Cigna Preferred Savings Medicare (HMO)

Inpatient Hospital See details

Inpatient Hospital services are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For Inpatient Hospital-Acute, you will pay a $220 copay for days 1-7 and no copay for days 8-90, and for Inpatient Hospital Psychiatric, you will pay a $250 copay for days 1-7 and no copay for days 8-90. Additional days for Inpatient Hospital-Acute are covered, while non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered, and additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are also not covered.

Outpatient Services See details

Outpatient Services, including outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services, are covered. Outpatient hospital services have a copay between $0 and $285, while observation services have a $285 copay. Individual and group sessions for outpatient substance abuse have a copay of $30. Ambulatory surgical center services have no copay.

Partial Hospitalization See details

Cigna Preferred Savings Medicare (HMO) covers partial hospitalization with a $100 copay. Prior authorization is required.

Ambulance and Transportation Services See details

Ambulance and Transportation Services are covered by the Cigna Preferred Savings Medicare (HMO) plan, with prior authorization required for all ambulance services. Ground ambulance services have a $300 copay, while air ambulance services have a 20% coinsurance, and transportation services to any health-related location are not covered.

Emergency Services See details

Emergency Services, including Worldwide Emergency Services, are covered under the Cigna Preferred Savings Medicare (HMO) plan. Emergency Services have a $135 copay with no coinsurance, while Urgently Needed Services have a $25 copay with no coinsurance. Worldwide Emergency Services, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have a $135 copay, with a maximum plan benefit coverage amount of $50,000.

Primary Care See details

The Cigna Preferred Savings Medicare (HMO) plan's primary care includes coverage for Primary Care Physician Services, Chiropractic Services with a $20 copay, Occupational Therapy Services with a $30 copay, Physician Specialist Services with a $30 copay, Physical Therapy and Speech-Language Pathology Services with a $30 copay, Other Health Care Professional with a copay between $0 and $30, and Opioid Treatment Program Services with a $30 copay. Mental Health Specialty Services and Psychiatric Services do not cover individual or group sessions, Podiatry Services are not covered, and Routine Chiropractic Care is not covered. Additional Telehealth Benefits are covered with a copay between $0 and $30.

Preventive Services See details

The Cigna Preferred Savings Medicare (HMO) plan covers preventive services, including annual physical exams, health education, and fitness benefits. Additional services like glaucoma screening, diabetes self-management training, and digital rectal exams are also covered. However, in-home safety assessments, personal emergency response systems, and many other services are not covered.

Hearing Services See details

Hearing services include routine hearing exams with a $30 copay, fitting/evaluation for hearing aids, and prescription hearing aids, with a copay between $399 and $1800 depending on the type. OTC hearing aids, and some prescription hearing aid types are not covered.

Vision Services See details

The Cigna Preferred Savings Medicare (HMO) plan covers vision services, including routine eye exams with a copay of $0-$30, and eyewear benefits with a combined maximum of $150 every year. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are also covered.

Dental Services See details

Cigna Preferred Savings Medicare (HMO) covers dental services, including Medicare dental services with a $30 copay, and other dental services up to a maximum of $1,000 per year. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, implant services, oral and maxillofacial surgery, and orthodontics are also covered.

Home Infusion bundled Services See details

Home Infusion bundled Services are covered, and require prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%, and for Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.

Dialysis Services See details

Dialysis Services are covered by the Cigna Preferred Savings Medicare (HMO) plan, but require prior authorization and a doctor's referral. You will pay 20% coinsurance for these services.

Medical Equipment See details

Medical Equipment benefits are covered by the Cigna Preferred Savings Medicare (HMO) plan. Durable Medical Equipment (DME) has a 20% coinsurance, while Durable Medical Equipment for use outside the home is not covered.

Prosthetic Devices and Medical Supplies have a 20% coinsurance, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance, while Diabetic Supplies are not covered.

Diagnostic and Radiological Services See details

Diagnostic and Radiological Services, including diagnostic procedures/tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services, are covered. Diagnostic Procedures/Tests have a copay between $0 and $150, while Lab Services have no copay. Diagnostic Radiological Services have a copay up to $195, Therapeutic Radiological Services have 20% coinsurance, and Outpatient X-Ray Services have no copay.

Home Health Services See details

Home Health Services are covered by the Cigna Preferred Savings Medicare (HMO) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Prior authorization is required for this benefit.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered by the Cigna Preferred Savings Medicare (HMO) plan. Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services are not covered.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered by the Cigna Preferred Savings Medicare (HMO) plan, but prior authorization is required. You will have no copay for days 1-20, and a $214 copay for days 21-100.

Other Services See details

Other Services include coverage for over-the-counter (OTC) items and a meal benefit. The plan provides up to $75 for OTC items every three months, and provides a meal benefit for chronic illnesses and medical conditions that require the enrollee to remain at home for a period of time.