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Cigna Preferred Medicare; Occupational Therapy Visit: $30 copay: Physical Therapy Visit: $30 copay: Speech Pathology Visit: $30 copay: Outpatient Group Therapy with a Psychiatrist: $0 copay: Outpatient Individual Therapy with a Psychiatrist: $0 copay: Outpatient Group Therapy Visit: $0 copay: Outpatient Individual Therapy Visit: $0 copay. We do physical therapy in the most convenient way imaginable — on-demand. Book an appointment in the app, and our therapists will come to you. There are no waiting lists, no waiting rooms, and PT sessions are available to Cigna patients for just a standard co-pay.

Cigna-HealthSpring Preferred (HMO) H4407-026 is a 2020 Medicare Advantage Plan or Medicare Part-C plan by Cigna available to residents in Mississippi. This plan includes additional Medicare prescription drug (Part-D) coverage. The Cigna-HealthSpring Preferred (HMO) has a monthly premium of $- and has an in-network Maximum Out-of-Pocket limit of $5,900 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $5,900 out of pocket. This can be a extremely nice safety net.

Cigna-HealthSpring Preferred (HMO) is a Local HMO. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you require specialized care or a physician specialist, your primary care physician will make the arrangements and inform you where you can go in the network. You will need your PCPs okay, called a referral. Services received from an out-of-network provider are not typically covered by the plan.

Cigna works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for Cigna-HealthSpring Preferred (HMO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Cigna and not Original Medicare. With Medicare Advantage Plans you are always covered for urgently needed and emergency care. Plus you receive all of the benefits of Original Medicare from Cigna except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.

Ready to Enroll?

Or Call
1-855-778-4180
Mon-Sat 8am-11pm EST
Sun 9am-6pm EST

2020 Cigna Medicare Advantage Plan Details

Part-C Premium

Cigna plan charges a $0.00 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.

Part-D Deductible and Premium

Cigna-HealthSpring Preferred (HMO) has a monthly drug premium of $0.00 and a $0.00 drug deductible. This Cigna plan offers a $0.00 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by Cigna above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $0.00. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.

Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The Cigna-HealthSpring Preferred (HMO) medicare insurance offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $0.00 for 75% low income subsidy $0.00 for 50% and $0.00 for 25%.

Gap Coverage

In 2020 once you and your plan provider have spent $4020 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA 'donut hole') You will be required to pay 25% for prescription drugs unless your plan offers additional coverage. This Cigna plan does not offer additional coverage through the gap.

Cigna Drug Coverage and Formulary

A formulary is divided into tiers or levels of coverage based on the type or usage of your medication or benefit categories, according to drug costs. Each tier will have a defined out-of-pocket cost that you must pay before receiving the drug. You can see complete 2020 Cigna-HealthSpring Preferred (HMO) H4407-026 Formulary here.

2019 Plan Services

(*2020 Plan services will be added when available)

Health plan deductible

Emergency care/Urgent care

Diagnostic procedures/lab services/imaging

Hearing

Preventive dental

Comprehensive dental

Vision

Mental health services

Skilled Nursing Facility

Rehabilitation services

Ground ambulance

Other health plan deductibles?

Transportation

Foot care (podiatry services)

Medical equipment/supplies

Wellness programs (e.g., fitness, nursing hotline)

Medicare Part B drugs

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

Optional supplemental benefits

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

Inpatient hospital coverage

Outpatient hospital coverage

Doctor visits

Preventive care

Ratings for Cigna-HealthSpring Preferred (HMO) H4407

Staying Healthy, Screening, Testing, & Vaccines

Managing Chronic And Long Term Care for Older Adults

Member Experience with Health Plan

Member Complaints and Changes in Cigna-HealthSpring Preferred (HMO) Plans Performance

Health Plan Customer Service Rating for Cigna-HealthSpring Preferred (HMO)

Cigna-HealthSpring Preferred (HMO) Drug Plan Customer Service ratings

Ratings For Member Complaints and Changes in the Drug Plans Performance

Member Experience with the Drug Plan

Drug Safety and Accuracy of Drug Pricing

Ready to Enroll?

