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Cigna Health Insurance Review

80 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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80 Customer Comments & Reviews

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J
Joe W
11/14/2021
I am totally irritated. I switched from coverage from one employer to another employer and can't see my new claims. This has been going on for months and they still can't get it right. They also claim that they are trying to resolve problems with newer claims that are being associated with the old plan but I'm still having problems. I am pissed. The associates are friendly, but the folks in the claims and IT department keep dropping the ball. I would rather someone not be particularly friendly and the company get this crap straightened out.


carolscjohnston
11/11/2021
Ditto on many of the other reviews. Cigna (PPO) plan denies medication, despite doctor letters for preauthorization stating the items that Cigna claims were not included. Long wait times for pre-approvals for procedures and tests (despite being a PPO), I don't currently have another choice with my employer--but actually looking forward to Medicare (and no Plan B's with Cigna!!!).


mikerichey46
10/30/2021
QUITE POSSIBLY ONE OF THE WORST INSURANCE COMPANIES, I have Cigna PPO Preferred through my employer and pay extra for the higher tier. Well that doesn't mean anything, everything with Cigna is denied by their evaluating company "Evicore." My 18 year old son had an injury to his hip and saw an orthopedic who referred him to physical therapy, Cigna/Evicore denied it saying there was no medical necessity, after appeal was approved, co-pay was $600. My son was sent for an MRI, was originally denied and after appeal was approved, co-pay was $400. Multiple medications denied, not covered even after my physician sent in several requests for authorization. My wife has suffered from severe back... Read More


V
Vishale
10/29/2021
Terrible. They terminated my coverage with no basis and then acted like they were working on reactivating it for 1 month giving me the runaround with no follow up and inaccurate records. No wonder my Fortune 500 employer terminated their contract with them. Never again, Cigna. Never.


felicialmoreno
10/28/2021
Terrible insurance. They keep denying care ordered by my daughter's doctor. She has a herniated disc and they are denying the MRI to enable her to have surgery to correct it. Instead, she is living with extreme pain.


doctordad08
10/27/2021
This is by far the WORST insurance coverage I've ever been forced to pay for. If I had any other option through my employer, I would gladly accept it in leu of having to jump through unnecessary hoops for this agency. I've personally spent 14 years working in the Operating Room (OR) and even longer in generalized healthcare. I spent several of those years specializing in Sports Medicine. I have firsthand experience with diagnosing injury and scheduling imaging, therapy, etc. This past year I left surgery to redirect my expertise into supporting the global efforts combating the SARS-CoV-2 pandemic. With that decision, I changed my employer and had to transition my health plan to Cigna. My... Read More


jlapham264
10/18/2021
cigna is terrible, no matter what you read. They do not pay claims, they do not return phone calls and all you get is the run around and jump threw hoops like a circus dog. I was even working with a supervisor, never got back with me about my refund I paid because they did not. Terrible service. Bottom line is it's your call, you have been warned.


inventorchris2
10/15/2021
Cigna sucks completely. I've been on less that a month and I already hate it. I pay about $377 a month through healthcare.gov for them and they still don't cover anything besides a visit to the doctor. I have a $5,000 deductible I have to meet before they will pay for anything. I'm experience acid reflux issues and had to turn down the testing my GI doc wanted to do because I can't afford it. BlueCross is literally the only good insurance on healthcare.gov. Its a little expensive, but their copays and deductible are much lower. Definitely switching back in January They also don't cover about 1/2 if not more of all medications. Even if they do cover it they have insane restrict on dose... Read More


D
Dennis
10/1/2021
Cigna denied my knee surgery at 5pm the day before my surgery. That is unacceptable. To claim that it was some how medically unnecessary makes no sense. I have a torn meniscus and a bakers cyst in my right knee. I have been limping with limited movement in my right knee for almost 8 months now. I believe Cigna is just trying to make it hard for me to get this knee surgery done hoping that I just give up. It’s the only logical explanation. I have MRI results that clearly show why I need the surgery. I have every intention of voicing my frustration with Cigna health care to my supervisors. I hope Cigna is dropped as our provided healthcare coverage and replaced with one that actually cares... Read More


D
Doug
9/8/2021
I made the mistake of choosing Cigna in March of 2020. I would have been better off flushing my money down the toilet for the last 18 months. They didn't cover a single thing, denying every one of my dental claims. So, not only was I paying every dental bill out-of-pocket (in full), I was also paying Cigna every month for providing absolutely nothing. When I first joined Cigna, they told me about all of these wonderful benefits I'd be privy to after 12 months. Yeah, that was a lie. They wouldn't even cover a routine cleaning after I'd been a member for 15 months. Out of the 7 claims filed over the last 18 months (for cleanings and a few x-rays), Cigna denied 6 of them and only paid a few... Read More



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