Your plan
Schedule of Benefits · Amerus Summit Health Plans

AMERUS CIGNA PPO

Go anywhere in the Cigna PPO. Top tier coverage on a top tier Cigna PPO network.
$0
Base medical deductible On the major medical policy
Out-of-pocket max$6,000 individual
$12,000 family
NetworkCigna PPO · nationwide
Major services30% coinsurance

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At the point of care

What you'll actually pay
when you use it.

flat copays before any share kicks in.
Free
No cost to you
  • Preventive careThe plan pays 100% in network, age and frequency limits may apply
  • TeledocVirtual visits at no cost
See the full free list →
$25
Primary care
  • Office visitsYour doctor, in the Cigna PPO network
  • The same copay every timeNo deductible to meet first
$50
Specialists
  • Specialist visitsAcross the Cigna PPO network
  • Urgent care is also $50Same copay at an urgent care center
$500
Emergency room
  • Emergency room visitOne flat copay, no deductible first
  • Transport is separateAmbulance and professional fees bill on their own
everyday care is a copay. the big stuff is a share.
How this PPO works

This is a PPO on the Cigna PPO National Network, so in most cases you can go straight to a specialist. The plan's own schedule notes that referral requirements can vary by service, so check yours first.

High-cost services

Don't sweat the big stuff.

No deductible to meet means coverage right away.
These run at 30% coinsurance in the Cigna PPO network.

30% coinsurance Hospital Inpatient hospital stays.
30% coinsurance Surgery Inpatient and outpatient procedures.
30% coinsurance Diagnostics X-ray, labs and MRI.
30% coinsurance DME Durable medical equipment.

In network, and subject to plan terms, limitations, exclusions and carrier policies. Preauthorization, medical necessity and site-of-service rules apply to certain services.

Prescription coverage

Simple, flat copays
for all your drugs.

four tiers. four numbers.
$0
Generic drugs
  • No copayGeneric equivalents on the plan formulary
$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. Formulary and prior-authorization rules apply, and specialty medication may require a designated specialty pharmacy.

Monthly rates

Straightforward pricing.
Nothing buried.

one rate. every age.
Individual $949 per month
Individual + spouse $1,799 per month
Individual + children $1,699 per month
Family $2,299 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.

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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 a PPO on a nationwide Cigna network, so in most cases you can go straight to a specialist, though the plan notes referral rules can vary by service. Care outside the network may be paid at a reduced level, or not at all except where the law requires it, so the team will 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 30% coinsurance mean?

On the big-ticket services you pay 30% of the covered cost and the plan pays the rest, rather than a flat copay. The separate supplemental policy is designed to help offset that share up to its own annual maximum.

ready when you are

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