from East Coast Health Insurance
Individual and Family Plans in Texas from Cigna
Available statewide
About the Texas Health Insurance Plans from Cigna
Our new Individual and Family Plans offer a simple-to-use, comprehensive health plan designed to provide you and your family with the comfort and peace of mind that comes with dependable health coverage. View our Sales Brochure (PDF 1.5MB) for more information.
Eligibility Criteria
- Individuals age 64 1/2 or younger on the assigned effective date
- Children without an adult subscriber who are 3 months of age or older, up to age 19, regardless of student status
- You must be a resident of the state of Texas
Dependent Eligibility Criteria
- Your lawful spouse of the opposite sex
- Your unmarried children, stepchildren, adopted children, up to 25 years of age, regardless of student status
- Your unmarried grandchildren up to 25 years of age if they are Your dependents for Federal Income Tax purposes at the time of application
- Your own or your spouse’s unmarried children with continuing mental retardation or physical disability, regardless of age, enrolled prior to age 25. Proof of disability and dependency is required.
Plan Type Overview
- Open Access Plan (New!)- flexible in and out-of-network coverage under a national network. No PCP or referral required.
- Health Savings Plan (New!) – high deductible plans allow you to use a tax-advantaged Health Savings Account (HSA) to help pay for your current medical expenses or save for future medical expenses. In and out-of-network coverage under a national network. No PCP or referral required.
Plan Documents
| Open Access Plan | Open Access Value Plan | Health Savings Plan | |
|---|---|---|---|
| Plan Comparison
Learn more about the Individual & Family products offered in your area and browse high-level features for each plan. |
Texas Open Access Plans (PDF 551k) |
cigna-hsa-brochure (PDF 556k) |
|
| Summary of Benefits
Review complete benefit designs for each plan |
Open Access 1000 Open Access 2000 Open Access 3000 Open Access 5000 Open Access 7500 Open Access 10,000 (PDF 206k) |
Open Access Value 1500 Open Access Value 2500 Open Access Value 5000 Open Access Value 7500 Open Access Value 10,000 (PDF 64k) |
Health Savings 1500 Health Savings 3000 Health Savings 5000 (PDF 202k) |
Provider Network
Members enrolled in the new Open Access Plans or Health Savings Plans have access to the national Open Access Plus Network, contracted with over 500,000 participating quality health care professionals and facilities throughout the country.
For the most up-to-date health care professional listing, please visit the Provider Directory. Enter what kind of health care professional you’re looking for and click “continue search.”
Services
At no additional cost, you’ll receive programs and services available to large employer groups including:
myCIGNA.com, an interactive website that allows you to review your benefits, check the status of claims, print an ID card, change your PCP and access health and wellness information.
CIGNA HealthCare 24-Hour Health Information LineSM, talk with a nurse for helpful health information by phone, day or night.
CIGNA Healthy Rewards ®, get discounts on products and services from health clubs and weight management systems to Lasik vision correction and magazine subscriptions through our value-added member affinity program.
Easy Pay , membership premiums can automatically be deducted from your checking or savings account.
Who should I call for questions or if I need help completing the CIGNA HealthCare Individual Plan enrollment application?Please call your broker or call CIGNA at 1.866.GET.CIGNA.
Do I need to select a Primary Care Physician before my coverage begins? No. PCP selection is encouraged, although you are not required to choose one.
Do I need a referral to see a specialist? Referrals are not required to visit a Specialist.
Am I covered outside of the service area and outside of the country?For emergencies, you’re covered out of the service area – even outside of the U.S. For all non-emergency/non-urgent care, you should receive care from within your designated provider network.
Which hospitals can I use?As a CIGNA HealthCare member, you have access to a large network of hospitals throughout the state. For the most up-to-date hospital listing, click on the “Provider Directory” at the top of the page. Select “Hospital” under “Type of Provider” and type in your zip code. Choose your state for the “CIGNA Open Access Plus Network” drop down list. Enter what kind of hospital you’re looking for and click “search.”
Who should I call if I have questions regarding my eligibility for the plan or about a bill that I received? For questions regarding enrollment eligibility or a bill that was received, please call CIGNA at 1.866.GET.CIGNA.
Updated 08/2008
By Phone
- Call 1.888.803-5917 between 8:00 am – 8:00 pm ET
