Tacodeli - 2025 Benefit Guide (English)

Tacodeli

Medical Benefits for 2025

Summary of Coverage

$5,000 Deductible HDHP Plan*

$2,000 Deductible Copay Plan (PPOHI)

$4,000 Deductible Copay Plan (PPOLO)

Network

In-Network

In-Network

In-Network

Annual Deductible Individual | Family Out-of-Pocket Max Individual | Family

$2,000 | $6,000

$4,000 | $8,000

$5,000 | $10,000

$5,000 | $14,700

$5,600 | $10,200

$5,000 | $10,000

Primary Care Specialty Care

$30 copay $60 copay

$40 copay $40 copay

0% after deductible

Preventive Care

No Charge

No Charge

No Charge

Diagnostic Lab and X-ray

No Charge

No Charge

0% after deductible

Complex Radiology

20% after deductible

30% after deductible

0% after deductible

$65 copay plus 30% after deductible

Urgent Care

$75 copay

0% after deductible

20% after $500 copay

$100 copay

Emergency Room

0% after deductible

Hospital Inpatient & Outpatient

20% after deductible

30% after deductible

0% after deductible

Retail (30 day) / Mail Order (90 day)

Retail (30 day) / Mail Order (90 day)

Retail (30 day) / Mail Order (90 day)

Prescriptions

$10 / $30 Copay

$20 / $60 Copay

Generic Drug

$50 / $150 Copay

$40 / $120 Copay

Preferred Brand

0% after deductible

$100 / $300 Copay

$60 / $180 Copay

Non-Preferred

$150 Copay / NA

$80 Copay / NA

Specialty Drug**

*Enrollment in the HDHP Plan makes you eligible to open a Health Savings Account (HSA). **Specialty Drugs are available for 30-day supply ONLY

Go to hcpdirectory.cigna.com to find in-network providers in your area.

5

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations, and exclusions set forth in each insurance carrier or provider’s contract.

2025 Employee Benefit Guide

Made with FlippingBook. PDF to flipbook with ease