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The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Cigna True Choice Medicare (PPO) is a PPO plan offered by Cigna Healthcare
HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.
Medicare beneficiaries may find it helpful to review available Medicare Advantage plans in their area. Medicare Advantage plans are designed to combine the coverage offered from Original Medicare (Medicare Part A and Part B) while also offering additional benefits.
Many Medicare Advantage plans may cover prescription drug coverage as well as additional benefits such as Dental, Vision and Hearing.
Learn more about Medicare Advantage plans such as Cigna True Choice Medicare (PPO) - H7849-039 by Cigna Healthcare as well as other Medicare Advantage plans available in your area.
| Coverage | Cost |
|---|---|
| Monthly Deductible | $0 |
| Out of Pocket Max |
In-Network: $6100 Out-of-Network: N/A |
| Initial Coverage Limit | $0 |
| Catastrophic Coverage Limit | $8000 |
| Primary Care Doctor Visit | $0 Out of Network $0 |
| Specialty Doctor Visit | $30 Out of Network $55 |
| Inpatient Hospital Care | $295 per day for days 1-5 $0 per day for days 6-90 Out of Network $375 per day for days 1-5 $0 per day for days 6-90 |
| Urgent Care | $30 Copay is waived if hospital admission occurs within: 24 hours Worldwide Urgent Coverage: $120 |
| Emergency Room Visit | $120 Copay is waived if hospital admission occurs within: 24 hours Worldwide Emergency Coverage: $120 |
| Ambulance Transportation | Ambulance - Ground: $250 Ambulance - Air: $ 20% Out of Network Ambulance - Ground: $250 Ambulance - Air: $ 20% |
Cigna True Choice Medicare (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B).
| Coverage | Cost |
|---|---|
| Chiropractic Services | $15 Routine Chiropractic (Supplemental): Not covered Out of Network 50% |
| Diabetes Supplies, Training, Nutrition Therapy and Monitoring | If you’re managing diabetes, Cigna Healthcare makes it easier and more affordable to get monitoring and testing supplies. Your plan covers preferred brand diabetic supplies plus home delivery options. So you have less to worry about. Diabetic Supplies: $0 Diabetic Therapeutic Shoes or Inserts: 20% Out of Network 40% Diabetic Therapeutic Shoes or Inserts: 40% |
| Durable Medical Equipment (DME) | 20% Out of Network 35% |
| Diagnostic Tests, Lab and Radiology Services, and X-Rays | Lab Services: 0 - 20% Diagnostic Radiological Services: $0 - $250 X-Ray Services: $15 Out of Network Lab Services: 40% Diagnostic Radiological Services: 40% X-Ray Services: 40% |
| Home Health Care | $0 Support for Caregivers of Enrollees: Not covered Out of Network 40% |
| Mental Health Inpatient Care | $325 per day for days 1-5 $0 per day for days 6-90 Out of Network $375 per day for days 1-5 $0 per day for days 6-90 |
| Mental Health Outpatient Care | Psychiatric-Individual: $0 Psychiatric-Group: $0 Out of Network Psychiatric-Individual: $55 Psychiatric-Group: $55 |
| Outpatient Services / Surgery | Out-of-Network: Outpatient Hospital and ASC Services: Coinsurance for Medicare Covered Outpatient Hospital Services 40% Coinsurance for Medicare Covered Ambulatory Surgical Center Services 40% |
| Outpatient Substance Abuse Care | $30 Out of Network $55 |
| Over-the-counter (OTC) Items | $85 every three months Out of Network Combined with in-network Delivered via Cigna Health Today card |
| Podiatry Services | $30 Out of Network $45 |
| Skilled Nursing Facility Care | $10 per day for days 1-20 $203 per day for days 21-100 Out of Network 40% |
The following dental services are covered from in-network providers.
| Coverage | Cost |
|---|---|
| Dental Care | Dental Allowance Maximum Coverage amount for Preventive Dental: $2,800 combined preventive and comprehensive every year Maximum Coverage Amount for Comprehensive Dental: $2,800 combined preventive and comprehensive every year Out of Network Dental Allowance Maximum Coverage amount for Preventive Dental: Combined with in-network Maximum Coverage Amount for Comprehensive Dental: Combined with in-network |
The following vision services are covered from in-network providers.
| Coverage | Cost |
|---|---|
| Vision Benefits | Routine Eye Exams: $0 for one routine exam every year Eye Exams (Medicare-covered): $0 - $30 Max Coverage Amount for Routine Eye Wear Coverage : $300 every year Out of Network 50% for one routine exam every year Eye Exams (Medicare-covered): $0 - $55 Max Coverage Amount for Routine Eye Wear Coverage : Combined with in-network |
The following hearing services are covered from in-network providers.
| Coverage | Cost |
|---|---|
| Hearing Benefits | $25 Fitting/Evaluation for Hearing Aids: $0 for one fitting evaluation for hearing aid every year Hearing Aids: Hearing aids (all types): two every year Cost Sharing: $399 - $1,800 per device Actual cost-share will depend on hearing aid selected. Out of Network 50% Fitting/Evaluation for Hearing Aids: 50% for one fitting evaluation for hearing aid every year Hearing Aids: Combined with in-network Cost Sharing: Combined with in-network Actual cost-share will depend on hearing aid selected. |
The following services are covered from in-network providers.
| Coverage | Cost |
|---|---|
| Preventive Services and Health/Wellness Education Programs | Out-of-Network: Medicare-covered Zero Dollar Preventive Services: Copayment for Medicare Covered Medicare-covered Preventive Services $0.00 |