Other Medical Plans
Cigna Medical Plan
If an employee is an expatriate* and scheduled to be overseas for a minimum of ninety consecutive days in a rolling twelve-month period, he or she may be eligible to elect coverage through the CIGNA Global medical plan.
*Expatriates means a Member who is working outside his Country of Citizenship (for U.S. citizens and their covered dependents, a Member working outside their Home Country or outside the United States for at least 180 days in a rolling12-month period that overlaps with the plan year).
How the Cigna Plan Works
Participants in the Cigna Plan can receive medical care from any provider. Before the plan begins paying benefits, participants must pay an annual deductible.
Additionally, vision coverage is included in the Cigna medical plan.
The chart below provides some basic plan information about the Cigna Plan.
Cigna International High Plan | |
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Out of Network in the U.S. | |
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For more information about how the CIGNA Global plan works, participants should refer to the plan's Evidence of Coverage.
Medical Options for Hawaii Residents
If you are a resident of Hawaii, you will have two medical plan options: HMSA and Kaiser-Hawaii. (The Healthy Focus medical plan options are not available to employees who live in Hawaii). Hawaii is exempt from federal law that allows employers to offer nationwide health programs. Leidos is required to continue plans which meet state requirements in Hawaii. Both the HMSA and Kaiser-Hawaii plans satisfy the state's requirements.
For more information about the HMSA and Kaiser Hawaii plans, participants should refer to the plan's Evidence of Coverage.
HMSA Hawaii
The HMSA medical plan is a Preferred Provider Organization (PPO) available to employees who reside in Hawaii. With HMSA, members have access to quality care from their choice of doctors and specialists and Hawaii’s top hospitals. This plan offers flexibility in the way a member gets medical benefits (e.g.
office visits, inpatient facility services, outpatient services, etc.). In general, to get the best benefits possible, a member should seek services from HMSA participating providers. If a member chooses to visit a non-participating provider, the out-of-pocket costs may be higher.
Kaiser Hawaii
The Kaiser HMO Plan requires that participants receive all medical care exclusively from the HMO's network of providers in order for them to receive benefits. When a participant enrolls in an HMO, he or she, as well as his or her covered dependents should see their primary care physician (PCP) for all routine medical care and will need a referral to a network specialist whenever he or she needs specialty care.
If you are intending to enroll in the Kaiser-Hawaii medical plan, please note you must review the Kaiser Foundation Health Plan Hawaii - Arbitration Agreement.
Note: If you do not agree to the arbitration agreement, you should choose a different medical plan option.
Medical Options for Puerto Rico Residents
Participants located in Puerto Rico are eligible to enroll in the Optimo Plus Medical Plan through Triple S.
How the Optimo Plus Plan Works
Participants covered under the Triple-S Optimo Plus Plan do not have to meet a deductible. However, participants must meet an annual out-of-pocket maximum of $6,350 (Individual) or $12,700 (Family). Once the out-of-pocket maximum is met, Triple S will pay 100% of the member’s remaining covered health care expenses for the rest of the plan year.
Participants may access care within the Triple S provider network without a referral from a primary care physician.
Services provided by out-of-network doctors and providers in Puerto Rico will only be paid at the rate payable to in-network providers, minus the applicable participant copayment or coinsurance. Participants will be responsible for the difference between the provider’s billed amount and the Triple S established fees for participating providers. Certain services are covered in the U.S through the Blue Cross Blue Shield (BCBS) network if the participant receives prior authorization. Non-participating providers in the U.S. are covered only in emergencies and Triple S will pay these services according to the fees established by the local BCBS plan for non-participating providers.
For more information on benefit coverage and how the Plan works, refer to the Triple S Optimo Plus Evidence of Coverage.