Individuals and families have access to $0 preventive care, 24/7 virtual medical and mental health care, and diabetes assistance to lower out-of-pocket health care costs
Bloomfield, Conn., Oct. 2024—Cigna Healthcare will provide affordable, comprehensive health care plans in 11 states through the individual marketplace in 2025, marking the 11th consecutive year Cigna Healthcare has participated in the Affordable Care Act (ACA) marketplace.
"Everyone deserves equitable access to quality health care, which is why Cigna Healthcare is committed to providing individuals and families coverage that’s both affordable and comprehensive," said Jennifer Rapp, president of Cigna Healthcare’s Individual and Family Plans business. “Our plan options are designed to meet customers wherever they are on their health care journey and address their unique needs.”
Cigna Healthcare marketplace customers benefit from:
- 24/7 virtual care: Customers have 24/7 access to MDLIVE's virtual and mental health care for routine visits via video or phone. Members also have access to virtual primary care, dermatology and $0 urgent care, as well as $0 wellness screenings.1 Urgent care services can be delivered via video, phone or an e-treatment option.
- Diabetes assistance: Customers pay no more than $25 for a 30-day supply or $75 for a 90-day supply of insulin and some medications for type 2 diabetes, lowering out-of-pocket costs by 40% or more for people with diabetes. In select markets, Enhanced Diabetes Care plans offer $0 on insulin and select diabetes medications, equipment and additional supplies.,2,3
- Guided customer care: Cigna Healthcare provides personalized health care support for customers with complex health needs through the My Personal Champions programs and direct access to specialty pharmacists through therapeutic resource centers.
- Incentives for healthy behaviors: Through our Take Control Rewards® Program, Customers 18 and older can earn points redeemable for a debit card, which can be used toward health care costs or merchandise.4
- Personalized digital tools: Customers can use the myCigna® website and mobile app for proactive and personalized health management support to find quality in-network providers, ways to save money, order and refill prescriptions, and more. Additionally, customers can receive support from nurses and other clinical providers through a secure texting option.
- $0 preventive health care: All Cigna Healthcare plans offer $0 preventive care.5 Select plans offer a $0 medical deductible or $0 copays on various benefits, such as primary care visits and generic drugs.6,7
- Customer Service 24/7/365: Customers with questions can call any time for help using their plan or navigating their benefits. Customers can also speak to a licensed clinician 24 hours a day.
During Open Enrollment, individuals and families in 337 counties across 11 states, including Arizona, Colorado, Florida, Georgia, Indiana, Illinois, Mississippi, North Carolina, Tennessee, Texas, and Virginia, can select Cigna Healthcare’s quality health care coverage.
"We strategically serve markets where we can ensure a combination of coverage excellence and network strength to help customers maintain their health and vitality—which has guided our approach to serving customers through the individual marketplace for the past 11 years," said Chris DeRosa, president of the Cigna Healthcare U.S. Government business. “We are honored to serve Americans who rely on the individual marketplace for their health care coverage and are committed to serving this market long-term.”
Individuals and families interested in enrolling in a Cigna Healthcare plan on the national individual exchange or on a state-based exchange may do so during the 2025 Open Enrollment Period that runs from Nov. 1, 2024, through Jan. 15, 2025. Health plans purchased by Dec. 15, 2024 are effective Jan. 1, 2025.
1 $0 virtual care (no cost share) for eligible preventive care and Dedicated Virtual Urgent Care for minor acute medical conditions. Not available for all plans. HSA plans and non-minor acute medical care may apply a copay, coinsurance or deductible. Cigna Healthcare provides access to Dedicated Virtual Care through a national telehealth provider, MDLive® located on myCigna, as part of your health plan. Providers are solely responsible for any treatment provided to their patients. Video chat may not be available in all areas or with all providers. Virtual care does not guarantee that a prescription will be written. Refer to plan documents for complete description of virtual care services and costs, including other telehealth/telemedicine benefits. For IL customers a primary care provider referral may be required for specialist virtual visits.
2 Discounts available with the Cigna Healthcare Patient Assurance Program. $25 is the maximum out-of-pocket cost for a 30-day supply of covered, eligible insulin. Customers in HSA plans will need to meet their deductible prior to receiving any of the $0 diabetes benefits mentioned.
3 Refer to plan documents for a description of equipment, supplies, and select tests and services that are covered through these plans. Enhanced Diabetes Care plans not available in all states
4 The Cigna Take Control Rewards® program is available in all states to all primary subscribers who are active Cigna Healthcare medical Individual and Family Plan policyholders and who are 18 years of age or older. All rewards may be considered taxable income. Contact your personal tax advisor for details. Program participation along with reward redemption is dependent on qualifying premiums being current and fully paid.
5 Includes eligible in-network preventive care services. Some preventive care services may not be covered, including most immunizations for travel. Reference plan documents for a list of covered and non-covered preventive care services.
6 $0 deductible and $0 copay are available on select Cigna Healthcare individual and family health care plans. Reference plan documents for more information.
7 Health benefit plans may be different, but in general to be eligible for coverage a drug must be approved by the Food and Drug Administration (FDA), prescribed by a health care professional, purchased from a licensed pharmacy and be medically necessary. If your plan provides coverage for certain prescription drugs with no cost-share, you have to use an in-network pharmacy to fill the prescription. If you use a pharmacy that does not participate in your plan’s network, your prescription may not be covered or reimbursement may be limited by your plan’s copayment, coinsurance or deductible requirements. Look at your plan documents for more information about your plan’s prescription drug coverage.
About Cigna Healthcare
Cigna Healthcare is a health benefits provider that advocates for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Products and services are provided exclusively by or through operating subsidiaries of The Cigna Group (NYSE:CI), including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Evernorth Health companies or their affiliates and Express Scripts companies or their affiliates. Such products and services include an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits and others. Learn more at cignahealthcare.com.
Media Contact
Jocelyn Parker
Jocelyn.parker@cignahealthcare.com
612-244-1723
