2024 Medical Plans
We offer a selection of plans that can help you and your family stay healthy.
All of the medical plans provide comprehensive coverage, including preventive care, preexisting conditions, hospital stay, prescription drug, as well as mental health services. Your monthly costs and out-of-pocket expenses will vary based on the plan and coverage level you select.
Cigna Medical and Pharmacy Plans
Cigna OA-20
2024 Cigna OA-20 Summary of Benefits & Coverage (SBC)
2024 Cigna OA-20 Benefit Summary
2024 Cigna OA-20 Evidence of Coverage
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Cigna PPO 15-250
2024 Cigna PPO 15-250 Summary of Benefits & Coverage (SBC)
2024 Cigna PPO 15-250 Benefit Summary
2024 Cigna PPO 15-250 Evidence of Coverage
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Cigna PPO 25-750
2024 Cigna PPO 25-750 Summary of Benefits & Coverage (SBC)
2024 Cigna PPO 25-750 Benefit Summary
2024 Cigna PPO 25-750 Evidence of Coverage
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Cigna HDHP PPO $1,600
2024 Cigna HDHP PPO $1,600 Summary of Benefits & Coverage (SBC)
Transparency
in Coverage
Cigna and Kaiser provide machine readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
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Cigna PPO Plans including HDHP, provides coverage nationwide for in-network and out-of-network care, and you do not need to select a Primary Care Physician (PCP) for care coordination.
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Coverage for the Cigna OA-20 plan is available nationwide at the in-network level only. There is no out-of-network coverage. You do not need to select a PCP for care coordination.
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The Cigna HDHP PPO plan is HSA qualified, which gives you access to a tax-advantaged Health Savings Account (HSA).
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The HSA is a bank account that allows you to set aside pre-tax dollars to help you pay for eligible health care expenses.
Cigna Pharmacy Benefits
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2024 Cigna Advantage 4-Tier Prescription Drug List
View Summary of Formulary Changes effective July 1, 2024
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Need Help?
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For Cigna medical plan questions, members can contact Cigna Member Services at 866-494-2111. If you have questions prior to enrollment, you may contact Cigna One Guide at 888-806-5094.
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For Kaiser plan questions, you may contact 800-464-4000.
Find a Doctor
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To find an in-network provider prior to enrollment...
Visit the Cigna provider search tool and click here for step by step instructions or contact Cigna One Guide at 888-806-5094.
Note: The network name for Cigna medical plans is OAP.
To find an in-network provider after enrollment...
Visit the Cigna member portal at www.mycigna.com. Choose Register to create an account or login if you have an existing account. You may also contact Cigna Member Services at 866-494-2111.
Glossary
Cigna Medical ID Cards
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Cigna uses digital ID cards. You may download your ID card by visiting the Cigna member portal, myCigna or via myCigna mobile app. Cigna ID cards will not be mailed unless member requests via myCigna portal or by contacting Cigna Member Services at 866-494-2111.
Cigna Out-of-Network Claim Submission
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How to Submit Paper Medical Claim Form
How to Submit Medical Claims Online via myCigna Member Portal
HDHP+HSA
Pulmonx offers High Deductible Health Plans (HDHP) through Blue Shield and Kaiser. The HDHP is a Health Savings Account (HSA) - qualified medical plan that can be paired with a HSA or can be enrolled as a stand-alone HDHP medical plan.
The HDHP offers coverage when you visit in-network or out-of-network providers without requiring a referral from a Primary Care Physician (PCP).
Kaiser Medical and Pharmacy Plans (CA Only)
Kaiser HMO
2024 Kaiser HMO Summary of Benefits & Coverage (SBC)
2024 Kaiser HMO Benefit Summary
2024 Kaiser HMO Evidence and Coverage
2024 Kaiser HMO Evidence and Coverage Chiropractic-Acupuncture
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Kaiser HDHP HMO
2024 Kaiser HDHP HMO $1,600 Summary of Benefits & Coverage (SBC)
2024 Kaiser HDHP HMO $1,600 Benefit Summary
2024 Kaiser HDHP HMO $1,600 Evidence of Coverage
2024 Kaiser HDHP HMO $1,600 Evidence of Coverage Chiropractic-Acupuncture
PPO
PPO means Preferred Provider Organization. A PPO medical plan offers allows you to access care with in-network or out-of-network providers. A PPO plan does not require a referral from your Primary Care Physician (PCP) to see a specialist..
OA
OA means Open Access. Open Access plans allows you to see specialists without a referral. The Cigna OA-20 plan provides coverage at the in-network level only. This means, if you seek care out-of-network under this plan, you will not receive coverage.
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Kaiser is available to employees who live in California only.
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Kaiser is a Health Maintenance Organization (HMO) that provides patient services, hospitalization, supplies and prescription drugs through its own network of doctors, hospitals and other Kaiser-affiliated health care facilities.
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Kaiser covers your expenses only if you go to a Kaiser provider or facility. You are also covered if you have a life threatening emergency when you are outside of a Kaiser service area.
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Once enrolled, you will select a Primary Care Physician (PCP) to manage your care within Kaiser’s network and to refer you to specialists.
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The Kaiser HDHP HMO plan is HSA qualified, which gives you access to a tax-advantaged Health Savings Account (HSA).
HMO
HMO means "Health Maintenance Organization." HMO plans offer a wide range of healthcare services through a network of providers who agree to supply services to members. You're required to coordinate your care through a Primary Care Physician (PCP) when you are enrolled in an HMO. A referral is required through your PCP to see a specialist under an HMO plan.
Find a Doctor
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To find Kaiser providers click here.
Already a member? Kaiser members can search for providers by logging in to their member account on www.kp.org or by calling 800-464-4000.
Kaiser ID Cards
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Kaiser ID cards will be mailed to new enrollees. You may access a copy of your ID card via Kaiser member account by visiting www.kp.org or via Kaiser mobile app. You may also contact Kaiser Member Services at 800-464-4000.
