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Health Insurance Simplified
Cigna Plan E PPO 4
Unless stated otherwise, percentages reflect proportion of cost covered by insurance plan.
GENERAL INFORMATION
Who's covered?
Family
In Network?
No
Annual Deductible
$3000
Out of Pocket Max
$18000
NON-EMERGENT SERVICES
Outpatient
50% after deductible
Preventative Care
Primary Care
70% after deductible
70% after deductible
Specialist Visit
$40 copay
Telemedicine Visit
70% after deductible
EMERGENT SERVICES
Inpatient
50% after deductible
Urgent Care
$75 copay
Emergency Room
$150 copay
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