Medical Benefits

The High Deductible Health Plan Base Plan has an option to enroll in a Health Savings Account (HSA), a tax-advantaged, individually-owned account. The plan includes a network
of hospitals and physicians who have agreed to allow substantially greater discounts to Cigna plan subscribers.

If services are received from an in-network Cigna provider, eligible expenses will be paid at the 80% coinsurance level after deductible. If you receive services from a provider outside the
Cigna network, eligible expenses will be paid at the 60%/40% coinsurance level after deductible.

	HDHP Base Plan
Deductible (Individual/Family)	$4,000/$8,000
Coinsurance	80%
Out-of-Pocket Max (Individual/Family)	$5,000/$10,000
Primary Office Visit	Deductible + Coinsurance
Specialist Visit	Deductible + Coinsurance
Routine Preventive	100% Covered
Urgent Care	Deductible + Coinsurance
Inpatient Hospital	Deductible + Coinsurance
Emergency Room	Deductible + Coinsurance
Prescription Drugs	Deductible + Coinsurance
Mail Order	Deductible + Coinsurance

Monthly Premium	Total Premium	Employer Pays	Employee Pays w/ Wellness Discount	Employee Pays w/o Wellness Discount
Individual	$836.00	$686.00 (80%)	$100.00	$150.00
Employee + Spouse	$1,779.00	$1,245.00 (70%)	$484.00	$534.00
Employee + Child(ren)	$1,612.00	$1,128.00 (70%)	$434.00	$484.00
Employee + Family	$2,235.00	$1,564.00 (70%)	$621.00	$671.00


Employer will contribute to the HSA $25.00 monthly for employee-only election and $50.00 monthly for the dependent election.

Downloads

One Guide Pre Enrollment Customer Flyer

myCigna Customer Flyer

Cigna Virtual Care All Services Customer Flyer

Health Information Line Customer Flyer

Cigna 90 Now Walgreens

CTBH Customer Flyer

Cigna Coming Soon - Omada Complete - Flyer

The High Deductible Health Plan Buy-Up Plan has an option to enroll in a Health Savings Account (HSA), a tax-advantaged, individually-owned account. The plan includes a network of hospitals and physicians who have agreed to allow substantially greater discounts to Cigna plan subscribers.

If services are received from an in-network Cigna provider, eligible expenses will be paid at the 100% coinsurance level after deductible. If you receive services from a provider outside the Cigna network, eligible expenses will be paid at the 60%/40% coinsurance level after deductible.

	HDHP Buy-Up Plan
Deductible (Individual/Family)	$3,400/$6,800
Coinsurance	100%
Out-of-Pocket Max (Individual/Family)	$3,400/$6,800
Primary Office Visit	Deductible
Specialist	Deductible
Routine Preventive	100% Covered
Urgent Care	Deductible
Inpatient Hospital	Deductible
Emergency Room	Deductible
Prescription Drugs	Deductible
Mail Order	Deductible

Monthly Premium	Total Premium	Employer Pays	Employee pays w/Wellness Discount	Employee pays w/o Wellness Discount
Individual	$913.00	$730.00 (80%)	$133.00	$183.00
Employee + Spouse	$1,942.00	$1,359.00 (70%)	$533.00	$583.00
Employee + Child(ren)	$1,760.00	$1,231.00 (70%)	$479.00	$529.00
Family	$2,440.00	$1,708.00 (70%)	$682.00	$732.00