Your plan
Schedule of Benefits · Amerus Summit Health Plans

AMERUS CIGNA EPO

A real deal $0 deductible. Top tier coverage on a top tier Cigna PPO network.
$0
Individual deductible $0 family
Out-of-pocket max$3,500 individual
$7,000 family
NetworkCigna EPO · in-network only
Urgent care$75 copay

As seen on

ABC Fox News NBC AP
SI International Business Times MorningNews CBS

At the point of care

What you'll actually pay
when you use it.

no deductible to chew through first.
Free
No cost to you
  • Preventive careAnnual wellness, screenings, vaccines
See the full free list →
$40
Primary care
  • Office visitsYour doctor, in the Cigna EPO network
  • The same copay every timeNo deductible to meet first
$60
Specialists
  • Specialist visitsAcross the Cigna EPO network
  • No coinsuranceYou pay the copay, not a percentage of the bill
$500
Emergency room
  • Emergency room visitOne flat copay, no deductible first
  • Urgent care is $75Not an emergency, but it can't wait
flat copays. no deductible. read it in a minute.
PPO vs EPO

Same network, same doctors, no referrals. Only difference is you have to stay in network with an EPO.

Access to 97% of all doctors and hospitals in the country, with names such as Johns Hopkins, Mayo Clinic, MD Anderson, UCLA, and over 6,000 other hospitals.

High-cost services

Don't sweat the big stuff.

The plan pays 100% on the most expensive services,
in the Cigna EPO network.

Hospitalization Inpatient hospital stays.
Outpatient facility Same-day procedures and facility care.
Diagnostic labs Bloodwork and laboratory testing.
X-rays Standard diagnostic X-rays.

In network, and subject to plan terms, limitations, exclusions and carrier policies. Pre-certification requirements apply to certain services. Imaging such as MRI and CT is also listed at 100% in the plan's benefit schedule.

Prescription coverage

Simple, flat copays
for all your drugs.

four tiers. four numbers.
$0
Generic drugs
  • No copayGeneric equivalents on the plan's drug list
$35
Preferred brands
  • Flat copayBrand drugs on the plan's preferred list
$75
Non-preferred brands
  • Flat copayBrand drugs outside the preferred list
$200
Specialty drugs
  • Flat copaySpecialty medications
Before you fill

Copays apply to covered prescriptions filled at a participating pharmacy. Prescription benefits are subject to the plan formulary, plan terms, limitations, exclusions and carrier policies.

Monthly rates

Straightforward pricing,
No-surprises coverage.

one rate. every age.
Individual $699.95 per month
Individual + spouse $1,549.95 per month
Individual + children $1,449.95 per month
Family $2,149.95 per month
Before you enroll

Rates are quoted monthly. A one-time $99.00 enrollment charge applies with your first month. Rates remain subject to eligibility, underwriting, plan changes and final approval.

For your records

The full schedule of benefits, in writing.

Every copay, every covered service and every limit, in the carrier's own words. Open it, keep it, bring it to your doctor's office. If anything here and the schedule disagree, the schedule wins.

Do your research

Go ahead, look us up.

1,400+
★★★★★
happy clients
Google reviews, 4.9 average. From real people. Read them →
A+
since 2018
BBB accredited business. Vetted, licensed, on the record.
No bots.
promise.
You call, we answer. Call the team →
What happens next

Three steps, and the plan is yours.

1Call the team

One call, (817) 205-6257. Ask anything, no pressure.

2Enroll in about 15 minutes

The team walks you through it, right on the phone.

3You're covered

And never on your own. The team sticks with you after you enroll, for every question, every claim, every step.

Quick answers

Asked all the time.

Can I keep my doctor?

This is an EPO, so the plan pays for care inside the Cigna EPO network. The team can check your doctor, your hospital and your pharmacy by name before you enroll.

When does coverage start?

Fast. But start dates come with real deadlines, and they vary. The sooner you call, the sooner you're covered.

What does the $0 deductible mean?

There is nothing to pay down before your copays start. You pay the copay, the plan pays its share, and the $3,500 individual and $7,000 family out-of-pocket maximum is the ceiling for the year.

ready when you are

Questions about the Amerus Cigna EPO?
The team picks up.