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Major Medical PPO

Five plan options with real hospital, surgery, ER and maternity coverage — choose your deductible and network, we'll help you find the right fit. Starting at $552/month (MVP PPO 10K, Self Only, Open Network).

Plan features

Compare the five plans

All plans include no-cost preventive care, telemedicine, and a CareGuide advocate to help you navigate care.

← Swipe or scroll to see all 5 plans, including MVP PPO 10K →

Features PPO 3500 PPO 5000 PPO 7500 HSA PPO 10K MVP PPO 10K
Annual Deductible $3,500 Ind / $7,000 Fam $5,000 Ind / $10,000 Fam $7,500 Ind / $15,000 Fam $10,000 Ind / $20,000 Fam $10,000 Ind / $20,000 Fam
Annual Out-of-Pocket Max $7,000 Ind / $14,000 Fam $10,000 Ind / $20,000 Fam $10,000 Ind / $20,000 Fam $10,000 Ind / $20,000 Fam $10,000 Ind / $20,000 Fam
Preventive Care Screening No CostNo CostNo CostNo CostNo Cost
Primary Care Visit $25 copay$25 copay$50 copayNo cost after deductible$50 copay
Specialist Visit $50 copay$75 copay$100 copayNo cost after deductible$100 copay
Urgent Care Visit $75 copay$100 copay$100 copayNo cost after deductible$100 copay
Emergency Room Visit Deductible, then 20% coinsurance Deductible, then 30% coinsurance Deductible, then 30% coinsurance No cost after deductible No cost after deductible
Outpatient Services Deductible, then 20% coinsurance Deductible, then 30% coinsurance Deductible, then 30% coinsurance No cost after deductible No cost after deductible
Inpatient Services Deductible, then 20% coinsurance Deductible, then 30% coinsurance Deductible, then 30% coinsurance No cost after deductible No cost after deductible
Pharmacy Coverage $0 copay (Generic, Brand, Limited Specialty)
Provider Network Cigna PPO or Open Network
Telemedicine Included on all plans
CareGuide Advocate Included on all plans

Pricing

Monthly premium by tier

Choose the Cigna PPO network or the lower-cost Open Network.

← Swipe or scroll to see all 5 plans, including MVP PPO 10K →

Coverage Tier PPO 3500 PPO 5000 PPO 7500 HSA PPO 10K MVP PPO 10K
CignaOpen CignaOpen CignaOpen CignaOpen CignaOpen ★
Self Only $665.86$596.85 $646.05$588.88 $629.80$564.58 $630.23$559.17 $614.44$551.81
Self + Spouse $1,272.41$1,120.60 $1,228.84$1,103.06 $1,193.10$1,049.60 $1,194.04$1,037.71 $1,159.30$1,021.52
Self + Child(ren) $1,091.01$966.79 $1,055.36$952.44 $1,026.10$908.70 $1,026.87$898.97 $998.45$885.73
Self + Family $1,749.97$1,542.93 $1,690.55$1,519.02 $1,641.79$1,446.12 $1,643.08$1,429.90 $1,595.71$1,407.83

★ = the $552/month starting price shown above (MVP PPO 10K, Self Only, Open Network).

All illustrated benefits are for in-network services and may be subject to certain exclusions and limitations. All benefits apply to covered services under the plan's reimbursement guidelines. Rates shown are current as provided and subject to change — a consultant will confirm your exact quote based on age, state, and household. Not sure which plan is right for you? Call (800) 490-9962, text (475) 357-6440, or start your application directly at tridentcontributor.com/CTXPartners.

Talk to an Expert — (800) 490-9962