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Health Insurance Simplified
Cigna Plan E PPO 1
Unless stated otherwise, percentages reflect proportion of cost covered by insurance plan.
GENERAL INFORMATION
Who's covered?
Individual
In Network?
Yes
Annual Deductible
$500
Out of Pocket Max
$3000
NON-EMERGENT SERVICES
Outpatient
80% after deductible
Preventative Care
Primary Care
$0
$20 copay
Specialist Visit
$40 copay
Telemedicine Visit
$20 copay
EMERGENT SERVICES
Inpatient
80% after deductible
Urgent Care
$75 copay
Emergency Room
$150 copay
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