- Does Urgent Care Charge A Copay
- Cigna Urgent Care Copay Coverage
- My Cigna Urgent Care Cost
- Cigna Insurance Urgent Care Centers
- Cigna Open Access Urgent Care Copay
- What Is The Copay At Urgent Care
Details Drug Coverage for the Cigna Cigna TotalCare H5410-032 (HMO D-SNP) in Florida. This is a 5-star Medicare Advantage plan. Urgent care $0 copay. Diagnostic procedures/lab services/imaging. Plan details for Cigna TotalCare (HMO D-SNP), a 2021 Medicare Advantage Plan. $0 or $65 copay per visit (always covered) Urgent care-$0 copay: Foot Care.
In 2016, the average cost of an urgent care clinic was $176 compared to $2,259 at an ER, based on national averages from health insurer Cigna's 2016 claim data. 'Urgent care clinics tend to be. . Inpatient Hospital Per Admission Copay is waived if readmitted within 30 days for the same diagnosis. Skilled Nursing Facility Copay is waived if admitted within 3 days of hospital discharge. Home Health Care services are covered when in lieu of hospitalization. Includes infusion (IV) therapy.
About Cigna-oscar
Cigna + Oscar have joined forces to offer Exclusive Provider Organization (EPO) plans to small businesses, covering Northern and Southern California. The partnership combines Cigna’s LocalPlus® network with Oscar’s tech-driven approach to customer service and care navigation. Cigna + Oscar deliver health insurance that understands the unique needs of small businesses and their employees.
Cigna + Oscar offers EPO plans in all four metal tiers with a variety of benefits, such as:
- Dedicated care teams to help members manage their care
- Access to Virtual Urgent Care, available 24/7 with a $0 copay on all plans through the Oscar app
- Access to Cigna’s behavioral health network, including Talkspace, for mental health resources
Click below for details on Cigna + Oscar plans.
Quick Plan Highlights
Below are some of our most popular Cigna-oscar health plans along with a snapshot of plan coverage and out-of-pocket costs. For a complete list of coverage options, click Download All Plans below to see the most current plan information.
| Network | LocalPlus |
|---|
| Calendar Year Deductible | $2,250 / $4,500 (combined Med/Pediatric dental ded) (applies to Max OOP) |
|---|
| Out-of-Pocket Max Ind/Fam: | $8,550 / $17,100 |
|---|
| Dr. Office Visit (PCP): | $45 Copay (ded waived) |
|---|
| Urgent Care: | $90 Copay (ded waived) |
|---|
| Emergency Room | $425 Copay |
|---|
| Network | LocalPlus |
|---|
| Calendar Year Deductible | None |
|---|
| Out-of-Pocket Max Ind/Fam: | $7,000 / $14,000 |
|---|
| Dr. Office Visit (PCP): |
|---|
| Urgent Care: | $50 Copay |
|---|
| Emergency Room | $350 Copay |
|---|
| Network | LocalPlus |
|---|
| Calendar Year Deductible | None |
|---|
| Out-of-Pocket Max Ind/Fam: | $3,600 / $7,200 |
|---|
| Dr. Office Visit (PCP): | $10 Copay |
|---|
| Urgent Care: | $25 Copay |
|---|
| Emergency Room | $150 Copay |
|---|
| Network | LocalPlus |
|---|
| Calendar Year Deductible | $2,250 / $4,500 (combined Med/Pediatric dental ded) (applies to Max OOP) |
|---|
| Out-of-Pocket Max Ind/Fam: | $8,550 / $17,100 |
|---|
| Dr. Office Visit (PCP): | $45 Copay (ded waived) |
|---|
| Urgent Care: | $90 Copay (ded waived) |
|---|
| Emergency Room | $425 Copay |
|---|
| Network | LocalPlus |
|---|
| Calendar Year Deductible | None |
|---|
| Out-of-Pocket Max Ind/Fam: | $7,000 / $14,000 |
|---|
| Dr. Office Visit (PCP): |
|---|
| Urgent Care: | $50 Copay |
|---|
| Emergency Room | $350 Copay |
|---|
| Network | LocalPlus |
|---|
| Calendar Year Deductible | None |
|---|
| Out-of-Pocket Max Ind/Fam: | $3,600 / $7,200 |
|---|
| Dr. Office Visit (PCP): | $10 Copay |
|---|
| Urgent Care: | $25 Copay |
|---|
| Emergency Room | $150 Copay |
|---|
Get a Quote
View More Carriers
The CaliforniaChoice employee benefits program lets your employees select health plans (HMO, PPO, HSA, and more) from nine of California's top carriers while you determine how much your
company will contribute.
