Cigna Ultra 6000 PPO

Cigna PPO Network

Cigna Ultra 6000 PPO — Deductible: $6,000 / $12,000; Max Out of Pocket: $9,200 / $18,400; Office Copays: $30 / $60; Coinsurance: 30% after deductible; Rx Coverage: $15 / $65 / $100.

Monthly premiums

Member: $938.00/mo
Member & Children: $1,521.00/mo
Member & Spouse: $1,712.00/mo
Member & Family: $2,259.00/mo

Plan details

Deductible (Individual): $6,000
Deductible (Family): $12,000
Out-of-Pocket Max (Individual): $9,200
Out-of-Pocket Max (Family): $18,400
Coinsurance (In-Network): 30%
Primary Care Copay: $30
Specialist Copay: $60
Urgent Care Copay: $60

Plan documents

Summary of Benefits and CoverageSBC

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