Cigna ppo plans 2017

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If you do not return from your leave of absence, you will be responsible for any benefit contributions you have not made during your leave. Tufts Health Plan will deduct the amount you owe from your last check. If you do not receive a last check, a bill will be sent directly to your home and you will be required to pay the entire amount within 14 calendar days. You should contact Human Resources for more information concerning the continuation of your benefit coverage during an authorized FMLA leave.

Please refer to the repayment options described above. You should contact Human Resources for more information concerning the continuation of your coverage during a leave of absence. Military Leave: Reservists who are called to active duty with the Armed Forces of the United States have special benefit continuation and reemployment rights under the law see Administrative Information. This means that:. Privacy of Genetic Information: The Genetic Information Nondiscrimination Act of GINA prohibits the unauthorized use or dissemination of genetic information including results from or information about genetic tests or services by the Company, plan administrators, insurance companies, or health care providers.

Under GINA, your genetic information may be disclosed only if you consent to this disclosure in writing. You can also contact a Member Specialist at , ext.

A QMCSO is a judgment, decree or order including approval of a settlement agreement issued by a court of competent jurisdiction that satisfies all of the following:. A QMCSO may not require the health insurance policy to provide coverage for any type or form of benefit not otherwise provided under the policy. Tufts Benefit Administrators, Inc.

Please enter a search term to begin your search. You are also eligible to participate in the medical plans if you are a non-employee member of the Board of Directors of Tufts Associated Health Maintenance Organization, Inc.

Your eligible dependents include: your spouse; your dependent child through the end of the month in which he or she turns age 26; a disabled dependent child at any age who is incapable of self-support due to a mental or physical handicap; or your domestic partner. Your children also include any other children: for whom you have legal guardianship; who meet the IRS definition of your dependents; or for whom the Company is required to provide coverage under a Qualified Medical Child Support Order QMCSO — see below.

The age limit for children defined above is age Disabled Dependent Child: For plan purposes, a disabled dependent child is your child who: became permanently physically or mentally disabled before his or her 26th birthday; is incapable of supporting himself or herself due to disability; lives with you or your Spouse; and was covered under your family coverage immediately before reaching age 26 or has been covered by other group health coverage since the disability began.

The employee and the Domestic Partner must: share a mutually exclusive and enduring relationship; have shared a common residence for 12 prior consecutive months and intend to do so indefinitely; be financially interdependent; be jointly responsible for their common welfare; and be committed to a life partnership with each other.

The cost to you will depend on: the level of coverage you select; and your annual salary. You can also visit the Company intranet or contact Human Resources at ext. In addition, you or your eligible dependent may enroll for medical coverage within 60 days after either of the following events: You or your dependent are eligible under a state Medicaid plan or state children's health insurance program CHIP and the Medicaid or CHIP coverage is terminated.

You or your dependent becomes eligible for a premium assistance subsidy under a state Medicaid plan or CHIP. You have two options for repayment: You can pay your contributions during your leave via check. You can pay your contributions upon your return to work. You will receive an e-mail from Human Resources informing you of the amount you need to repay.

You will be given the option to pay this amount either via Payroll in one pay period or over a few pay periods or to write a check for the whole amount. Injured Service Member Leave : An eligible employee who is the spouse, son, daughter, parent, or next of kin of a covered service member who is recovering from a serious illness or injury sustained in the line of duty on active duty is entitled to up to 26 weeks of leave in a single month period to care for the service member.

For plan purposes, you are considered to have a Change in Status in the event of:. In addition, you or your eligible dependent may enroll for medical coverage within 60 days after either of the following events:. Effective Date Your election to enroll in, change, or cancel your medical plan coverage will go into effect as of the date of the change, provided that you make this election within 30 days of that date of the change.

For example, assume that you have Employee Only coverage, and you get married during the year. In this case, you can choose to cover your new spouse, provided that you make this election within 30 days of your date of marriage. Cancelling Coverage If you have a Change in Status, you can also elect to cancel your medical plan coverage.

If you elect to cancel your coverage, you cannot restore it until the next annual open enrollment period, unless you have another Change in Status. If you are in an unpaid status or receiving disability pay, the contributions you would otherwise have paid towards the cost of your coverage will be suspended during the first four months of leave.