Click on any of the logos below to learn more about our carrier partners
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Cigna Fundamental Medicare (HMO) H4513-009 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Cigna available to residents in Texas. This plan does not provide additional Medicare prescription drug (Part-D) coverage. The Cigna Fundamental Medicare (HMO) has a monthly premium of $0 and has an in-network Maximum Out-of-Pocket limit of $3,900 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $3,900 out of pocket. This can be a extremely nice safety net.
Cigna Fundamental Medicare (HMO) is a Local HMO *. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you require specialized care or a physician specialist, your primary care physician will make the arrangements and inform you where you can go in the network. You will need your PCPs okay, called a referral. Services received from an out-of-network provider are not typically covered by the plan.
Cigna works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for Cigna Fundamental Medicare (HMO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Cigna and not Original Medicare. With Medicare Advantage Plans you are always covered for urgently needed and emergency care. Mac os big sur problems. Plus you receive all of the benefits of Original Medicare from Cigna except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.
Ready to Enroll?
Or Call
1-855-778-4180
Mon-Fri 8am-9pm EST
Sat 9am-9pm EST
2021 Cigna Medicare Advantage Plan Costs
| Name: |
|---|
| Plan ID: | H4513-009 |
|---|
| Provider: | Cigna |
|---|
| Year: | 2021 |
|---|
| Type: | Local HMO * |
|---|
| Monthly Premium C+D: | $0 |
|---|
| Part C Premium: |
|---|
| MOOP: | $3,900 |
|---|
| Similar Plan: | H4513-026 |
|---|
2021 Cigna Fundamental Medicare (HMO) Summary of Benefits
Additional Benefits
Comprehensive Dental
| Diagnostic services | Not covered |
|---|
| Endodontics | Not covered |
|---|
| Extractions | $0 copay |
|---|
| Non-routine services | Not covered |
|---|
| Periodontics | $0 copay |
|---|
| Prosthodontics, other oral/maxillofacial surgery, other services | $0 copay |
|---|
| Restorative services | $0 copay |
|---|
Deductible
Diagnostic Tests and Procedures
| Diagnostic radiology services (e.g., MRI) | $0-200 copay |
|---|
| Diagnostic tests and procedures | $0-150 copay |
|---|
| Lab services | $0 copay |
|---|
| Outpatient x-rays | $0 copay |
|---|
Doctor Visits
| Primary | $0 copay |
|---|
| Specialist | $30 copay per visit |
|---|
Emergency care/Urgent Care
| Emergency | $90 copay per visit (always covered) |
|---|
| Urgent care | $30 copay per visit (always covered) |
|---|
Foot Care (podiatry services)
| Foot exams and treatment | $30 copay |
|---|
| Routine foot care | Not covered |
|---|
Ground Ambulance
Hearing
| Fitting/evaluation | $0 copay |
|---|
| Hearing aids - inner ear | $0 copay |
|---|
| Hearing aids - outer ear | $0 copay |
|---|
| Hearing aids - over the ear | $0 copay |
|---|
| Hearing exam | $0-30 copay |
|---|
Inpatient Hospital Coverage
Medical Equipment/Supplies
| Diabetes supplies | 0-10% coinsurance per item |
|---|
| Durable medical equipment (e.g., wheelchairs, oxygen) | 20% coinsurance per item |
|---|
| Prosthetics (e.g., braces, artificial limbs) | 20% coinsurance per item |
|---|
Does Urgent Care Charge A Copay
Medicare Part B Drugs
| Chemotherapy | 20% coinsurance |
|---|
| Other Part B drugs | 20% coinsurance |
|---|
Mental Health Services
| Inpatient hospital - psychiatric | $150 per day for days 1 through 7
$0 per day for days 8 through 90 |
|---|
| Outpatient group therapy visit | $0 copay |
|---|
| Outpatient group therapy visit with a psychiatrist | $0 copay |
|---|
| Outpatient individual therapy visit | $0 copay |
|---|
| Outpatient individual therapy visit with a psychiatrist | $0 copay |
|---|
MOOP
Option
| Yes, contact plan for further details |
|---|
Optional supplemental benefits
Outpatient Hospital Coverage
Preventive Care
Preventive Dental
| Cleaning | $0 copay |
|---|
| Dental x-ray(s) | $0 copay |
|---|
| Fluoride treatment | Not covered |
|---|
| Oral exam | $0 copay |
|---|
Rehabilitation Services
| Occupational therapy visit | $30 copay |
|---|
| Physical therapy and speech and language therapy visit | $30 copay |
