Cigna Plus Diabetes Care Plans
If you rely on insulin for diabetes, it can be challenging to afford. With Cigna’s Patient Assurance Program, you may be eligible to get coverage for a 30-day supply of a Preferred Brand covered, eligible insulin for no more than a $25 out-of-pocket cost. This program reduces out-of-pocket costs for insulin by an average of 40% or more.*
Diabetes Coverage Plans allows you to pay $0** for:
- Diabetes supplies on the Cigna drug list
- Diabetes Education and Self-Management Training
- Diabetes Lab: A1C and Nephropathy
- Diabetes retinal eye exam
- Metformin
| Plan Name | Cigna Plus w/ Northwestern Medicine 40-4 | Cigna Plus w/ Northwestern Medicine 550-3 | Cigna Plus w/ Northwestern Medicine 2600-2 | Cigna Plus w/ Northwestern Medicine 3500 |
| Deductible | $40/$80 | $550/$1,100 | $2,600/$5,200 | $3,500/$7,000 |
| Coinsurance | 10% | 20% | 30% | 30% |
| Out-of-Pocket Maximum | $1,500/$3,000 | $2,850/$5,700 | $6,800/$13,600 | $8,550/$17,100 |
| PCP/Specialist | $0/10% | $0/20% | $0/30% | $10/30% |
*Express Scripts International analysis of claims, 2019.
**$0 coverage is after the deductible is met on HSA plans.
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Cigna Plus with Northwestern Medicine 3500 Diabetes Care
What is the overall deductible?
$3,500 person/ $7,000 family
Are there services covered before you meet your deductible?
Yes. Preventive care, office visits subject to a copayment, Prescription drugs subject to a copayment, Urgent care and eye exam/glasses for children are covered before you meet your deductible.
Are there other deductibles for specific services?
No.
What is the out-of-pocket limit for this plan?
$8,550 person/ $17,100 family
What is not included in the out-of-pocket limit?
Premiums, balance-billing charges, penalties for failure to obtain preauthorization for services and health care this plan doesn’t cover.
Will you pay less if you use a network provider?
Yes. See www.cigna.com/ifpproviders or call 1-866-494-2111 for a list of network providers.
Do you need a referral to see a specialist?
Yes.
Cigna Plus with Northwestern Medicine 2600-2 Diabetes Care
$2,600 person/ $5,200 family
Are there services covered before you meet your deductible?
Yes. Preventive care, office visits subject to a copayment, Urgent care and eye exam/glasses for children are covered before you meet your deductible.
Are there other deductibles for specific services?
No.
What is the out-of-pocket limit for this plan?
$6,800 person/ $13,600 family
What is not included in the out-of-pocket limit?
Premiums, balance-billing charges, penalties for failure to obtain preauthorization for services and health care this plan doesn’t cover.
Will you pay less if you use a network provider?
Yes. See www.cigna.com/ifpproviders or call 1-866-494-2111 for a list of network providers.
Do you need a referral to see a specialist?
Yes.
Cigna Connect 550-3 Diabetes Care
$550 person/ $1,100 family
Are there services covered before you meet your deductible?
Yes. Preventive care, Prescription drugs subject to a copayment, Urgent care and eye exam/glasses for children are covered before you meet your deductible.
Are there other deductibles for specific services?
No.
What is the out-of-pocket limit for this plan?
$2,850 person/ $5,700 family
What is not included in the out-of-pocket limit?
Premiums, balance-billing charges, penalties for failure to obtain preauthorization for services and health care this plan doesn’t cover.
Will you pay less if you use a network provider?
Yes. See www.cigna.com/ifpproviders or call 1-866-494-2111 for a list of network providers.
Do you need a referral to see a specialist?
Yes.
Cigna Plus with Northwestern Medicine 40-4 Diabetes Care
$40 person/ $80 family
Are there services covered before you meet your deductible?
Yes. Preventive care, Prescription drugs subject to a copayment, Urgent care and eye exam/glasses for children are covered before you meet your deductible.
Are there other deductibles for specific services?
No.
What is the out-of-pocket limit for this plan?
$1,500 person/ $3,000 family
What is not included in the out-of-pocket limit?
Premiums, balance-billing charges, penalties for failure to obtain preauthorization for services and health care this plan doesn’t cover.
Will you pay less if you use a network provider?
Yes. See www.cigna.com/ifpproviders or call 1-866-494-2111 for a list of network providers.
Do you need a referral to see a specialist?
Yes.
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