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
Individual deductible $0 family · in network
Out-of-pocket max$0 individual
$0 family, in network
NetworkCigna PPO · nationwide
Major services100% covered in network

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At the point of care

What you'll actually pay
when you use it.

seriously, it's free.
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 →
Free
Primary care
  • Office visitsYour doctor, in the Cigna PPO network
  • Nothing due at the visitNo copay, no deductible, no coinsurance
Free
Specialists
  • Specialist visitsAcross the Cigna PPO network
  • Urgent care is free tooSame deal at an urgent care center
Free
Emergency room
  • Emergency room visitNo copay and no deductible first
  • Transport is separateAmbulance and professional fees bill on their own
everyday care is free. the big stuff is covered at 100%.
How this PPO works

This is a PPO on the Cigna PPO National Network, and no referral is needed to see a specialist. Outside the network a separate deductible and a 50% share apply, so the $0s on this page are in-network prices.

High-cost services

Don't sweat the big stuff.

No deductible, no coinsurance,
even for the expensive stuff.

100% covered Hospital Inpatient hospital stays.
100% covered Surgery Inpatient and outpatient procedures.
100% covered Diagnostics X-ray, labs and MRI.
100% covered 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

The only thing you pay for
is 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. The copays above are retail, 30-day prices; mail-order copays can differ. 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 Summary of Benefits and Coverage, 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 plan documents disagree, the plan documents win.

Do your research

Go ahead, look us up.

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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 a PPO on a nationwide Cigna network, and no referral is needed to see a specialist. Outside the network the plan pays a 50% share after a separate out-of-network deductible, 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.

Is everything really free?

In network, covered medical services cost you nothing: no deductible, no coinsurance and a $0 out-of-pocket maximum. The only copays on this plan are for your prescriptions, and those are listed above.

ready when you are

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