|---|
Skilled Nursing Facility
$0 per day for days 1 through 20
$184 per day for days 21 through 100 |
|---|
Transportation
Vision
| Contact lenses | $0 copay |
|---|
| Eyeglass frames | $0 copay |
|---|
| Eyeglass lenses | $0 copay |
|---|
| Eyeglasses (frames and lenses) | $0 copay |
|---|
| Other | Not covered |
|---|
| Routine eye exam | $0 copay |
|---|
| Upgrades | $0 copay |
|---|
Cigna Urgent Care Copay Coverage
My Cigna Urgent Care Cost
Wellness Programs (e.g. fitness nursing hotline)
Reviews for Cigna Fundamental Medicare (HMO) H4513
| 2019 Overall Rating |
|---|
| Part C Summary Rating |
|---|
| Part D Summary Rating |
|---|
| Staying Healthy: Screenings, Tests, Vaccines |
|---|
| Managing Chronic (Long Term) Conditions |
|---|
| Member Experience with Health Plan |
|---|
| Complaints and Changes in Plans Performance |
|---|
| Health Plan Customer Service |
|---|
| Drug Plan Customer Service |
|---|
| Complaints and Changes in the Drug Plan |
|---|
| Member Experience with the Drug Plan |
|---|
| Drug Safety and Accuracy of Drug Pricing |
|---|
Staying Healthy, Screening, Testing, & Vaccines
| Total Preventative Rating |
|---|
| Breast Cancer Screening |
|---|
| Colorectal Cancer Screening |
|---|
| Annual Flu Vaccine |
|---|
| Improving Physical |
|---|
| Improving Mental Health |
|---|
| Monitoring Physical Activity |
|---|
| Adult BMI Assessment |
|---|
Managing Chronic And Long Term Care for Older Adults
| Total Rating |
|---|
| SNP Care Management |
|---|
| Medication Review |
|---|
| Functional Status Assessment |
|---|
| Pain Screening |
|---|
| Osteoporosis Management |
|---|
| Diabetes Care - Eye Exam |
|---|
| Diabetes Care - Kidney Disease |
|---|
| Diabetes Care - Blood Sugar |
|---|
| Rheumatoid Arthritis |
|---|
| Reducing Risk of Falling |
|---|
| Improving Bladder Control |
|---|
| Medication Reconciliation |
|---|
| Statin Therapy |
|---|
Member Experience with Health Plan
| Total Experience Rating |
|---|
| Getting Needed Care |
|---|
| Customer Service |
|---|
| Health Care Quality |
|---|
| Rating of Health Plan |
|---|
| Care Coordination |
|---|
Member Complaints and Changes in Cigna Fundamental Medicare (HMO) Plans Performance
| Total Rating |
|---|
| Complaints about Health Plan |
|---|
| Members Leaving the Plan |
|---|
| Health Plan Quality Improvement |
|---|
| Timely Decisions About Appeals |
|---|
Health Plan Customer Service Rating for Cigna Fundamental Medicare (HMO)
| Total Customer Service Rating |
|---|
| Reviewing Appeals Decisions |
|---|
| Call Center, TTY, Foreign Language |
|---|
Cigna Fundamental Medicare (HMO) Drug Plan Customer Service Ratings
| Total Rating |
|---|
| Call Center, TTY, Foreign Language |
|---|
| Appeals Auto |
|---|
| Appeals Upheld |
|---|
Ratings For Member Complaints and Changes in the Drug Plans Performance
| Total Rating |
|---|
| Complaints about the Drug Plan |
|---|
| Members Choosing to Leave the Plan |
|---|
| Drug Plan Quality Improvement |
|---|
Member Experience with the Drug Plan
| Total Rating |
|---|
| Rating of Drug Plan |
|---|
| Getting Needed Prescription Drugs |
|---|
Drug Safety and Accuracy of Drug Pricing
| Total Rating |
|---|
| MPF Price Accuracy |
|---|
| Drug Adherence for Diabetes Medications |
|---|
| Drug Adherence for Hypertension (RAS antagonists) |
|---|
| Drug Adherence for Cholesterol (Statins) |
|---|
| MTM Program Completion Rate for CMR |
|---|
| Statin with Diabetes |
|---|
Ready to Enroll?
Or Call
1-855-778-4180
Mon-Sat 8am-11pm EST
Sun 9am-6pm EST
Cigna Insurance Urgent Care Centers
Coverage Area for Cigna Fundamental Medicare (HMO)
(Click county to compare all available Advantage plans)
Cigna Open Access Urgent Care Copay
| State: | Texas
|
|---|
| County: | Angelina,Brazoria,Cameron,Chambers,Fort Bend,
Galveston,Hardin,Harris,Hidalgo,
Jasper,Jefferson,Liberty,Montgomery,
Nacogdoches,Newton,Orange,Polk,
San Jacinto,Tyler,Walker,Waller,
Webb,Willacy, |
|---|
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What Is The Copay At Urgent Care
Source: CMS.
Data as of September 9, 2020.
Notes: Data are subject to change as contracts are finalized. For 2021, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.Includes 2021 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.
