Traditional Plan Suite

What is the Green Plan (formerly HMO)?

  • The Green Plan, is an Open Access Plan that does not require enrollees to select a PCP or obtain referrals to see other providers or specialists in the Cigna network. Doctors in the Cigna network are called participating providers.
  • Except in cases of emergency, enrollees must use participating providers to be eligible for benefits. An enrollee can verify whether a doctor or health care facility is in the Cigna network by either calling Member Services (the phone number is on the back of their SchoolCare ID card), or using the website, www.Cigna.com and click on "Find a Doctor".
  • While not required to select a primary care physician (PCP), members are encouraged to establish and maintain a relationship with a PCP. Also, a PCP may be helpful in coordinating your care and initially arranging referrals to specialists.

What is the Red Plan (formerly OA+)?

  • The Red Plan is similar to the Green Plan. It is an Open Access plan that does not require enrollees to select a PCP or obtain referrals to see other providers or specialists in the Cigna network. Doctors in the Cigna network are called participating providers.
  • The plan emphasizes wellness and prevention through $0 copays for generic maintenance medications.
  • Other benefits are subject to a nominal deductible and coinsurance.
  • Except in cases of emergency, enrollees must use participating providers to be eligible for benefits.
  • While not required to select a primary care physician (PCP), members are encouraged to establish and maintain a relationship with a PCP. Also, a PCP may be helpful in coordinating your care and initially arranging referrals to specialists.

What is the Blue Plan (formerly POS)?

Please note, this plan is phasing out and will no longer be offered as of 7/1/17

  • The Blue Plan is an Open Access plan that does not require enrollees to select a PCP or obtain referrals to see other providers or specialists in the Cigna network. Doctors in the Cigna network are called participating providers.
  • Enrollees receive the highest level of benefits if services are obtained using participating providers.
  • If an enrollee chooses to use a doctor or facility that is not part of the Cigna network, coverage will be provided at a lower level, requiring the enrollee to pay a larger portion of the cost out-of-pocket.
  • Blue Plan enrollees can choose to use in or out-of-network providers each time they receive medical care. However, preventive care is only covered when obtained through participating providers.
  • An enrollee can verify whether a doctor or health care facility is in the Cigna network by either calling Member Services (the phone number is on the back of their SchoolCare ID card), or using the website, www.Cigna.com and click on "Find a Doctor".
  • While not required to select a primary care physician (PCP), members are encouraged to establish and maintain a relationship with a PCP. Also, a PCP may be helpful in coordinating your care and initially arranging referrals to specialists.