Or Call
1-855-778-4180
Mon-Sat 8am-11pm EST
Sun 9am-6pm EST

Coverage Area for Cigna-HealthSpring Preferred (HMO)

(Click county to compare all available Advantage plans)

Source: CMS.
Data as of September 4, 2019.
Star Rating as of October 10, 2019.
Plan Services are 2019 information as reference. 2020 information will be added when released.
Notes: Data are subject to change as contracts are finalized. For 2020, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.

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Cigna Preferred Medicare (HMO) H4513-049 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Cigna available to residents in Tennessee. This plan includes additional Medicare prescription drug (Part-D) coverage. The Cigna Preferred Medicare (HMO) has a monthly premium of $0 and has an in-network Maximum Out-of-Pocket limit of $6,700 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $6,700 out of pocket. This can be a extremely nice safety net.

Cigna Preferred Medicare (HMO) is a Local HMO. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you require specialized care or a physician specialist, your primary care physician will make the arrangements and inform you where you can go in the network. You will need your PCPs okay, called a referral. Services received from an out-of-network provider are not typically covered by the plan.

Cigna works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for Cigna Preferred Medicare (HMO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Cigna and not Original Medicare. With Medicare Advantage Plans you are always covered for urgently needed and emergency care. Plus you receive all of the benefits of Original Medicare from Cigna except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.

Ready to Enroll?

Or Call
1-855-778-4180
Mon-Fri 8am-9pm EST
Sat 9am-9pm EST

2021 Cigna Medicare Advantage Plan Costs

Cigna Preferred Medicare (HMO) Part-C Premium

Cigna plan charges a $0 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.

H4513-049 Part-D Deductible and Premium

Cigna Preferred Medicare (HMO) has a monthly drug premium of $0 and a $0 drug deductible. This Cigna plan offers a $0 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0 this Premium covers any enhanced plan benefits offered by Cigna above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $0 . The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.

Cigna Gap Coverage

In 2021 once you and your plan provider have spent $4130 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA 'donut hole') You will be required to pay 25% for prescription drugs unless your plan offers additional coverage. This Cigna plan does offer additional coverage through the gap.

H4513-049 Formulary or Drug Coverage

Cigna Preferred Medicare (HMO) formulary is divided into tiers or levels of coverage based on usage and according to the medication costs. Each tier will have a defined copay that you must pay to receive the drug. Drugs in lower tiers will usually cost less than those in higher tiers.By reviewing different Medicare Drug formularies, you can pick a Medicare Advantage plan that covers your medications. Additionally, you can choose a plan that has your drugs listed at a lower price.

2021 Cigna Preferred Medicare (HMO) Summary of Benefits

Additional Benefits

Comprehensive Dental

Deductible

Diagnostic Tests and Procedures

Doctor Visits

Emergency care/Urgent Care

Foot Care (podiatry services)

Ground Ambulance

Hearing

Inpatient Hospital Coverage

Medical Equipment/Supplies

Medicare Part B Drugs

Mental Health Services

MOOP

Option

Optional supplemental benefits

Outpatient Hospital Coverage

Preventive Care

Preventive Dental

Rehabilitation Services

Skilled Nursing Facility

Transportation

Vision

Wellness Programs (e.g. fitness nursing hotline)

Reviews for Cigna Preferred Medicare (HMO) H4513

Staying Healthy, Screening, Testing, & Vaccines

Managing Chronic And Long Term Care for Older Adults

Member Experience with Health Plan

Member Complaints and Changes in Cigna Preferred Medicare (HMO) Plans Performance

What Is The Average Copay For Physical Therapy

Health Plan Customer Service Rating for Cigna Preferred Medicare (HMO)

Cigna Physical Therapy Copay

Cigna Preferred Medicare (HMO) Drug Plan Customer Service Ratings

Ratings For Member Complaints and Changes in the Drug Plans Performance

Member Experience with the Drug Plan

Drug Safety and Accuracy of Drug Pricing

Is Physical Therapy Covered By Cigna

Ready to Enroll?

Or Call
1-855-778-4180
Mon-Sat 8am-11pm EST
Sun 9am-6pm EST

Coverage Area for Cigna Preferred Medicare (HMO)

(Click county to compare all available Advantage plans)

Cigna Specialist Copay

Source: CMS.
Data as of September 9, 2020.
Notes: Data are subject to change as contracts are finalized. For 2021, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.Includes 2021 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.