01/01/2026 ASO Open Access Plus HDHPQ - HDHPQ 4500 Proclaim - 37302329 - V 33 - 10/20/25 05:26 PM ET 14 of 17 ©Cigna 2025 Additional Information Your Health First - 200 Individuals with one or more of the chronic conditions, identified on the right, may be eligible to receive the following type of support:  Condition Management  Medication adherence  Risk factor management  Lifestyle issues  Health & Wellness issues  Pre/post-admission  Treatment decision support  Gaps in care Holistic health support for the following chronic health conditions:  Heart Disease  Coronary Artery Disease  Angina  Congestive Heart Failure  Acute Myocardial Infarction  Peripheral Arterial Disease  Asthma  Chronic Obstructive Pulmonary Disease (Emphysema and Chronic Bronchitis)  Diabetes Type 1  Diabetes Type 2  Metabolic Syndrome/Weight Complications  Osteoarthritis  Low Back Pain  Anxiety  Bipolar Disorder  Depression Definitions Coinsurance - After you've reached your deductible, you and your plan share some of your medical costs. The portion of covered expenses you are responsible for is called Coinsurance. Copay - A flat fee you pay for certain covered services such as doctor's visits or prescriptions. Deductible - A flat dollar amount you must pay out of your own pocket before your plan begins to pay for covered services. Out-of-Pocket Maximum - Specific limits for the total amount you will pay out of your own pocket before your plan coinsurance percentage no longer applies. Once you meet these maximums, your plan then pays 100 percent of the "Maximum Reimbursable Charges" or negotiated fees for covered services. Place of Service - Your plan pays based on where you receive services. For example, for hospital stays, your coverage is paid at the inpatient level. Prescription Drug List - The list of prescription brand and generic drugs covered by your pharmacy plan. Professional Services - Services performed by Surgeons, Assistant Surgeons, Hospital Based Physicians, Radiologists, Pathologists and Anesthesiologists Transition of Care - Provides in-network health coverage to new customers when the customer's doctor is not part of the Cigna network and there are approved clinical reasons why the customer should continue to see the same doctor. Exclusions What's Not Covered (not all-inclusive): Your plan provides for most medically necessary services. The complete list of exclusions is provided in your Certificate or Summary Plan Description. To the extent there may be differences, the terms of the Certificate or Summary Plan Description control. Examples of things your plan does not cover, unless required by law or covered under the pharmacy benefit, include (but aren't limited to):  Care for health conditions that are required by state or local law to be treated in a public facility.  Care required by state or federal law to be supplied by a public school system or school district.  Care for military service disabilities treatable through governmental services if you are legally entitled to such treatment and facilities are reasonably available.