Cigna Fundamental Medicare (HMO)


Medicare Plan Details

2021 Plan
Monthly Premium
(select county for price)

 

by Cigna
Additional Coverage
Hearing Vision Dental
Overall Government Star Rating
 4.5
out of 5 stars

State: Tennessee

Select your county to view the price for this plan

 


Plan Type

Medicare Advantage (Part C)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B

 

$0
$0
$0
$0
$6,700 In-network
No
Yes
Yes
Yes

Medical Benefits

Doctor Services

$0 copay
$30 copay per visit

Tests, labs, & imaging

$0-100 copay
$0 copay
$0-100 copay
$0-50 copay
$90 copay per visit (always covered)
$0 copay

Hospital Services

$270 per day for days 1 through 5
$0 per day for days 6 through 90
$0-150 copay per visit

Skilled nursing facility

$0 per day for days 1 through 20
$184 per day for days 21 through 100

Preventive services

$0 copay

Ambulance

$225 copay

Therapy services

$15 copay
$15 copay

Mental health services

$0 copay
$0 copay
$0 copay
$0 copay

Opioid treatment services

Covered

Other services

20% coinsurance per item
20% coinsurance per item
0-20% coinsurance per item

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

20% coinsurance
20% coinsurance

Extra Benefits

Hearing

$0-30 copay
$0 copay
$0 copay
$0 copay
$0 copay

Preventive Dental

$0 copay
$0 copay
$0 copay
$0 copay

Comprehensive dental

$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
$0 copay

Vision

$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
$0 copay

Other benefits

Limited coverage
Limited coverage
Not covered
Not covered
Limited coverage
Not covered
Limited coverage
 4
 4
 4
 4
 4
 5

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