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Cigna Health Insurance Review

81 Customer Comments & Reviews - see all comments
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Cigna is a health and wellness company which specializes in fitness programs, individual private medical insurance and global health benefits. This company also offers dental services, voluntary benefits, and accident insurance.

What’s Included with Cigna?

  • Inpatient care
  • 100% in-network preventive care coverage
  • Rehabilitation and therapies
  • Prescription drugs
  • Immediate medical attention
  • Mental, health, behavioural health, or substance abuse needs
  • Outpatient surgery
  • Hospital stay
  • Rehabilitative and habilitative services
  • Maternity care Dental and eye care for children

Types of Health Insurance Plans

Businesses and Organizations

Yes

Individuals and Families

Yes

Short-Term Health Insurance

Yes

Other Plans Offered:

  • Lump Sum Cancer Insurance
  • Global Group Plans
  • Global Individual Plans

Plans Reviewed

Bronze Plan

Cigna’s Bronze Plan does not provide an annual limit for specific services that they cover. It has an out-of-pocket limit for participating providers which amount to $6,500 per individual and $25,000 for non-participating providers. They have an overall deductible that consumers must pay before the plan starts to pay for its covered services which adds up to $6,000 for participating providers and $12,000 for non-participating providers. This plan also meets the minimum value standard which is 60% and offers minimum essential coverage on the subject of Affordable Care Act.

Silver Plan

This plan requires policyholders to pay for deductibles on specific services such as prescription drugs which cost them $250 for each individual. It has an out-of-pocket limit that sums to $6,250 per individual for participating providers and $25,000 for non-participating providers. Other costs such as balance-billed charges, premiums, and penalties and not included in the company’s out-of-pocket limit which oblige beneficiaries to pay these expenses.

Gold Plan

Gold Plan does not have an overall deductible that policyholders must pay for their network of participating providers whether for individual or family.  Consumers should share their cost of covered expenses that has a limit of up to $6,250 per person for participating providers and $25,000 for non-participating providers. They also have to pay expenses that are included in the out-of-pocket limit such as penalties, premiums, and balance-billed charges. It also does not have an annual limit on how much their plan will pay for them on specific covered services.

How Much Does It Save You?

 

Bronze

Silver

Gold

Services Offered

Participating Provider

(Customer’s Cost)

Non-Participating Provider

(Customer’s Cost)

Participating Provider

(Customer’s Cost)

Non-Participating Provider

(Customer’s Cost)

Participating Provider

(Customer’s Cost)

Non-Participating Provider

(Customer’s Cost)

Preventive Care Services

None

50% co-insurance

None

50% co-insurance

None

50% co-insurance

Diagnostic Test

Lab: $40 co-pay, deductible waived

X-ray: 100% co-insurance, deductible applies

50% co-insurance

Lab: $35 co-pay

X-ray: $65 co-pay

50% co-insurance

Lab: $30 co-pay

X-ray: $50 co-pay

50% co-insurance

Imaging

100% co-insurance

50% co-insurance

$250 co-pay

50% co-insurance

20% co-insurance

50% co-insurance

Generic Drugs

Retail/Mail: 100% co-insurance

Mail: not covered

Retail: 50% co-insurance

Retail: $15 co-pay

Mail:$37 co-pay

Mail: not covered

Retail: 50% co-insurance

Retail: $15 co-pay

Mail: $37 co-pay

Mail: not covered

Retail: 50% co-insurance

Specialty Drugs

Retail/Mail: 100% co-insurance

Mail: not covered

Retail: 50% co-insurance

Retail/Mail: 20% co-insurance

(with limitations)

Mail: not covered

Retail: 50% co-insurance

Retail/Mail: 20% co-insurance

Mail: not covered

Retail: 50% co-insurance

Outpatient Surgery

100% co-insurance

50% co-insurance

20% co-insurance, deductible waived

50% co-insurance

20% co-insurance

50% co-insurance

Hospital Stay

100% co-insurance

50% co-insurance

20% co-insurance

50% co-insurance

20% co-insurance

50% co-insurance

Prenatal and Postnatal Care

None

50% co-insurance

None

50% co-insurance

Prenatal: none

Postnatal: $30/visit

50% co-insurance

Primary Care Visit

$70 co-pay

50% co-insurance

$45 co-pay

50% co-insurance

$30 co-pay

50% co-insurance

Emergency Room Service and Transportation

100% co-insurance

50% co-insurance

$250 co-pay

50% co-insurance

$250 co-pay

$250 co-pay

Urgent Care

$120 co-pay

50% co-insurance

$90 co-pay

50% co-insurance

$60 co-pay

50% co-insurance

Rehabilitation and Habilitation Services

$70 co-pay

50% co-insurance

$45 co-pay

50% co-insurance requires pre-authorization

$30 co-pay

50% co-insurance

Mental/Behavior Health Outpatient Service

$70 co-pay

50% co-insurance

$45 co-pay

50% co-insurance requires pre-authorization

$30 co-pay/20% co-insurance

50% co-insurance requires pre-authorization

Mental/Behavior Health Inpatient Service

100% co-insurance

50% co-insurance

20% co-insurance

50% co-insurance

20% co-insurance

50% co-insurance

Substance Use Disorder Outpatient Service

$70 co-pay

50% co-insurance

$45 co-pay

50% co-insurance requires pre-authorization

$30 co-pay/20% co-insurance

50% co-insurance requires pre-authorization

Substance Use Disorder Inpatient Service

100% co-insurance

50% co-insurance

20% co-insurance

50% co-insurance

20% co-insurance

50% co-insurance

 

Annual Maximum

Bronze

None

Silver

None

Gold

None

*Only on specific covered services

Summary

What’s great about Cigna’s health insurance plans is that it doesn’t have maximum annual limits on a number of services it covers.

