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inurance organization provider

Cigna Healthcare

Plan ID: H0672-1-0

Cigna Preferred Medicare (HMO)

2024 Cigna Preferred Medicare (HMO) H0672001 0 is a Medicare Advantage plan with drug coverage. It has received a 3-out-of-5 star rating from CMS for 2024.

Learn more about Cigna Preferred Medicare (HMO) H0672 - 001 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.

3 / 5 stars for 2024

$0.00 /mo

Monthly premium

$0

Health deductible

$0

Drug deductible

$3860.00

Out-of-pocket maximum

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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week!

Overview Icon

Plan Overview

2024 Cigna Preferred Medicare (HMO) H0672001 0 is a Local HMO offered in Denver by Cigna Healthcare. It has a monthly premium of $0.00.

Premium Breakdown

Standard Part B Premium

$174.70

Part B premium reduction

- $0

Monthly Plan Premium

$0.00

Total Premium:

$174.70

Note:

The standard Part B premium for 2024 is $174.70. Your Part B premium may differ based on factors including late enrollment, income, and disability status. Higher-income beneficiaries may pay an income-related monthly adjustment amount (IRMAA). The Part B premium is required to be paid by everyone enrolled in Medicare Part B.

Special needs plan type

No

Out-of-pocket maximum

$3860.00

Plan Organization:

Cigna Healthcare

Plan Type:

Local HMO

Location:

Denver

Drugs Covered:

Yes

Drug Formulary:

Pharmacies:

Doctor Choice:

Plan Doctors for Most Services

Doctors Link:

Deductibles

The amount you must pay each year before your plan starts to pay for covered services or drugs.

Health deductible

$0

Drug deductible

$0

Sign up for Cigna Preferred Medicare (HMO)

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Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Drug Coverage Icon

Drug Coverage

Cigna Preferred Medicare (HMO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Benefit Type

Enhanced

Prescription drug deductible

$0

Increased initial coverage limit

No

Additional gap coverage

No

Part D Premium Reduction

This plan's premium may be reduced for you if you qualify for the low-income subsidy (also known as LIS or "Extra help"). The following is what you'll pay for with LIS.

Part D

LIS 25%

LIS 50%

LIS 75%

LIS Full

$0.00

$0.00

$0.00

$0.00

$0.00

Initial Coverage Phase

After you pay your $0.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00. Once you reach that amount, you will enter the next coverage phase.

30 Days
60 Days
90 Days

Tier

Preferred Pharmacy

Standard Pharmacy

Preferred Mail

Standard Mail

1. Preferred Generic

$0.00 copay

$9.00 copay

$0.00 copay

$9.00 copay

2. Standard Generic

$4.00 copay

$15.00 copay

$4.00 copay

$15.00 copay

3. Preferred Brand

$45.00 copay

$47.00 copay

$45.00 copay

$47.00 copay

4. Non-Preferred Drug

$95.00 copay

$100.00 copay

$95.00 copay

$100.00 copay

5. Specialty Tier

33%

33%

33%

33%

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs.

Generic Drugs

$4.15 copay or 5% (whichever costs more)

Brand-name

$10.35 copay or 5% (whichever costs more)

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Additional Benefits

Cigna Preferred Medicare (HMO) also provides the following benefits.

Note:

Limits, Authorizations, and Referrals may apply for the benefits below. Contact the plan for details.

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Comprehensive dental

Non-routine services
$0-285 copay
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Diagnostic services
$0 copay
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Restorative services
$0-550 copay
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Endodontics
$0-675 copay
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Periodontics
$0-595 copay
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Extractions
$0 copay
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Prosthodontics, other oral/maxillofacial surgery, other services
$0-615 copay
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Preventive dental

Oral exam
$0 copay
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Cleaning
$0 copay
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Fluoride treatment
$0 copay
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Dental x-ray(s)
$0 copay
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Diagnostic procedures/lab services/imaging

Diagnostic tests and procedures
$0-20 copay
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Lab services
0-20% coinsurance
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Diagnostic radiology services (eg, MRI)
$0-175 copay
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Outpatient x-rays
$10 copay
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Doctor visits

Primary
$0 copay
Specialist
$25 copay per visit
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Emergency care/Urgent care

Emergency
$120 copay per visit (always covered)
Urgent care
$25 copay per visit (always covered)
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Foot care (podiatry services)

Foot exams and treatment
$25 copay
Routine foot care
Not covered
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Ground ambulance

Service
$205 copay
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Hearing

Hearing exam
$25 copay
Fitting/evaluation
$0 copay
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Hearing aids
$399-1,800 copay
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Inpatient hospital coverage

Service
$185 per day for days 1 through 6 $0 per day for days 7 through 90
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Outpatient hospital coverage

Service
$0-225 copay per visit
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Optional benefits

Service
No
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Medical equipment/supplies

Durable medical equipment (eg, wheelchairs, oxygen)
20% coinsurance per item
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Prosthetics (eg, braces, artificial limbs)
20% coinsurance per item
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Diabetes supplies
$0 copay
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Medicare Part B drugs

Chemotherapy
0-20% coinsurance
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Other Part B drugs
0-20% coinsurance
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Part B Insulin drugs
0-20% coinsurance (up to $35)
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Mental health services

Inpatient hospital - psychiatric
$185 per day for days 1 through 6 $0 per day for days 7 through 90
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Outpatient group therapy visit with a psychiatrist
$0 copay
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Outpatient individual therapy visit with a psychiatrist
$0 copay
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Outpatient group therapy visit
$0 copay
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Outpatient individual therapy visit
$0 copay
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Preventive care

Service
$0 copay
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Rehabilitation services

Occupational therapy visit
$25 copay
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Physical therapy and speech and language therapy visit
$25 copay
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Skilled Nursing Facility

Service
$10 per day for days 1 through 20 $203 per day for days 21 through 100
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Transportation

Service
$0 copay
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Vision

Routine eye exam
$0 copay
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Other
Not covered
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Contact lenses
$0 copay
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Eyeglasses (frames and lenses)
$0 copay
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Eyeglass frames
$0 copay
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Eyeglass lenses
$0 copay
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Upgrades
$0 copay
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Wellness programs (eg, fitness, nursing hotline)

Service
Covered
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Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

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MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.

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Every year, Medicare evaluates plans based on a 5-star rating system.

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.

Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period

We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.

Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.

Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.

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