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Cigna True Choice Medicare (PPO) - H7849-052-000
$0.00
Monthly Premium
Cigna True Choice Medicare (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Cigna Healthcare
Plan ID: H7849-052-000
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$0.00
Monthly Premium
Connecticut Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and Part B) benefits into a single plan.
Most Medicare Advantage plans cover prescription drugs, and many plans may offer other extra benefits Original Medicare doesn’t cover.
Learn more about Connecticut Medicare Advantage plans like the one below and find a plan that offers the benefits you want at an affordable price.
Enrollment may be limited to certain times of the year. See why you may be able to enroll.
Basic Costs and Coverage
| Coverage | Details |
|---|---|
| Monthly plan premium | $0.00 |
| Vision coverage | |
| Dental coverage | |
| Hearing coverage | |
| Prescription drugs | |
| Medical deductible | $0.00 |
| Out-of-pocket maximum | $6,700.00 |
| Initial drug coverage limit | $0.00 |
| Catastrophic drug coverage limit | $8,000.00 |
| Primary care doctor visit | $0 Out of Network $20 |
| Specialty doctor visit | $30 Out of Network $55 |
| Inpatient hospital care | $375 per day for days 1-6 $0 per day for days 7-90 Out of Network 40% |
| Urgent care | $30 Copay is waived if hospital admission occurs within: 24 hours Worldwide Urgent Coverage: $100 |
| Emergency room visit | $100 Copay is waived if hospital admission occurs within: 24 hours Worldwide Emergency Coverage: $100 |
| Ambulance transportation | Ambulance - Ground: $265 Ambulance - Air: 20% Out of Network Ambulance - Ground: $265 Ambulance - Air: 20% |
Health Care Services and Medical Supplies
Cigna True Choice Medicare (PPO) covers a range of additional benefits. Learn more about Cigna True Choice Medicare (PPO) benefits, some of which may not be covered by Original Medicare (Part A and Part B).
| Coverage | Details |
|---|---|
| Chiropractic services | $15 Routine Chiropractic (Supplemental): Not covered Out of Network 50% |
| Diabetes supplies, training, nutrition therapy and monitoring | If you’re managing diabetes, Cigna Healthcare makes it easier and more affordable to get monitoring and testing supplies. Your plan covers preferred brand diabetic supplies plus home delivery options. So you have less to worry about. Diabetic Supplies: $0 Diabetic Therapeutic Shoes or Inserts: 20% Out of Network 40% Diabetic Therapeutic Shoes or Inserts: 40% |
| Durable medical equipment (DME) | 20% Out of Network 40% |
| Diagnostic tests, lab and radiology services, and X-rays | Lab Services: 0 - 20% Diagnostic Radiological Services: $0 - $150 X-Ray Services: $15 Out of Network Lab Services: 40% Diagnostic Radiological Services: 40% X-Ray Services: 40% |
| Home health care | $0 Support for Caregivers of Enrollees: $0 If you’re a caregiver or someone helps take care of you, support is available. The benefit includes consultative services to help with caregiving, social health needs such as nutrition, finding resources for your loved one, and stress management. It includes one-on-one coaching for caregivers via the telephone or virtually through a smart phone or computer using the program's digital application. Out of Network 40% |
| Mental health inpatient care | $385 per day for days 1-5 $0 per day for days 6-90 Out of Network 40% |
| Mental health outpatient care | Psychiatric-Individual: $0 Psychiatric-Group: $0 Out of Network Psychiatric-Individual: $55 Psychiatric-Group: $55 |
| Outpatient services/surgery | In-Network: Outpatient Hospital Services: Copayment for Medicare Covered Outpatient Hospital Services $0.00 to $375.00 Prior Authorization Required for Outpatient Hospital Services Outpatient Observation Services: Copayment for Medicare Covered Observation Services - Per stay $375.00 Prior Authorization Required for Outpatient Observation Services Ambulatory Surgical Center Services: Copayment for Ambulatory Surgical Center Services $0.00 to $275.00 Prior Authorization Required for Ambulatory Surgical Center Services |
| Outpatient substance abuse care | $30 Out of Network $55 |
| Over-the-counter items | $70 every three months Out of Network Combined with in-network Delivered via Cigna Health Today card |
| Podiatry services | $30 Out of Network 50% |
| Skilled Nursing Facility (SNF) care | $0 per day for days 1-20 $203 per day for days 21-100 Out of Network 40% |
Dental Benefits
The following dental services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Dental care | Dental Allowance Maximum Coverage amount for Preventive Dental: $1,600 combined preventive and comprehensive every year Maximum Coverage Amount for Comprehensive Dental: $1,600 combined preventive and comprehensive every year Out of Network Dental Allowance Maximum Coverage amount for Preventive Dental: Combined with in-network Maximum Coverage Amount for Comprehensive Dental: Combined with in-network |
Vision Benefits
The following vision services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage
| Coverage | Details |
|---|---|
| Vision care | Routine Eye Exams: $0 for one routine exam every year Eye Exams (Medicare-covered): $0 - $30 Max Coverage Amount for Routine Eye Wear Coverage : $150 every year Out of Network 50% for one routine exam every year Eye Exams (Medicare-covered): 0 - 40% Max Coverage Amount for Routine Eye Wear Coverage : Combined with in-network |
Hearing Benefits
The following hearing services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Hearing care | $25 Fitting/Evaluation for Hearing Aids: $0 for one fitting evaluation for hearing aid every year Hearing Aids: Hearing aids (all types): two every year Cost Sharing: $399 - $1,800 per device Actual cost-share will depend on hearing aid selected. Out of Network 50% Fitting/Evaluation for Hearing Aids: 50% for one fitting evaluation for hearing aid every year Hearing Aids: Combined with in-network Cost Sharing: Combined with in-network Actual cost-share will depend on hearing aid selected. |
Preventive Services and Health/Wellness Education Programs
The following services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Preventive services and health/wellness education programs | In-Network: $0.00 copay for Medicare Covered Preventive Services: Abdominal aortic aneurysm screening Alcohol misuse screenings & counseling Bone mass measurements (bone density) Cardiovascular disease screenings Cardiovascular disease (behavioral therapy) Cervical & vaginal cancer screening Colorectal cancer screenings Depression screenings Diabetes screenings Diabetes self-management training Glaucoma tests Hepatitis B (HBV) infection screening Hepatitis C screening test HIV screening Lung cancer screening Mammograms (screening) Nutrition therapy services Obesity screenings & counseling One-time Welcome to Medicare preventive visit Prostate cancer screenings(PSA) Sexually transmitted infections screening & counseling Shots:
Yearly "Wellness" visit |
When reviewing Connecticut Medicare plans, be sure to find out if your doctors are part of the plan network. If a Medicare Advantage plan covers prescription drugs, make sure the plan formulary (list of drugs covered by the plan) includes your drugs.
You may be able to find plans in your part of Connecticut that offer similar benefits at similar or lower prices than the plan above. Call 1-800-557-6059 TTY 711, 24/7 to speak with a licensed insurance agent who can help you compare plans.
Plan Documents
| Links to plan documents |
Connecticut Counties Served
We represent carriers such as Humana, UnitedHealthcare®, Anthem Blue Cross and Blue Shield*, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.