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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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marquis.richardson
11/12/2019
Cigna offers incentives for wellness programs with an annual exam. The problem is that they will use every trick in the book not to honor those incentives or discounts, most the time they will blame the health care provider for not billing the services correctly even though they will admit the bill is obviously wrong, then they place it back on you having to try going back to have the billing corrected. they are not on your side they are looking out for their best interests only. Cigna has high premiums and deductibles and refuses to payout for even legitimate claims. On a positive note they have decent prescription coverage.


T
thankfulmom
6/19/2019
Cigna plays God with your health. The company refuses to cover medical expenses for treatments other insurance companies have covered for years. Cigna does not consider how well your chronic conditions have been managed in the past, or what your doctor may order to monitor your condition. I’ve had rheumatoid arthritis for years, and under United and Blue Cross coverage was able to receive the treatments I need to manage my condition well. My husband has a severe case of myasthenia gravis that we have been able to manage with Blue Cross and United. Cigna does not care if people suffer; nor do the company’s doctors respect their highly reputable colleagues in the field of medicine. The... Read More


joe
6/11/2019
Cigna is OK if you only need routine visits and prescriptions, but God forbid you need an MRI, an injection or some type of procedure. When you need medical care the most, Cigna will deny, deny, and deny! It's this "stupid game" (my doctors exact words) they play where they automatically reject your first request for absolutely no reason at all. They reject the second request claiming you doctor didn't send them something they need. Then they will find something stupid to drag it out, like... " you didn't take ibuprofen for 6 weeks." Meanwhile, the herniated disc in my back was causing permanent nerve damage in my leg, which will "never" go away. I was eventually taken by ambulance to the... Read More


hussein.mansi
4/13/2019
I am one of the beneficiaries of health insurance through my employer. My experience with Cigna is limited to 5 years as before that I was with Vanbreda which was acquired by Cigna. My biggest trouble with Cigna is their in-efficient and messy platform that is punishing their customers for their inefficient system. I have had a cardio characterization and I sent them the doctor's report and the doctor's contact three days prior to that emergency case and they confirmed that I am fully entitled to full refund. That was on 24th and 25th of Feb. 2019, They haven't stated any specific requirement to this case for the refund. On 4th of March I have submitted detailed invoice of the hospital... Read More


M
Mark
4/2/2019
Cigna has to be the WORST insurance there could possibly be!!!!!! I have recently switched jobs about 10 months ago and after 60 days I was offered health insurance through my new company and it was with Cigna. Sounded good until you need to use it for anything!! My primary care physician won't take it because it is junk and neither will my chiropractor because it is junk!! Getting prescription medications filled is a joke also. I recently had United Health Care at my previous job and was on a medication for 8+ yrs and never had an issue getting it approved until the first time I tried to get it filled with Cigna! It required a preapproval first! The medication is less than $100 for 3... Read More


L
LG
3/4/2019
I had a very bad experience with Cigna trying to get reimbursed for a vision claim, which is part of our healthcare/medical coverage. I bought glasses and paid the provider directly. I completed the Cigna claim form and submitted the accurately completed form to Cigna which indicated that the provider was paid, and the reimbursement should come to me. The claim was approved, but in error, Cigna sent the money to the provider. I followed with Cigna since I had not received the reimbursement and found this out. The rep said they would need to collect the money back from the provider before they could sent it to me, even though it was their mistake. This took months of follow up from to... Read More


Rachel G
2/7/2019
I have had a very bad recent experience with Cigna Global, despite an initially positive experience with the group. I signed up for a year-long policy with Cigna to cover a one-year overseas fellowship. I never even used the insurance. I expected the policy would end at the end date I had previously selected, but it did not. Unfortunately, due to my own neglect I didn't notice additional charges until it was too late and ended up paying for an extra three months of coverage that I never signed up for. I requested a refund and Cigna refused, and the manager of the person I spoke with (on the "Loyalty Team") has refused to respond to additional requests for a phone call. I consider their... Read More


I
Is Q
1/26/2019
Worst insurance I've had in my life. Visit the doctor once and got billed 2 coinsurance charges.


Steven J
1/18/2019
Their website "search for a doctor" has been down for MONTHS, their survey feedback has typos, and calling they say "well send you an email" and after checking my inbox and junk mail, nothing.... pure trash.


K
Kathleen
10/31/2018
They accepted someone else's dental visit under my name (we don't even have the same name or provider) and processed two separate visits for this person under my name. It's been a month and they said I still need to wait another month for it to be cleared so my dentist can get paid out and my visit to my dentist be processed. I can't believe the lack of care and the oversight on their end. This should not be something my doctor or I have to continuously deal with.



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