA

Medical 750 Plan (Cost per month)

Employee $433.50
Employee + 1 Child $922.08
Employee + Spouse $922.08
Employee + Children $1,331.10
Employee + Family $1,331.10

Employee Clinic

Employee $150
Employee + 1 Child $300
Employee + Spouse $300
Employee + Children $450
Employee + Family $450
Privacy Practices