 

 


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81 Customer Comments & Reviews

Loading Reviews ...
regloff
2/15/2023
Terrible, terrible, terrible company. The only thing they work hard at is finding reasons to deny coverage. Avoid this company if you have any choice in the matter.


D
David L
1/18/2023
The minute I retired or meet my out of pocket maximum, this damn company turns everything down. In 32 years of having insurance, this is the worst medical coverage insurance company ever. All they do is turn everything down as not medically necessary. I have to have a disc in my back fused that’s causing me severe pain down both legs and feet and they are refusing the fusion as “not medically necessary”. The only way I can function is with pain meds. Guess they don’t give a crap about the opioid crisis or my quality of life. All about the money. I’m hiring an attorney and adding pain and suffering to my lawsuit!


Laura N
1/15/2023
This is the absolute worst insurance. Half my medical providers are dropping them. They refuse almost every procdure, claiming "not medically necessary" even for procedure lime an endoscopy which is literally the only way to check for esophageal cancers.


S
sandi h
1/7/2023
Y'all should be ashamed! My niece had an accident nearly a year ago and you're still dragging your feet paying the DENTAL CLAIM. Every time you turn around, you ask for another form to be completed, ANOTHER HOOP TO JUMP THROUGH. WHY CAN'T THIS ALL BE DONE AT ONE TIME? You are happy to collect premiums for employers but you sure as heck don't want to pay to help a person get back to being able to eat properly. She lost her teeth in the accident...was told there was no coverage, then told there was which means she lost 6 months of time to get all this done. Now you're dragging your feet...gee, the one year anniversary is coming up...then you'll be absolved from payment. You have... Read More


Sandra S
12/27/2022
Worst customer service ever! Cannot even make my first payment without NUMEROUS problems! Gave me info to pay online that is incorrect for a new subscriber. More phone calls. Sent me a link to pay & that does not work either. Finally mailed a paper check on Dec. 9 & as of Dec 27 it's still not cashed. They have no idea where my payment is at all. My insurance is going to lapse Dec. 31. Got customer service in Philippines, first person didn't inderstand English. Got a supervisor who did nothing but lie to me & was arrogant & rude. Called Member customer service & have now been left on hold for 38 mins so far "for checking" & apparently have no intention of ever coming back on the line. I... Read More


mrhippler01
11/3/2022
Customer Service is HORRIBLE! I have been calling numerous numbers for the last hour and a half to get one questioned answered. Thought I finally had the right number (From the benefits summary) and then they Transferred me, after speaking with someone that does not speak English well, to an Agent who could not answer the question. The run around is not worth it. Can't imagine really needing someone to talk to about Health Concerns.


J
John
8/31/2022
Worst insurance in the planet! We thought cancer was out biggest enemy no it’s the piss poor Cigna insurance


B
Bebe D
7/21/2022
First of all, the data shown in the chart needs to be updated for 2022 pricing. All of the out of pocket maximums have GONE UP. All of the premiums have GONE UP. All of the coverage amounts have GONE DOWN. Second, this conglomerate needs to be put under a microscope for breaking anti trust laws. Cigna insurance is everywhere, you can't get away from it. They don't pay for anything and aren't really an insurance company at all, in fact they're sort of middle men that negotiate pricing down for services. I don't need that. Cash pay individuals pay far less for medical services than those of us with Cigna "coverage". Paying premiums to this company basically amounts to throwing your... Read More


R
Rebecca R
6/10/2022
I'll say that I would not recommend CIGNA as a medicare advantage program. It is amazing to me that CIGNA is rated as one of the 10 best. What is this based on? Profits? Certainly, CIGNA has improved its profits! Don't be fooled by these ratings, read the reviews. Know for certain that you will not have good customer service. Services and prescriptions will be questioned, even though your physician needed the service or prescription requested to provide the care you need. My personal experience has been an awful experience for me. I have spent hours on the phone and transferred on average four times per call. The result was that they didn't know and no supervisor was available to talk... Read More


tshowman
5/31/2022
This plan covers essentially nothing. My wife nearly died and needed surgery and we have to pay for it out of pocket because Cigna didn't cover any of it. My surgery was denied a few days before it was supposed to happen after Cigna approving it in advance and forcing me to go through hell for 5 months fulfilling their laundry list of requirements. Now we're in debt from saving her life and I'll barely ever be able to walk again because they decided it would cost them too much money to provide a medically necessary service.



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