NFP | Plan Overview – OAP Buy Up Plan

Plan Overview – OAP Buy Up Plan

The Cigna Open Access Plus (OAP) Buy Up Plan offers broad coverage from August 1, 2025 through July 31, 2026. It’s designed for individuals and families seeking flexibility to visit in-network providers without referrals. Below is a summary of core cost-sharing and key features drawn directly from the official Summary of Benefits and Coverage.

01 At a glance

$2,000
$5,000
$30 copay
$300 copay

02 What you’ll pay

ServiceIn-NetworkOut-of-Network
Specialist Visit$60 copay (per visit)20% coinsurance
Urgent Care$100 copay (per visit)20% coinsurance
Diagnostic Test (X-ray, blood work)No charge20% coinsurance
Imaging (CT, MRI, PET)$250 copay per day (outpatient)20% coinsurance
Generic Drugs (Tier 1)$15 copay (30 days)20% coinsurance
Preferred Brand (Tier 2)$45 copay (30 days)20% coinsurance
Non-Preferred Brand (Tier 3)$85 copay (30 days)20% coinsurance
Specialty Drugs (Tier 4)$150 copay (30 days)20% coinsurance
Outpatient Surgery FacilityNo charge20% coinsurance
Inpatient Hospital StayNo charge20% coinsurance
Home Health CareNo charge (60 visits max/yr)20% coinsurance
Rehab & Chiropractic Care$60 copay/visit (40 visits max/yr)20% coinsurance
Mental Health Office Visit$60 copay/visit20% coinsurance

03 Key observations

Preventive care at no cost. In-network routine checkups, screenings, and immunizations are covered 100% before the deductible.
Predictable office costs. Flat copays ($30 primary, $60 specialist) help you anticipate routine visit expenses.
Consistent pharmacy tiers. Four-tier drug structure ranging from $15 generic to $150 specialty encourages use of cost-effective options.
Limited pediatric vision/dental. Children’s eye and dental exams are not covered, and adult dental or routine vision care are excluded from benefits.

Source: Summary of Benefits and Coverage – Cigna Open Access Plus Buy Up Plan (Plan ID 37672953, Ben Ver 33). Premium not included.

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