City of Houston offers you three (3) unique medical plans. All plans include preventive care services and a four-tier prescription drug plan. Full-time and part-time employees who consistently worked 30 or more hours per week over the past 12 months are eligible for benefits. The three (3) plans offered are the Cigna Open Access, the Cigna Limited Network, and the Consumer-Driven Health Plan (CDHP).
Under the Open Access plan you will be able to visit any of the more than 572,800 providers in Cigna’s national network, but only true emergency services are available out-of-network. This is the most expensive option.
Under the Limited Network Plan, all your medical care comes from one (1) of three (3) provider groups — Kelsey-Seybold, Renaissance or
Village Medical. This is the middle-of-the-road option.
The CDHP plan offers the same broad network as the Cigna Open Access plan, plus access to out-of-network services at higher deductibles and coinsurance as well as a Health Reimbursement Account. This is the least expensive option.
If both you and your spouse work for the city, you may be covered as an employee or a retiree, or as a dependent — but not both. Dependents may be enrolled under only one parent or guardian.
This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and include negotiated service rates and out-of-network allowed amounts between health plans and health care providers.
The machine-readable files are formatted to allow researchers, regulators and application developers to more easily access and analyze data.
Benefits Phone
832-393-6000
Fax
832-395-9409
What you want to know:
Need more information?
What you want to know:
What you want to know:
Download the myCigna app, or log into your myCigna.com portal for quick and easy access to providers in your area.
You may also call one of the on-site Cigna representatives. Please refer to the provider contact list for details.
If you need medical attention, your first thought may be to go to the emergency room. But if your condition isn’t serious or life threatening, you have a less expensive option.
An urgent care center provides quality care like an emergency room, but can save you time and money. Visit an urgent care for things like minor cuts, burns and sprains, fever and flu symptoms, joint or lower back pain, and urinary tract infections.
Urgent care facilities accepted by all medical plans.
Convenience care facilities are for employees enrolled in the CDHP (HRA) & (OAP Full) plans only).
When it comes to filling your prescriptions, choice, convenience and cost are important to you. There are over 4,000 retail pharmacies in your network for 30-day prescriptions and 31,000 retail pharmacies for 90-Day prescriptions.
Preventive Generic Medications: Preventive medications are used to prevent conditions like high blood pressure, high cholesterol, heart attack, stroke, diabetes, asthma, prenatal nutrient deficiency, etc. The City’s prescription drug plan covers most of these medications at no cost to you. Go to myCigna.com website, app or call Cigna Express Scripts at 800-835-3784 to learn which medications are free. You can also use the Drug Cost tool to estimate costs of any medications that are not on the no cost list.
No Cost Smoking Cessation and Contraceptive Medications: The City’s pharmacy plan covers prescription and over-the-counter smoking cessation and contraceptive products with no copay, coinsurance or deductible.
Patient Assurance Program: Certain preferred brand insulin drugs are eligible for a maximum copayment of $25 for a 30-day supply and $75 for a 90-day supply at participating in-network pharmacies.
Visit Cigna.com/Rx90network to see a complete list of pharmacies in your network.
If you use Cigna Home Delivery, you can now fill the following prescriptions at no cost to you:
