- Home
- Departments
- Human Resources
- Benefits
- Open Enrollment 2023
- Medical - Open Enrollment
Medical - Open Enrollment
Maricopa County provides access to high quality, affordable healthcare for its employees. There are four medical plan options. Each plan includes free preventive care (in-network only) and is bundled with a prescription and behavioral health benefit.
CIGNA HIGH DEDUCTIBLE HEALTH PLAN (hdhp)
- Provider Network: Cigna Choice Fund OA Plus
- Pharmacy: Cigna Pharmacy
- Behavioral Health: Cigna Behavioral Health
Contact Information
Group Number: 3205496
Customer Service: 1-800-244-6224
HSA Bank for Health Savings Account (HSA): 1-800-244-6224
Express Scripts Pharmacy Home Delivery: 1-800-835-3784
Accredo Specialty Pharmacy: 1-877-826-7657
Behavioral Health: 1-800-274-7603
www.cigna.com or www.mycigna.com
New Cigna Healthy Rewards Program: Active & Fit
CIGNA HDHP MEDICAL
Resources
- Find a Provider for the Cigna HDHP (select Choice Fund OA Plus) (PDF)
- Evernorth Care Group map (PDF)
- Telehealth Services (PDF)
- Understanding the High Deductible Health Plan (video)
Health Savings Account
When You enroll in the HDHP, you may be eligible to enroll in a Health Savings Account. The HSA contribution limit for 2024 is $3,650 for Individual plans, and $7,300 for Family plans. These amounts DO NOT include the Employer contribution.
- FAQs for the HDHP with HSA (PDF)
- Health Savings Account (HSA) guide (PDF)
- How to access your HSA funds (PDF)
- IRS qualified medical expenses (PDF)
- IRS related publications forms
- What is a Health Savings Account? (HSA) (video)
- HDHP and HSA Presentation (video)
CIGNA HDHP PHARMACY
When you enroll in the Cigna Network HDHP, you are automatically enrolled in and covered by the pharmacy benefit through Cigna Pharmacy.
Fill your pharmacy at a network retail pharmacy or home delivery and the cost is applied to your medical deductible and Out-of-pocket Maximum. Review the Prescription Drug List for your covered medications Tier level.
Resources
- Cigna pharmacy benefit (PDF)
- Home delivery with Express Scripts Pharmacy (PDF)
- Pharmacy network
- Prescription drug list (PDF)
- Preventive Medication Program Drug List (PDF)
CIGNA HDHP BEHAVIORAL HEALTH
When you enroll in the Cigna Network HDHP, you are automatically enrolled in and covered by the behavioral health and substance abuse plan through Cigna Behavioral Health.
Coverage for Behavioral Health under the High Deductible Health Plan is the same as outlined for Medical. Your costs for behavioral health services are applied to the plan Deductible and Out-of-Pocket Maximum.
Resources
- Behavioral Health Provider Directory - steps:
- Select Behavioral Health Counselor under Doctor by Type
- Select Continue as a Guest
- Select the Cigna Open Access for HDHP
- Telehealth Services (PDF)
2024 Plan Year Documents
- Cigna Network HDHP HSA Plan Summary (Coming Soon)
- Summary of Benefits and Coverage (PDF)
CIGNA Network Plan
- Provider Network: Cigna Preferred Partner HMO (formerly Cigna Medical Group)
- Pharmacy: Cigna Pharmacy
- Behavioral Health: Cigna Behavioral Health
- ID card for Medical and Pharmacy Benefit
Contact Information
Group Number: 3205496
Customer Service: 1-800-244-6224
HSA Bank for Health Savings Account (HSA): 1-800-244-6224
Express Scripts Pharmacy Home Delivery: 1-800-835-3784
Accredo Specialty Pharmacy: 1-877-826-7657
Behavioral Health: 1-800-274-7603
www.cigna.com or www.mycigna.com
CIGNA NETWORK PLAN MEDICAL
When you enroll in the Cigna Network Plan coverage is available only in Maricopa County, except for a life-threatening emergency. A member must work or reside within Maricopa County and select a primary care physician (PCP) within an Evernorth Care Group (formerly Cigna Medical Group) health care center. Note: There are additional pediatricians available outside of the ECG who are considered In-Network providers.
Resources
- Cigna Care Designation CCD (PDF)
- Evernorth Care Group (Out-of-network coverage applies only for life-threatening emergency)
- Telehealth Services (PDF)
CIGNA NETWORK PLAN PHARMACY
When you enroll in the Cigna Network Plan, you are automatically enrolled in and covered by the pharmacy benefit through Cigna Pharmacy.
Fill your prescription at a network retail pharmacy or home delivery. Review the Prescription Drug List for your covered medications Tier level.
Resources
- Cigna Pharmacy Benefit (PDF)
- Home delivery with Express Scripts Pharmacy (PDF)
- Pharmacy Network (PDF)
- Prescription Drug List (PDF)
- Preventive Drug List
- How the Pharmacy Benefit Works (PDF)
CIGNA NETWORK PLAN BEHAVIORAL HEALTH
When you enroll in the Cigna HMO, you are automatically enrolled in and covered by the behavioral health and substance abuse plan through Cigna Behavioral Health.
Coverage for Behavioral Health under the Cigna HMO is outlined in the Summary Plan Description. Your costs for behavioral health services are applied to the plan Deductible and Out-of-Pocket Maximum.
