Page 5 - Enrollment-Guide-2026-27-Final

Enrollment Basics Benefits Spotlight

An Employee who meets all of the conditions for eligibility set by their Employer and More MSK Care is on its Way With Pathwell Bone & Joint
SchoolCare is eligible to enroll as a Subscriber. Employees must enroll within 30 days after Care for musculoskeletal conditions continues to be one of the largest
first meeting their Employer's eligibility requirements or during an Open Enrollment Period. drivers of annual claims across all of SchoolCare’s population. If you suffer
from chronic spine, hip, knee or shoulder pain, you are not alone. Beginning
July 1, Cigna Pathwell Bone & Joint will become available to SchoolCare
Elections you make while enrolling for medical, dental, vision and participants. This new condition-specific care program* offers access to
i i Health Care Flexible Spending Account (FSA) or during Open Enrollment designated providers with personalized assistance by a care navigation team

to support your path to alleviating joint pain.
are binding through June 30, 2027, unless you experience a qualifying
life event (examples below). • Get personalized support from a Cigna Clinical Care advocate to help you
find the most appropriate treatment for your needs, with in-person and
virtual options available
• Access digital tools for assessments, guidance on treatment options,
Eligible Dependents Qualifying Life Events personalized activities and more
• If surgery is needed, a Benefit Specialist will help you understand the
Employees may also enroll their eligible family Per IRS regulations, you can only change your program benefits and find access to designated providers within Cigna’s
members including: elections annually during the Open Enrollment period, preferred networks
unless you have a qualifying life event. SchoolCare • Includes no-cost or low-out-of-pocket cost surgery, pre- and post-surgery
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• Legally married spouse Open Enrollment generally begins on April 15 and support, and a travel benefit when applicable
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• Domestic partner and their children, if offered runs through May 31 . For a qualifying life event, *Pathwell is being offered alongside
by Employer Subscribers must provide notice and required Learn more about Pathwell Bone & Joint here. Hinge Health, not replacing it.
• Dependent children under age 26 documentation within 30 days of the event.
Examples include: If Cigna is Calling, Picking Up the Fertility Coverage Changing to New

• Marriage • Divorce/legal Phone May be Good For Your Health Partnership With Progyny
• Loss of other insurance separation (within
coverage 60 days) When your phone rings and the caller ID says “Cigna” Building a family can be stressful, and dealing with
• Adoption/legal • Birth of a child there are numerous reasons why they might be calling, fertility issues without support can not only add to
guardianship • Death but it’s never to sell you something. In fact, picking up the stress, but become cost-prohibitive. Beginning
the phone may make your life just a little bit easier. July 1, SchoolCare participants will have access to
Cigna’s various channels of participant outreach are fertility coverage from Cigna’s new preferred partner,
constantly expanding, offering personalized support Progyny. As part of your SchoolCare health benefits
services to help you navigate your health, included at plan, Progyny offers coverage for fertility treatment
no extra cost to you. and medications associated with approved
If you or an eligible dependent receives a call from treatment cycles as well as nurse support and more.
Cigna, it may be to remind you it’s time to schedule Participants who are currently working with WIN will
an annual physical, a routine cancer screening or a flu receive direct outreach from Progyny
shot. Or one of the members of SchoolCare/Cigna’s about this change to help make
new Personal Health Team may be reaching out to help the transition smooth,
you coordinate care for complex medical diagnoses or without interruption to
a health coach may be reaching out to see if you have your current journey.
health goals they can assist you with. Learn more about
Health Benefits Booklet Progyny and your
All conversations with any of Cigna’s Personal Health coverage through
Refer to the SchoolCare Team, Health Coaches and Care Advocates are
Health Benefits Booklet (HBB) confidential and this added layer of support is there to Schoolcare/
for more detailed information. help you on your path to good health. Cigna here.

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