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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

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J
Joseph E
2/22/2021
I had to use my health insurance. I was covered and up to date with my payments. Cigna denied all of the health insurance claims totaling something like $25000.00 in billing. I am currently on hold calling them 1hr+), to find out why my claims have been denied when I was in good standing.


A
Ann C
1/2/2021
My coverage under Cigna started yesterday on 1/1. Today I selected my primary care provider through them. I am not at all pleased that the website says they don't actually become my primary care provided until 2/1. So I'm paying for care but they are not my provider for a whole month?! That's BS. I switched to other providers and there is still a month waiting period. I regret switching insurance. I should have stayed with Kaiser.


J
Joyce G
12/2/2020
At one time I had insurance with jCigna. I discontinued that coverage because it was not necessary for med to have it. Can you please send me the date that the insurance coverage was discontinued. my information - Joyce Gibbs 211 2nd Street, NW Apt. #801 Rochester, MN 55901 I appreciate your response to this request. Thank you


shooterbloom19
11/18/2020
CIGNA are criminals . if you are gonna be long term and costly they deny and lie. horrible people . gonna have to call lawyer to get table scraps out of them . pathetic !


mindaffairs3
8/12/2020
I received today by mail from Cigna that has already teen tssed stating it was a refund. Amount on right side of check made out to me was $. 75. Below my name where check amount would be written was $75/00. A number was also provided on the page to call if I had questions. First call resulted on a hang up probably because I began hitting 0 when they started promoting some alarm system. In second call agent could not find any data regarding my ID and any refund adjustment.With third or fourth call of getting an agent, I was told the refund on the check was $ .67. No bank was going to cash that $.67 check, it is not clear. The only reason I fooled with it was because it... Read More


fruits9125
8/11/2020
Cigna is a predatory company. Some of their provider networks are so narrow they should be illegal. For example, there is a hospital 10 minutes from my house, but it is not in-network so now I have a $1,200 out-of-network bill because my infant child was choking. The closest in-network hospital is 30 minutes further. Also, their customer service representatives are not well trained and - either purposefully or inadvertently - communicate false information. This has led to avoidable out-of-network costs.


Y
Yaron K
7/28/2020
Cigna will approve -after multiple denials and having to go to a third party- medical treatments for me (an MRI, and multiple rounds of Spinal injections) but they will not approve the office visit/phone call from the doctors to discuss the results of the treatment. The first time I called in to discuss, I was told by one of their customer service representatives, "yup pretty much nothing we can do." I have since been on the phone with multiple supervisors who don't seem to understand why they would approve the procedures, but not letting me know the results, yet continue to deny the visits leaving me on the hook for the complete amount.


Marci D
4/12/2020
You get health insurance to insure you will get the medical care needed for a good quality of life and to prevent medical issues later in life yet cigna insuance cares more about money!They are denying my jaw surgery that is causing me pain,anxiety embarrassment missing days at work, I can't eat,speak, sleep and my self esteem is since I no longer can even wear my bottom dentures in public I have compression nerve pain, thats unbearable, My Jaw bone is only 2mm thick almost totally deteriorate that is fixable they will not approve! l have lost 35lbs missing work, not getting the nutrition needed my hair is falling out , I can not chew foods now surviving on liquids only .I need good... Read More


joan.margaret.harrison
3/27/2020
Without a doubt, Cigna has got to be the most unethical insurance company I've ever had the unpleasant misfortune of dealing with in my whole life!! And trust me when I tell you, that there have been several different insurance companies which I've dealt with before. Therefore, I have a clear basis of comparison. A few months ago, I was diagnosed with a pretty aggressive form of breast cancer. It had already reached Stage III by the time that it had eventually been discovered. At that time, my doctors had given me just a 60% chance of survival, since the cancer had already metastasized and begun spreading into all my vital organs: kidneys, liver, and spleen. (Not necessarily encompassing... Read More


panchenko.dmytro
1/22/2020
I made 2 Flu shots for me and for my wife in Costco Pharmacy. Sent all provided documents including detailed receipt and prefilled forms from Cigna site. And, of course, before I went to Costco I call their customer service and they confirmed that Costco Pharmacy is in-network. Still refusing for reimbursement, demanding all kinds of nonsense: diagnoses, diagnoses code, tax information from Costco, itemized receipt (was sent with all documents). And that`s for $39.99



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