CIGNA's certainly not standing still for
2003. While CIGNA is dropping its "Prime Option Plus" premium point of
service plan, it's adding a full scale Preferred
Provider Organization ("PPO") plan (Maricopa County's first since 1997).
The PPO includes a broad provider network,
and — unlike CIGNA's HMO and Prime Option POS plans — a referral from a
PCP (primary care physician) is not needed
to see a specialist.
CIGNA's HMO (staff model) and Prime Option (point
of service) plans will be returning for 2003. PCP office visit co-payments
will remain the same as last year ($10 for HMO and $15 for Prime
Option). Co-pays for pre- and post-natal
care will again be waived after the first visit. There is a
$100 inpatient co-payment under the Prime Option plan for deliveries
which is reimbursed by the County.
However, other co-payments will be changing:
CIGNA's HMO co-pays will increase to $35 for Urgent Care visits (was
$20) and $75 for Emergency Room visits (was $50). HMO Specialist visit
co-pays will stay the same at $10, but Prime Option Specialist co-pays
will increase to $25 (was $15). Urgent Care co-pays will increase to $50
(was $20), and $100 for Emergency Room visits (was $50). Co-pays for MRIs
and other scans have increased to $50.
Inpatient co-pays for CIGNA's Prime Option
plan have decreased from $250 to $100. Maricopa County will continue to
reimburse this amount to employees.
The Alternative Medicine
plan (with a very low co-pay of $5.00 for 6 visits) will continue to include
physical examinations and management, acupuncture, accupressure, and homeopathic
consultation. CIGNA will continue to offer chiropractic for a $10 co-pay,
and the number of visits has increased from 12/year to 20/year.
Avesis will continue
to provide vision coverage for CIGNA plan members. UBH
will provide behavioral health coverage for CIGNA members beginning January
1, 2003.
Please note: Effective January 1, 2003,
prescription coverage for all CIGNA members will be provided by WHI.
CIGNA will no longer provide prescription coverage for HMO ("staff model")
members at CIGNA pharmacies. |