All plans
HSA Compatible
Cigna Ultra 8000 HSA
Cigna PPO Network
Cigna Ultra 8000 HSA — Deductible: $8,000 / $16,000; Max Out of Pocket: $8,000 / $18,400; After the deductible the plan pays 100% in-network; Rx: $0 after deductible; HSA-qualified.
Monthly premiums
- Member
- $857.00/mo
- Member & Children
- $1,388.00/mo
- Member & Spouse
- $1,563.00/mo
- Member & Family
- $2,060.00/mo
Plan details
- Deductible (Individual)
- $8,000
- Deductible (Family)
- $16,000
- Out-of-Pocket Max (Individual)
- $8,000
- Out-of-Pocket Max (Family)
- $18,400
- Coinsurance (In-Network)
- 0%
Benefits
Deductible
$8,000 / $16,000
Individual / Family (in-network)
Max Out of Pocket
$8,000 / $18,400
Individual / Family (in-network)
After the Deductible
$0, plan pays 100%
Doctor, tests, imaging, hospital, ER (in-network)
Preventive Care
$0
Covered before the deductible
Rx Coverage
$0 after deductible
Generic, preferred and non-preferred; specialty 50%
HSA
HSA-qualified
Pairs with a Health Savings Account
Out-of-Network
40% after deductible
Deductible $16,000 / $32,000
Network
Cigna PPO — National
No referrals required
Plan documents
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