2019 Cigna Connect 1500 Plan Details - HealthPocket

Cigna Connect 1500

$497.37/mo

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Zip Code23464
Applicant7/19/1984 Male
Coverage Start7/20/2019
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameCigna Connect 1500
Plan IDhhs-41921VA0020018
Plan Year2019
Insurance ProviderCigna
Metal LevelGold
Plan TypeEPO
Deductible$1,500
Out-of-Pocket Maximum$7,900
Personal Score

Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$25 Copay
Specialist Visit15.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services15.00% Coinsurance after deductible
X-rays and Diagnostic Imaging15.00% Coinsurance after deductible
Diagnostic Imaging such as MRIs, CT, and PET scans15.00% Coinsurance after deductible
Deductible - Family$3000 per group
Out-of-Pocket Maximum - Family$15800 per group

Prescription drug coverage

Generic Drugs15.00% Coinsurance after deductible
Preferred Brand Drugs15.00% Coinsurance after deductible
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttp://www.cigna.com
Does this plan have access to a national provider network?No
Is a referral required to see a Specialist?Yes - All Specialists
Does this plan cover services outside plan service area?Yes - Emergency Only
Does this plan cover services outside the country?Yes - Emergency Only

Hospital services

Emergency Room Services15.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)15.00% Coinsurance after deductible
Inpatient Physician and Surgical Services15.00% Coinsurance after deductible
Emergency Transportation or Ambulance Service15.00% Coinsurance after deductible

Maternity

Prenatal and Postnatal Care15.00% Coinsurance after deductible
Delivery and all inpatient services for maternity care15.00% Coinsurance after deductible

Mental Health

Mental/Behavioral Health Outpatient Services15.00% Coinsurance after deductible
Mental/Behavioral Health Inpatient Services15.00% Coinsurance after deductible
Substance use disorder outpatient services15.00% Coinsurance after deductible
Substance use disorder inpatient services15.00% Coinsurance after deductible

Medical Management Programs

Does this plan offer disease managment programs?Asthma, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Pregnancy
Does this plan offer a wellness program?Not Covered

Vision Coverage

Routine Eye Exam for ChildrenIncluded
Eye Glasses for ChildrenIncluded
Routine Eye Exam for AdultsNot Covered

Child Dental Coverage

Child Dental Coverage - Routine Dental CareNot Covered
Child Dental Coverage - Basic Dental CareNot Covered
Child Dental Coverage - OrthodontiaNot Covered
Child Dental Coverage - Major Dental CareNot Covered

Adult Dental Coverage

Adult Dental Coverage - Routine Dental CareNot Covered
Adult Dental Coverage - Basic Dental CareNot Covered
Adult Dental Coverage - OrthodontiaNot Covered
Adult Dental Coverage - Major Dental CareNot Covered

Exclusions and Limitations

More Included BenefitsOther Practitioner Office Visit (Nurse, Physician Assistant)
Preventive Care/Screening/Immunization
Imaging (CT/PET Scans, MRIs)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Urgent Care Centers or Facilities
Inpatient Physician and Surgical Services
Durable Medical Equipment
Hospice Services
Cochlear Implants
Dental Anesthesia
Accidental Dental
Allergy Testing
Chemotherapy
Diabetes Education
Dialysis
Infusion Therapy
Laboratory Outpatient and Professional Services
Nutritional Counseling
Prosthetic Devices
Radiation
Reconstructive Surgery
Transplant
Treatment for Temporomandibular Joint Disorders
Well Baby Visits and Care
Clinical Trials
Newborn Hearing Screening
Oral Surgery
Treatment of Hemophilia
Orthotics
Non-Preferred Generic Drugs
Preferred Generic Drugs
Smoking Cessation Aids
Devices and Supplies for Sleep Treatment
More Limited BenefitsSkilled Nursing Facility
Private-Duty Nursing
Home Health Care Services
Outpatient Rehabilitation Services
Habilitation Services
Chiropractic Care
Rehabilitative Occupational and Rehabilitative Physical Therapy
Rehabilitative Speech Therapy
More Excluded BenefitsAcupuncture
Bariatric Surgery
Cosmetic Surgery
Hearing Aids
Infertility Treatment
Long-Term/Custodial Nursing Home Care
Weight Loss Programs
Dental Check-Up for Children
Routine Foot Care
Abortion for Which Public Funding is Prohibited
PremiumPlan NameDeductible
from $208
Anthem Blue Cross and Blue Shield HealthKeepers Silver DirectAccess, a Multi-State Plan
$1,500.00Select
from $208
Anthem HealthKeepers Silver DirectAccess - cbky
$1,500.00Select
from $212
BlueChoice HSA Silver $1,300
$1,300.00Select
from $226
KP VA Silver 1500/30/Dental
$1,500.00Select
from $235
BlueCross BlueShield Preferred 1500, A Multi-State Plan
$1,500.00Select
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Charles, Fayton
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Reynaldo, Francisco
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Francisco, Espada
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Maxine, Beatty
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Carrie, Williams
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Laura, Grizzard
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Atlantic Surgical Assistants, Inc
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Brenna, Fencil
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Allison, Taliaferro
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Amber, Scanlon
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Talya, Singleton
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Robyn, Toran
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Brittany, Wulfsberg
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Michael, Mascolo
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Donna, Gorman
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Theresa, Smith
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Morgan, Benson
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Jenna, Duncan
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Sherri, Hughes
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Edgardo, Malinis
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Charles Fayton, M.D.
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  • Phone Number
    (757) 420-6218
  • Office Locations
    6477 College Park Sq
    Virginia Beach, VA 23464
6477 College Park Sq Virginia Beach VA, 23464
  • What is the Gold Plan?

    ObamaCare’s Gold Plan is a type of Metal Plan on the Health Insurance Marketplace. Gold Plans qualify for Tax Credits, have high premiums, and good cost sharing. Gold plans mean higher premiums, less Tax Credits, but much better cost sharing on average than Silver or Bronze.

  • How are Gold Plans different than other Obamacare health plans?

    The fundamental difference among the new Obamacare health plans is the percentage of covered medical costs paid by the health plan. The Gold Plan typically pays 80% of covered medical costs.

  • How much does a Gold Plan cost?

    The monthly premium for a Gold Plan depends on the insurer from whom you purchase the plan, the number of people to be insured by the plan, your age, whether you smoke, and your geographic region. You can use HealthPocket’s comparison tool to compare Gold Plan premiums in your area.

  • When Can I Enroll in a Gold Plan?

    The Open Enrollment period for the 2018 Affordable Care Act health plans begins November 1, 2017 and ends December 15, 2017. See our Open Enrollment article for more information.

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is a wholly owned subsidiary of Health Plan Intermediaries Holdings LLC (NASDAQ: HIIQ)