Benefits & Coverage

Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Cigna
Metal Level
Silver
Plan Type
PPO
Deductible
$0
Out-of-Pocket Maximum
$6350
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $322.71
Deductible
Individual: $0
Family: $0
In-Network Out-of-Pocket Limit
Individual: $6350
Family: $12700
What is included in the in-network out-of-pocket limit?
Deductible + Coinsurance + Co-pay
Is this plan Health Savings Account (HSA) eligible?
No
How can I find a doctor in this plan's network?
Plan Type
PPO

Health Services Options

Service
In Network
Out of Network
Primary care physician office visit
$30 Copay
50% Coinsurance after deductible
Specialist
$60 Copay
50% Coinsurance after deductible
Diagnostic Test (X-ray, blood work)
40% Coinsurance
50% Coinsurance after deductible
Outpatient Facility Fee
$2000 Copay
50% Coinsurance after deductible
Outpatient Physician/Surgeon Fee
30% Coinsurance
50% Coinsurance after deductible
Hospital facility fee
$2000 Copay
50% Coinsurance after deductible
Hospital physician/surgeon fee
30% Coinsurance
50% Coinsurance after deductible
Emergency Room
$500 Copay
$500 Copay

Drug Services

Generic Drugs
Coverage: $25 Copay
Preferred Brand Drugs
Coverage: $60 Copay
Specialty Drugs
Coverage: 40% Coinsurance
What drugs are covered in the formulary?

Mental Health or Substance Abuse Services

Service
In Network
Out of Network
Mental/behavioral health outpatient services
$60 Copay
50% Coinsurance after deductible
Mental/behavioral health inpatient services
$2000 Copay
50% Coinsurance after deductible
Substance use disorder inpatient services
$2000 Copay
50% Coinsurance after deductible
Substance use disorder outpatient services
$60 Copay
50% Coinsurance after deductible

Maternity Services

Service
In Network
Out of Network
Prenatal/postnatal care
30% Coinsurance
50% Coinsurance after deductible
Delivery and all inpatient services for maternity care
$2000 Copay
50% Coinsurance after deductible

Coverage Options Summary

Included Benefits
  • Chiropractic
  • Durable medical equipment
  • Emergency Transportation
  • Eye glasses children
  • Habilitation
  • Home health care
  • Hospice
  • Imaging (CT/PET scans, MRIs)
  • Inpatient rehabilitation
  • Non-preferred brand drugs
  • Skilled nursing care
  • Other practitioner office visit
  • Outpatient rehabilitation
  • Preventive care, screening, immunization
  • Routine eye exam children
  • Urgent Care
Excluded Benefits
  • Acupuncture
  • Bariatric surgery
  • Cosmetic surgery
  • Dental care adult
  • Dental check up children
  • Eye exam adult
  • Infertility treatment
  • Long Term Care
  • Non-emergency care outside U.S.
  • Private duty nursing
  • Routine foot care
  • Routine hearing tests
  • Weight loss program
Limited Benefits
  • Hearing Aid

What To Know

  • This is an ACA (Obamacare) compliant health plan.
  • This plan is eligible for a tax credit subsidy

Physician Directory

List of doctors that accepts myCigna Copay Assure Silver Obamacare Plan in Texas

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MARQUEZ, FRANCISCO
11621 PELLICANO DR
EL PASO, TX 79936
AZARCON-SAMONTE, PATRICIA
11544 VISTA DEL SOL DR
EL PASO, TX 79936
ORTIZ, JORGE
11400 VISTA DEL SOL DR
EL PASO, TX 79936
HERNANDEZ, JOSE
11163 LA QUINTA PL
EL PASO, TX 79936
HOFFER, THOMAS
2400 TRAWOOD DR
EL PASO, TX 79936
REISTER, GARY
2400 TRAWOOD DR
EL PASO, TX 79936
TERESA R PINAROC MD PA
11548 VISTA DEL SOL DR
EL PASO, TX 79936
PARRA, GUILLERMO
3017 TRAWOOD DR
EL PASO, TX 79936
CALDERONI, HENRY
1721 N LEE TREVINO DR
EL PASO, TX 79936
CAJAS, OSWALDO
1721 N LEE TREVINO DR
EL PASO, TX 79936
TURBAY, DAVID
3028 TRAWOOD DR
EL PASO, TX 79936
RESIGNATO, PAUL
1722 N ZARAGOZA RD
EL PASO, TX 79936
MARQUEZ-SMITH, TERESA
11410 VISTA DEL SOL DR
EL PASO, TX 79936
GROSS, ERIC
11163 LA QUINTA PL
EL PASO, TX 79936
DEMAIO, SAMUEL
200 MEDICAL PKWY
LAKEWAY, TX 78738
SRINGAM, YADAH
11965 PELLICANO DR
EL PASO, TX 79936
KHATEEB, MAZIN
3235 TRAWOOD DR.
EL PASO, TX 79936
RUFFIER, JOSE
11365 MONTWOOD DR
EL PASO, TX 79936
ELLMAN, MARC
1400 COMMON DR
EL PASO, TX 79936
ZAYAS, RAUL
11880 VISTA DEL SOL DR
EL PASO, TX 79936
SMITH, DEAN
1418 GEORGE DIETER DR
EL PASO, TX 79936
REED, TERESA
1400 GEORGE DIETER DR
EL PASO, TX 79936
FARRELL, MITCHELL
1400 GEORGE DIETER DR
EL PASO, TX 79936
WONG, KA
1400 GEORGE DIETER DR
EL PASO, TX 79936
WHITE, JEREMY
4800 ALBERTA
EL PASO, TX 79905
Details
FRANCISCO MARQUEZ, M.D., P.A.
Phone Number
(915) 856-9979
Office Locations
11621 PELLICANO DR
EL PASO, TX 79936
11621 PELLICANO DR EL PASO TX, 79936

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