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Medical & Prescription
Group Number: 3341122 | Phone Number: 800-244-6224
You have the choice of two medical plans administered by Cigna. The difference between the two plans are the amount you pay per paycheck, plan deductibles, and out-of-pocket maximums. Copays apply towards out-of-pocket maximums. You must use an Open Access Plus Network provider to receive benefits. The plans do not have out of network coverage unless related to a care emergency. You may look up doctors within the plan network by visiting the Cigna website and selecting the Find a Doctor
link. Select the "Employer or School" option. Use the search tool to find a doctor in the Open Access Plus network for Medical Plans.
Full Time Employees and their medical-plan enrolled dependents (above the age of 2) are eligible to utilize our Employee Wellness center at a $0 copay. For more information about basic primary care services, see the Wellness center page: City's Employee Wellness Center
Preventative services are covered at 100% and the deductible does not apply. Review with your doctor on Preventative standards (based on age and frequency) as some services are limited to this benefit.
Medical plan enrollment includes the option to have a virtual visit with a doctor for FREE by using a video enabled device. This benefit is covered 100% through Cigna's Virtual health services. Visit our Virtual Health page to view specifics on using this benefit under Cigna.
When your benefits are effective under Cigna, you will have access to the Cigna website. Your MyCigna online account will allow you to view your ID card, manage and track claims, review coverage, view your account balances (FSA and HRA) and deductibles, and more. If you are on the go, the MyCigna mobile application can connect to your online account so you can manage your health insurance through your mobile device.
New Baby or New Adoption
If you are expecting or are adopting, please review the information provided on our New Baby Leave of absence page found here: New Baby and Leave of Absence | Frisco, TX - Official Website (friscotexas.gov)
Health Reimbursement Account (HRA)
The HRA is funded by the City of Frisco and is administered by Cigna. The dollars in this account can be used to reimburse a portion of you and your eligible family members’ out of pocket medical expenses such as deductibles, coinsurance, and pharmacy expenses. Types of eligible expenses are similar to the FSA healthcare spending account. View eligible expenses. The dollars do not expire and the balance on the account will roll over to the next year. You are not eligible for the HRA fund balance when you terminate or retire from the City of Frisco.
You can earn the HRA incentive by participating in the Wellness Program. See the City's Wellness Programs page for more information on how to earn dollars and more details on the HRA account.
Medical Insurance Documents
- Benefits Summary - High Deductible Medical Plan (PDF)
- Benefits Summary - Low Deductible Medical Plan (PDF)
- High Deductible Summary of Benefits and Coverage - SBCs (PDF)
- Low Deductible Summary of Benefits and Coverages - SBCs (PDF)
- Summary Plan Description - Cigna High Deductible Medical Plan (PDF)
- Summary Plan Description - Cigna Low Deductible Medical Plan (PDF)
- Cigna Rider 092019
- Texas Know Before You Go - ER, Urgent Care, or Doctor's Office (PDF)
- Medical and Seasonal Vaccine Program - Directory - Cigna
- Preventive Care Customer Reference Guide - Cigna (PDF)
- MyCigna Mobile Application (PDF)
- One Guide - Cigna Personalized Service (PDF)
- Telehealth Connection with Behavioral Health (PDF)
- Healthy Pregnancies Healthy Babies - Cigna Wellness Benefit (PDF)
- Model Disclosure Notice Regarding Patient Protections Against Surprise Billing
- 2024 Retiree and COBRA rates (PDF)
Prescription Benefits with Cigna
When you enroll in medical coverage with the City, you automatically receive prescription drug coverage through Cigna.
If a maintenance medication is needed, Cigna’s 90 Now Program allows you more options to how and where you can fill your 90-day prescription. Through the program, you are given the option to fill your 90-day prescription at a participating retail pharmacy. Participating retail pharmacies include CVS (Target and Navarro) and Walmart. Please see the below documents to view more information about this program. Specialty medications are a 30-day supply or less. You can order specialty medication through Cigna's Specialty Pharmacy services.
The City's Prescription Plan has a Pharmacy Deductible for drugs classed as a Brand script. This deductible does not apply to Retail or Home Delivery Generic or in-network preventative drugs.
- Individual Deductible: $50
- Family Deductible: $100
Brand Scripts are a 30% coinsurance with a per script maximum limit. Our Benefits Enrollment Guide shows more information on costs for drug type and the per script maximum limit. Visit the main benefits page to view our current Benefits Enrollment Guide: www.friscotexas.gov/Benefits.
Transparency in Coverage Rule
Model Notice Regarding Patient Protections Against Surprise Billing
Starting on July 1, 2022, this link will be available to view: www.ticmrf.com/76-6000531
This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed- amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.