Open Access Plus Planfor State of New Mexico Employees

Welcome

New Mexico State University

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What IfYou Could Find More Value In Your Health

Plan

Knowing what your plan offers – and using it effectively – will help you get healthy and stay healthy

YOU CAN

Open Access PlusWith a CIGNA HealthCare Open Access Plus plan, you get:

Access to a nationwide network of doctors and hospitals – Services received outside of New Mexico receive the same coverage

No Borders --- seeking care including El Paso works the same way – full network of Providers –Sierra, Providence, Del Sol, Las Palmas, Physicians Hospitals

Freedom to visit any provider — Including non-contracted providers

Plan Highlights Focus on wellness and preventive care

Lower out-of-pocket costs and no claim forms with participating providers

No Primary Care Physician Required

No Referrals Required for Specialty Care

Plan HighlightsBENEFIT In-Network Out-of-Network

Wellness Office Visit

No Charge* No Charge*

Primary Care $10 copay per visit*

30% after plan deductible

Specialty Care $25 copay per visit 30% after plan deductible

Urgent Care

Emergency Room

$35 copay per visit

$150 copay per visit

30% after plan deductible

Laboratory Services

No Charge* 30% after plan deductible

X-Ray

MRI/PET Scans

No Charge

10% Coinsurance

30% after plan deductible

*Deductible does not apply

Plan HighlightsBENEFIT In-Network Out-of-Network

Inpatient Hospital $300 copay 30% after plan deductible

Outpatient Facility

(other services 100%)

10% Coinsurance 30% after plan deductible

Short Term Rehab (Physical, Speech Occupational,

Pulmonary, Cardiac)

$25 copay per visit 30% after plan deductible

Rehabilitative Therapy

(Chiropractic, Napropathy, Acupuncture, Massage Therapy, Rolfing)

($1,500 maximum/yr)

$25 copay per visit 30% after plan deductible

InformedTurn to myCIGNA.com for Facts and

Guidance

Cost Reference Tool

Learn more about hospitals

— Select Quality Care

— “Centers of Excellence”

WebMDSM Health Record

WebMDSM Personal Health Manager

Healthwise® Medical Encyclopedia

PreventionGet an ounce (or more) of

prevention

100% Coverage for Wellness Exams

Visit myCIGNA.com for easy, secure access to health and wellness tools, including guidelines for proper preventive care

“My Health at-a-Glance” – CIGNA/WebMD Health Quotient Risk Assessment

Awareness

Let CIGNA HealthCare be your consumer health source – online or on the phone

Assistance and direction from a nurse – 24-Hour Health Information Line

Guidance for a happy and healthy pregnancy – Healthy Babies

Help managing chronic conditions – Well Aware for Better Health

Awareness

Resources for members with chronic conditions - Cardiac, Pulmonary Disease, Diabetes, Low Back Pain and Asthma

Educational materials

Self-care tools

Support and information

Case Management

Well Aware for Better Health

RewardedJust Walk 10,000 Steps-A-Day Walking Program8-week online program allows

Fitness Club MembershipsReduced rates at over 1600 participating fitness clubs

Weight Loss Program DiscountsDiscounted membership for traditional meetings, online, or at home

Book, Magazines, Videos & TapesDiscounts on a variety of health education and skill-building resources.

Health & Wellness Products5% Discount

Complementary & Alternative MedicineReduced rates at over 20,000 participating providers offering chiropractic, acupuncture, naturopathic medicine and massage therapy.Discounts on yoga magazines, books and CDs.

Laser Vision Correction (LASIK)Reduced rates at over 240 participating facilities

Eyeglasses & Contacts Reduced rates at nearly 15,000 participating retailers and providers.30% off on eyeglasses, 15% off contact lenses, and $5 vision exams.

Tobacco CessationEmployee-pay tobacco cessation program. Discounts on Habitrol nicotine replacement therapy.

Book, Magazines, Videos & TapesDiscounts on a variety of health education and skill-building resources.

“CIGNA HealthCare” refers to various operating subsidiaries of CIGNA Corporation. Products and services are provided by these subsidiaries and not by CIGNA Corporation. These subsidiaries include Connecticut General Life Insurance Company, Tel-Drug, Inc. and its affiliates, CIGNA Behavioral Health, Inc., Intracorp, and HMO or service company subsidiaries of CIGNA Health Corporation and CIGNA Dental Health, Inc.

In Arizona, HMO plans are offered by CIGNA HealthCare of Arizona, Inc. In California, HMO plans are offered by CIGNA HealthCare of California, Inc. In Virginia, HMO plans are offered by CIGNA HealthCare of Virginia, Inc. and CIGNA HealthCare Mid-Atlantic, Inc. In North Carolina, HMO plans are offered by CIGNA HealthCare of North Carolina, Inc. All other medical plans in these states are insured or administered by Connecticut General Life Insurance Company.

A Business of Caring

Our business is your health. We provide:

Access to quality health care

We want to make things simple for you. Call the helpful pre-enrollment hotline

1.800.CIGNA24 and press 3