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Benefits Summary Plan Description

Other Medical Plans

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Other Medical Plans

CIGNA International Medical Plans

If a participant is an expatriate and scheduled to be overseas for a minimum of six months, he or she may be eligible to elect coverage through the CIGNA International medical plan.

How the Plans Works

Participants in the Cigna International High Plan can receive medical care from any provider. Before the plan begins paying benefits, participants must pay an annual deductible.

The chart below provides some basic plan information about the Cigna International High Plan.

Cigna International High Plans 2016 Plan Year

Outside U.S.

  • Deductible
  • Out of Pocket Maximum
  • Coinsurance
  • Hospitalization
  • $200 / $400
  • $1,250 / $2,500
  • 85%
  • $200 copay, then 85%

In Network in the U.S.

  • Deductible
  • Out of Pocket Maximum
  • Coinsurance
  • Hospitalization
  • $1,000 / $2,000
  • $2,000 / $4,000
  • 80%
  • $250 copay, then 80%

Out of Network in the U.S.

  • Deductible
  • Out of Pocket Maximum
  • Coinsurance
  • Hospitalization
  • $2,000 / $4,000
  • $4,000 / $8,000
  • 60%
  • $250 copay, then 80%

For more information about how the CIGNA International plan works, participants should refer to the plan's Evidence of Coverage.