Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Cigna Courage Medicare (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Cigna Courage Medicare (HMO) in 2025, please refer to our full plan details page.
Cigna Courage Medicare (HMO) is a HMO plan offered by The Cigna Group available for enrollment in 2025 to people living in Alabama. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that Cigna Courage Medicare (HMO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Below are a few key facts and commonly-asked questions about Cigna Courage Medicare (HMO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Cigna Courage Medicare (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $75.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $5750.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Prescription drugs are not covered by Cigna Courage Medicare (HMO).
The Cigna Courage Medicare (HMO) plan offers a range of benefits, including inpatient hospital stays with a copay, and outpatient services with copays that vary by service. It also covers emergency, primary care, preventive, hearing, vision, dental, and home health services. This plan provides coverage for ambulance services, partial hospitalization, and skilled nursing facilities, with specific copays or coinsurance amounts applying to many services. Additionally, it includes home infusion, dialysis, medical equipment, and diagnostic services.
Inpatient Hospital coverage includes acute and psychiatric care, with a copay of $330 for days 1-6 and no copay for days 7-90 for acute care, and a copay of $325 for days 1-7 and no copay for days 8-90 for psychiatric care. Additional days for inpatient hospital psychiatric and non-Medicare-covered stays for both acute and psychiatric care, and upgrades for acute care are not covered.
Outpatient Services, including all outpatient hospital services, observation services, and outpatient substance abuse services, are covered by the Cigna Courage Medicare (HMO) plan. Outpatient hospital services have a copay between $0 and $330, observation services have a $330 copay, and individual and group outpatient substance abuse sessions have a $30 copay. Ambulatory Surgical Center (ASC) Services have no copay.
Cigna Courage Medicare (HMO) covers partial hospitalization with a $105 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services are covered under the Cigna Courage Medicare (HMO) plan. Ground ambulance services have a $260 copay, while air ambulance services have a 20% coinsurance; however, transportation services to any health-related location are not covered.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Cigna Courage Medicare (HMO) plan. Emergency Services and Worldwide Emergency Coverage have a $125 copay, while Urgently Needed Services have a $55 copay; all of these services have no coinsurance.
The Cigna Courage Medicare (HMO) plan covers primary care physician services, chiropractic services with a $20 copay, occupational therapy services with a $30 copay, physician specialist services with a $30 copay, and physical therapy and speech-language pathology services with a $30 copay. Additionally, the plan covers other healthcare professional services with a copay between $0 and $30, and opioid treatment program services with a copay of $30. The plan also offers additional telehealth benefits with a copay between $0 and $30. However, routine chiropractic care, individual and group sessions for mental health specialty services, individual and group sessions for psychiatric services, and podiatry services are not covered.
The Cigna Courage Medicare (HMO) plan covers preventive services, including Medicare-covered preventive services, annual physical exams, health education, kidney disease education services, and other preventive services, with no copay. However, the plan does not cover in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy (MNT), and several other listed services.
Hearing Services include routine hearing exams with a $30 copay, and fitting/evaluation for hearing aids. Prescription hearing aids are covered with a copay between $399 and $1800, but inner ear, outer ear, and over the ear prescription hearing aids are not covered, and OTC hearing aids are not covered.
The Cigna Courage Medicare (HMO) plan covers vision services, including eye exams with a copay of $0-$30, and eyewear with a combined maximum benefit of $200 per year. Contact lenses are covered, and eyeglasses (lenses and frames) are covered, limited to one pair per year.
Cigna Courage Medicare (HMO) covers dental services, including Medicare dental services with a $30 copay, with a maximum plan benefit of $1500 per year. Other services like oral exams, dental x-rays, and orthodontics are covered.
Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services are covered under the Cigna Courage Medicare (HMO) plan, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment is covered by Cigna Courage Medicare (HMO), including Durable Medical Equipment with 20% coinsurance, Prosthetic Devices with 20% coinsurance, and Medical Supplies with 20% coinsurance, but Durable Medical Equipment for use outside the home, and Diabetic Supplies are not covered. Diabetic Therapeutic Shoes/Inserts are covered with 20% coinsurance.
Diagnostic and Radiological Services are covered, with prior authorization required. Diagnostic Procedures/Tests have a copay between $0 and $75, while Lab Services have no copay. Diagnostic Radiological Services have a copay up to $100, Therapeutic Radiological Services have a copay of $80, and Outpatient X-Ray Services have no copay.
Home Health Services are covered by the Cigna Courage Medicare (HMO) plan with no copay and no coinsurance. However, Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services are covered, but not Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. A copay applies for covered services, but the specific amount is not detailed.
Skilled Nursing Facility (SNF) services are covered by the Cigna Courage Medicare (HMO) plan, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $214 per day; additional days beyond Medicare-covered and non-Medicare-covered SNF stays are not covered.
Other Services are not covered by the Cigna Courage Medicare (HMO) plan, including acupuncture, over-the-counter items, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services. The plan does cover a meal benefit for chronic illnesses and medical conditions that require the enrollee to remain at home for a period of time.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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