Medical Insurance

• Network: Cigna’s Open Access Plus (OAP) plan.
• Digital ID Cards: Access digital insurance cards via myCigna.com or the myCigna App. Learn how to access your digital ID card.
• Pharmacies: Broad national network including CVS, Walgreens, Costco, Duane Reade, and others. Maintenance prescriptions (90 days) can be purchased at select retail pharmacies.
• Laboratories: In-network options include Quest Diagnostics and LabCorp.
• HSA Contributions:
  • Eligibility: Must be enrolled in HDHP, not enrolled in Medicare, and not claimed as a dependent on another’s tax return.
  • Adelphi Contributions: $875 for single enrollees, $1,750 for family enrollees. (50% deposited in January and 50% in July)
  • Employee Contributions: Up to $3,275 for singles, $6,550 for families, plus an additional $1,000 for employees aged 55 or older.
• Deductibles and Coverage: $1,600 for single enrollees, $3,200 for families. Preventive care at no cost.
• Claims: Cigna Medical Claim Form
• Special Note: Public Safety employees are not eligible for Adelphi-funded HSA but may contribute their own pre-tax dollars.
• HDHP and HSA Frequently Asked Questions

Call the Cigna One Guide phone line at 888.339.3685 with any questions. You can access your online account at Cigna.

• Network: Cigna’s Open Access Plus (OAP) plan.
• Digital ID Cards: Access via myCigna.com or the myCigna App. Learn how to access your digital ID card.
• Pharmacies: Broad national network including CVS, Walgreens, Costco, Duane Reade, and others. Maintenance prescriptions (90 days) are available at select retail pharmacies.
• Laboratories: In-network options include Quest Diagnostics and LabCorp.
• Medical Claims: Cigna Medical Claim Form
• Health Reimbursement Account (HRA):
  • Availability: For 2024, Public Safety employees (refer to your collective bargaining agreement (CBA) for details).
  • Usage: Can be used for medical expenses, prescriptions, over-the-counter medications, doctor co-pays, deductibles, coinsurance, dental, and vision expenses.
  • Coordination: Unused Health FSA elections from the prior year will be used first, followed by new plan year FSA elections, then the remaining HRA balance.
  • OPTUM Claims: For questions or more information regarding OPTUM claims, visit Optum Financial or call 888.339.3685.

Call the Cigna One Guide phone line at 888.339.3685 with any questions. You can access your online account at Cigna.

• Primary Care Physician (PCP): Must choose an in-network PCP for primary and preventive care, specialist referrals, and hospital admissions.
• Network: HIP Prime HMO Network.
• ID Cards: Register, View and Access account and ID cards online at Emblemhealth.com
• Costs: Lower co-pays, no deductible, no co-insurance.
• Coverage: Out-of-pocket (OOP) maximums are $6,350 for individuals, $12,700 for families. Once reached, no further OOP costs for the year.
• Dependents: Coverage until the end of the calendar month they turn 26, regardless of student and marital status.

For more information or any questions regarding claims, please visit the EmblemHealth website or call 800.447.8255. For specific contact information, please choose your plan on the EmblemHealth contact page.