Medical Plan Basics
This is the amount a member pays before most medical services are covered by the plan.
What is the deductible?
This Cigna plan includes an employer funded HRA that lowers the member's deductible amount.
What is the Cigna Silver PPO?
This account is funded 100% by the employer and helps offset medical expenses.
What is an HRA?
These services are covered at no cost to members, even if the deductible hasn't been met.
What is preventative care?
This is the list of medications covered by the plan and grouped by cost tiers.
What is a formulary?
After the deductible, this term describes the percentage the plan pays versus the member.
What is coinsurance?
This Cigna plan is HSA compatible and has the highest deductible but the lowest premium.
What is the Cigna Bronze CDHP?
Unused funds in this account roll over year to year and belong to the employee - even into retirement or after leaving the company.
What is an HSA?
Choosing this type of care instead of the ER can significantly reduce costs for non-life-threatening issues.
What is Urgent Care?
This type of medication usually costs the least, is FDA-approved and works the same as its brand-name counterpart.
What is a generic drug?
This type of plan allows members to see specialists without referrals and includes out-of-network coverage at a higher cost.
What is a PPO?
This plan has the lowest deductible and fixed copays for most services.
What is the Cigna Gold PPO?
Funds left in these accounts at the end of the plan year are generally forfeited if not used.
What are the Flexible Spending Accounts?
This service offers 24/7 access to doctors and can reduce unnecessary ER visits.
What is Teladoc Health?
Under some medical plans, members must pay the full cost of their prescriptions until this amount is met.
What is a prescription drug deductible?
This type of plan offers predictable copays but requires members to stay in-network and often use a Primary Care Physician.
What is an HMO?
This regional plan option requires members to use specific facilities and providers for most services.
What are the Kaiser medical plans?
This plan allows for pre-tax contributions up to an annual maximum, provides a company match and offers a variety of investment options.
What is a 401k?
This benefit helps members find high-quality surgeons and reduces out-of-pocket costs for planned procedures.
What is Lantern?
Filling maintenance medications this way is convenient and can save you money.
What is a 90-day mail order prescription?
This is the maximum amount a member pays in a plan year for covered medical expenses before the plan pays 100%.
What is the out-of-pocket maximum?
This plan design shifts more upfront cost to members and encourages long-term savings through tax advantages.
What is a CDHP with an HSA?
This benefit can replace part of your income for issues such as pregnancy, illness or injury.
What is Voluntary Short-Term Disability?
Understanding where to go for care helps reduce overall claims costs and future premium increases.
What is consumer driven healthcare behavior?
This tool allows members to compare drug prices and find discounts - even without insurance.
What is GoodRx?