Resources
- Behavioral Health Provider Directory
- Select Behavioral Health Counselor under Doctor by Type
- Select Continue as a Guest
- Select Cigna Preferred Partner HMO (formerly Cigna Medical Group)
- Telehealth Service (PDF)
2024 Plan Year Documents
- Summary of Benefits and Coverage (PDF)
- Summary Plan Description (coming soon)
UNITEDHEALTHCARE HIGH DEDUCTIBLE HEALTH PLAN (HDHP)
- Provider Network: Choice Plus
- Pharmacy: UnitedHealthcare Pharmacy Benefit (OptumRx)
- Behavioral Health: UnitedHealthcare Behavioral Health
Contact Information
Group Number: 928523
UnitedHealthcare Pre-Enrollment: 1-888-876-7098
Ask for an Open Enrollment Customer Service Specialist
Already Enrolled: 1-888-876-7098
Optum Bank for Health Savings Account (HSA): 1-800-791-9361
OptumRx Home Delivery: 1-888-876-7098
Optum Specialty Pharmacy: 1-855-427-4682
Behavioral Health: 1-888-876-7098
www.whyuhc.com/maricopa or www.myuhc.com
New UHC Health Benefits:
- NEW UHC One Pass (PDF)
- NEW Dispatch Health (PDF)
MEDICAL
When you enroll in the UnitedHealthcare HDHP, you have access to a Nationwide Network of providers.
Medical Resources
- Telehealth services (PDF)
- Where to Get Care (PDF)
- Choosing a Health Plan (Web)
Health Savings Account (HSA)
When you enroll in the HDHP, you may be eligible to enroll in a Health Savings Account. The HSA contribution limit for Plan Year 2024 is: $4,150 for Individual, and $8,300 for Family. These amounts DO NOT include the Employer contribution.
- FAQ's for the HDHP with HSA (PDF)
- Health Savings Account (HSA) user guide (PDF)
- IRS Related Publications Forms
- What is a Health Savings Account (HSA)? (video)
- HDHP and HSA Presentation (video)
PHARMACY
When you enroll in the UnitedHealthcare HDHP, you are automatically enrolled in and covered by the pharmacy benefit through UnitedHealthcare Pharmacy.
Fill your prescription at a network retail pharmacy or mail order and the cost is applied to your medical deductible and out-of-pocket maximum. Review the Prescription Drug List for your covered medication tier level.
Pharmacy Resources
- Medication home delivery (PDF)
- Prescription drug list (PDF)
- For real time updates you can explore Prescription Drug List (optumrx.com)
- Prescription plan design (PDF)
- Specialty pharmacy program (PDF)
- Pharmacy network (PDF)
BEHAVIORAL HEALTH
Behavioral Health Resources
- Find a Provider (access code: UHC)
- Your behavioral health benefit (PDF)
2024 Plan Year Documents
- Summary of Benefits and Coverage (PDF)
- Summary Plan Document (PDF) (Coming Soon)
UnitedHealthcare PPO
- Provider Network: Choice Plus
- Pharmacy: UnitedHealthcare Pharmacy Benefit (OptumRx)
- Behavioral Health: UnitedHealthcare Behavioral Health
- ID card for Medical and Pharmacy Benefit
CONTACT INFORMATION
Group Number: 928523
UnitedHealthcare Pre-Enrollment: 1-888-876-7098
Ask for an Open Enrollment Customer Service Specialist
Already Enrolled: 1-888-876-7098
OptumRx Home Delivery: 1-888-876-7098
Optum Specialty Pharmacy: 1-855-427-4682
Behavioral Health: 1-888-876-7098
www.whyuhc.com/maricopa or www.myuhc.com
New UHC Health Benefits:
- New UHC One Pass (PDF)
- New Dispatch Health (PDF)
MEDICAL
When you enroll in the UnitedHealthcare PPO, you have access to a Nationwide Network of providers.
Medical Resources
- Telehealth services (PDF)
- Tier 1 Designation (PDF)
- Where to get care (PDF)
- Choosing a Health Plan (web)
PHARMACY
When you enroll in the UnitedHealthcare PPO, you are automatically enrolled in and covered by the pharmacy benefit through UnitedHealthcare Pharmacy.
Fill your pharmacy at a network retail pharmacy or home delivery. Review the Prescription Drug List for your covered medications Tier level.
Pharmacy Resources
- Medication Home Delivery (PDF)
- Prescription Drug List (PDF)
- For real time updates you can explore Prescription Drug List (optumrx.com)
- How the Pharmacy Benefit Works
- Specialty Pharmacy Program
- Pharmacy Network (PDF)
BEHAVIORAL HEALTH
When you enroll in the UnitedHealthcare PPO, you are automatically enrolled in and covered by the behavioral health and substance abuse plan through UnitedHealthcare Behavioral Health.
Coverage for Behavioral Health under the UnitedHealthcare PPO is outlined in the Summary Plan Description. Your costs for behavioral health services are applied to the plan Deductible and Out-of-Pocket Maximum.
Behavioral Health Resources
- Find a provider (access code: UHC)
- Your Behavioral Health Benefit (PDF)
2024 Plan Year Documents
- Summary of Benefits and Coverage (PDF)
- Summary Plan Description (PDF) (Coming Soon)