If you do not return from your leave of absence, you will be responsible for any benefit contributions you have not made during your leave. Tufts Health Plan will deduct the amount you owe from your last check. If you do not receive a last check, a bill will be sent directly to your home and you will be required to pay the entire amount within 14 calendar days.

You should contact Human Resources for more information concerning the continuation of your benefit coverage during an authorized FMLA leave. Please refer to the repayment options described above. You should contact Human Resources for more information concerning the continuation of your coverage during a leave of absence.

Military Leave: Reservists who are called to active duty with the Armed Forces of the United States have special benefit continuation and reemployment rights under the law see Administrative Information. This means that:. Privacy of Genetic Information: The Genetic Information Nondiscrimination Act of GINA prohibits the unauthorized use or dissemination of genetic information including results from or information about genetic tests or services by the Company, plan administrators, insurance companies, or health care providers.

Under GINA, your genetic information may be disclosed only if you consent to this disclosure in writing. You can also contact a Member Specialist at , ext. A QMCSO is a judgment, decree or order including approval of a settlement agreement issued by a court of competent jurisdiction that satisfies all of the following:.

A QMCSO may not require the health insurance policy to provide coverage for any type or form of benefit not otherwise provided under the policy. Tufts Benefit Administrators, Inc. Please enter a search term to begin your search.

You are also eligible to participate in the medical plans if you are a non-employee member of the Board of Directors of Tufts Associated Health Maintenance Organization, Inc. Your eligible dependents include: your spouse; your dependent child through the end of the month in which he or she turns age 26; a disabled dependent child at any age who is incapable of self-support due to a mental or physical handicap; or your domestic partner.

Your children also include any other children: for whom you have legal guardianship; who meet the IRS definition of your dependents; or for whom the Company is required to provide coverage under a Qualified Medical Child Support Order QMCSO — see below. The age limit for children defined above is age Disabled Dependent Child: For plan purposes, a disabled dependent child is your child who: became permanently physically or mentally disabled before his or her 26th birthday; is incapable of supporting himself or herself due to disability; lives with you or your Spouse; and was covered under your family coverage immediately before reaching age 26 or has been covered by other group health coverage since the disability began.

The employee and the Domestic Partner must: share a mutually exclusive and enduring relationship; have shared a common residence for 12 prior consecutive months and intend to do so indefinitely; be financially interdependent; be jointly responsible for their common welfare; and be committed to a life partnership with each other.

The cost to you will depend on: the level of coverage you select; and your annual salary.

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If you have multiple members in your family, you may want to consider this type of plan that covers more than one person at once. These plans offer coverage for dental treatments such as cleanings and checkups but do not include orthodontia or other major dental procedures such as crowns or root canals.

These plans offer coverage for eye exams and glasses but do not include eye surgery like Lasik surgery or cataract removal surgery. Some of these plans include:. These plans include all the services that are covered by an HMO, but they also provide access to specialists without referrals from your primary care doctor.

There is no out-of-pocket cost for preventive care or regular checkups, but you may have to pay a small copayment when you see a specialist or receive other services. These plans offer more flexibility than an HMO plan because they allow you to see any provider who accepts the plan without needing referrals from your primary care doctor.

These plans offer additional coverage for certain medical conditions such as cancer treatment and chronic disease management; however, there may be higher premiums associated with these plans due to the increased cost of providing extra benefits coverage on top. Your email address will not be published. Save my name, email, and website in this browser for the next time I comment. Cigna Health Insurance Plan Types: 1. Individual Plans.

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This page features plans you get through an employer. If you're looking for plans you can buy for yourself or your family, we can help get you there. View Cigna Company Names.

Plans contain exclusions and limitations and may not be available in all areas. For costs and details of coverage, see your plan documents. All rights reserved. Product availability may vary by location and plan type and is subject to change. All health insurance policies and health benefit plans contain exclusions and limitations. For costs and details of coverage, review your plan documents or contact a Cigna representative. Selecting these links will take you away from Cigna.

Cigna may not control the content or links of non-Cigna websites. Special Enrollment See all topics Looking for Medicare coverage? Shop for Medicare plans. Member Guide. Find a Doctor. What is a PPO Plan?