Page 4 - Ideal Option 2020 New Hire Guide
P. 4
MEDICAL AND PRESCRIPTION
What is a Network?
A network is a group of providers DRUG
your plan contracts with at
discounted rates. You will almost Ideal Option offers a choice of two medical insurance programs to our
always pay less when you receive employees. We partner with Cigna to offer this coverage.
care in-network.
If you choose to see an out-of- Plan Highlights
network provider, you may be
balance billed, which means you You have the choice between a traditional PPO plan that costs more
will be responsible for charges out of your paycheck, and the Choice Fund HDHP plan that is a
above Cigna’s reimbursement qualiied high deductible health plan that has a higher deductible and no
amount. You will access Cigna’s
Open Access Plus network. copayments. If you elect the Choice Fund HDHP plan and are eligible,
Ideal Option will contribute $1,200 to a health savings account (HSA),
$100.00 per month.
Important Ideal Option offers an indemnity PPO and Choice Fund HDHP plan
Insurance Terms through Cigna for employees living in Juneau, Alaska or in zip code
Deductible: the amount of 99901. Due to the lack of contracted providers in these geographic areas,
money you are responsible these plans allow you to visit any doctor or hospital you would like. Cigna
for paying up-front before will reimburse the provider based on the 80th percentile of reasonable
your plan shares your costs and customary charges. In the event the provider you seek services
Coinsurance: the from charges more than this amount, you may be balance billed. Feel
percentage you and the
plan pay; in our plans, you free to reach out to the Cigna One Guide resource for more details on
pay a smaller percentage reimbursement levels.
and the plan pays a larger
percentage The medical plan options provide 100% coverage for preventive care. The
Copay: a ixed amount for Choice Fund HDHP plan also covers listed preventive medications at
certain services you pay in 100%; the deductible is not required to be met.
some of our plans
Out-of-pocket Cigna Member Site
maximum: the limit on
your expenses; once you Cigna Resources and Tools
reach this limit, the plan Visit www.mycigna.com to take advantage of all the helpful tools and
covers all eligible expenses resources. You are encouraged to register on myCigna.com to gain access
for the remainder of the to the following resources and tools. The myCigna App also provides
plan year
access to these tools.
Find in-network doctors, See cost estimates for
hospitals, and medical services medical procedures
Manage and track claims Compare quality of care for
doctors and hospitals
4
What is a Network?
A network is a group of providers DRUG
your plan contracts with at
discounted rates. You will almost Ideal Option offers a choice of two medical insurance programs to our
always pay less when you receive employees. We partner with Cigna to offer this coverage.
care in-network.
If you choose to see an out-of- Plan Highlights
network provider, you may be
balance billed, which means you You have the choice between a traditional PPO plan that costs more
will be responsible for charges out of your paycheck, and the Choice Fund HDHP plan that is a
above Cigna’s reimbursement qualiied high deductible health plan that has a higher deductible and no
amount. You will access Cigna’s
Open Access Plus network. copayments. If you elect the Choice Fund HDHP plan and are eligible,
Ideal Option will contribute $1,200 to a health savings account (HSA),
$100.00 per month.
Important Ideal Option offers an indemnity PPO and Choice Fund HDHP plan
Insurance Terms through Cigna for employees living in Juneau, Alaska or in zip code
Deductible: the amount of 99901. Due to the lack of contracted providers in these geographic areas,
money you are responsible these plans allow you to visit any doctor or hospital you would like. Cigna
for paying up-front before will reimburse the provider based on the 80th percentile of reasonable
your plan shares your costs and customary charges. In the event the provider you seek services
Coinsurance: the from charges more than this amount, you may be balance billed. Feel
percentage you and the
plan pay; in our plans, you free to reach out to the Cigna One Guide resource for more details on
pay a smaller percentage reimbursement levels.
and the plan pays a larger
percentage The medical plan options provide 100% coverage for preventive care. The
Copay: a ixed amount for Choice Fund HDHP plan also covers listed preventive medications at
certain services you pay in 100%; the deductible is not required to be met.
some of our plans
Out-of-pocket Cigna Member Site
maximum: the limit on
your expenses; once you Cigna Resources and Tools
reach this limit, the plan Visit www.mycigna.com to take advantage of all the helpful tools and
covers all eligible expenses resources. You are encouraged to register on myCigna.com to gain access
for the remainder of the to the following resources and tools. The myCigna App also provides
plan year
access to these tools.
Find in-network doctors, See cost estimates for
hospitals, and medical services medical procedures
Manage and track claims Compare quality of care for
doctors and hospitals
4
