Newly Hired Employee Medical Plans

Cigna Healthcare rates and plan design changes are pending final negotiations and ratification with the Unions and Board approval. If premium and plan design changes occur, you will be notified and will be given another opportunity to make any necessary changes to your healthcare coverage.

This plan offers a higher level of coverage with a lower out-of-pocket expense, while having access to nationwide providers in exchange for a higher premium.

• $0 co-payment for Telemedicine
• $0 co-payment at M-DCPS Clinic at Jackson Senior High
• $0 co-payment for Generic Seven Drug Classes (both retail & 90-day supply)
• Low Deductible- deductible must be satisfied for services subject to co-insurance
• Lower Primary Care Physician co-payment
• Lower Urgent Care co-payment
• Nationwide Provider Network
• These healthcare plans are offered on a guaranteed basis.
• If enrolling in a Cigna Healthcare plan, you and your eligible dependent must enroll in the same healthcare plan.
• You are not required to select a Primary Care Physician and referrals are not needed when seeking services from a specialist.
• We strongly encourage you and/or your covered dependent(s) to establish a relationship with a physician.
• In accordance with the Affordable Care Act (ACA) medical, Rx costs, deductibles and co-insurance are counted toward your Annual Maximum Out-of-Pocket (MOOP). Participants save more, because once the MOOP has been reached; the participant will be covered 100 percent and will have no other healthcare costs to pay.

This plan offers retirees needing less access to care a lower premium option, with access to nationwide providers in exchange for a higher out-of-pocket expense. 

• $0 co-payment for Telemedicine
• $0 co-payment at M-DCPS Clinic at Jackson Senior High
• $0 co-payment for Generic Seven Drug Classes (both retail and 90-day supply)
• Co-payments for Primary and Specialist visits
• Co-payments for Urgent visits
• Low deductible- deductible must be satisfied for services subject to co-insurance
• Nationwide Provider Network
• This healthcare plans is offered on a guaranteed basis.
• If enrolling in a Cigna Healthcare plan, you and your eligible dependent must enroll in the same healthcare plan.
• You are not required to select a Primary Care Physician and referrals are not needed when seeking services from a specialist.
• We strongly encourage you and/or your covered dependent(s) to establish a relationship with a physician.
• In accordance with the Affordable Care Act (ACA) medical, Rx costs, deductibles and co-insurance are counted toward your Annual Maximum Out-of-Pocket (MOOP). Participants save more, because once the MOOP has been reached; the participant will be covered 100 percent and will have no other healthcare costs to pay.

This plan offers a lower out-of-pocket expense, a lower premium, and a narrow strong network of providers. You must reside in the tri-county area (Miami-Dade, Broward and Palm Beach Counties).

• $0 co-payment for Telemedicine
• $0 co-payment at M-DCPS Clinic at Jackson Senior High
• $0 co-payment for Generic Seven Drug Classes (both retail & 90-day supply)
• A significant lower deductible- deductible must be satisfied for services subject to co-insurance
• A significant lower Maximum Out of Pocket- The amount that you must pay before the plan covers 100% of all the services subject to co-insurance
• Co-payments for Primary and Specialist visits
• Low co-payments for Urgent visits
• Narrow network with a minimum disruption in comparison to the OAP Plans
• Referrals needed for Specialists
• Selection of Primary Care Physician required
• These healthcare plans are offered on a guaranteed basis.
• If enrolling in a Cigna Healthcare plan, you and your eligible dependent must enroll in the same healthcare plan.
• We strongly encourage you and/or your covered dependent(s) to establish a relationship with a physician.
• In accordance with the Affordable Care Act (ACA) medical, Rx costs, deductibles and co-insurance are counted toward your Annual Maximum Out-of-Pocket (MOOP). Participants save more, because once the MOOP has been reached; the participant will be covered 100 percent and will have no other healthcare costs to pay.