The IRS issued guidance and the Insurance Committees approved a special mid-year opportunity for certain plan members to enroll in the Cigna Open Access Plus (OAP) network from June 8-19, 2020.
This limited offer allows all members enrolled in a narrow network (Cigna LocalPlus or BlueCross BlueShield (BCBST) Network S) as of May 21, 2020, to change their coverage from the narrow network to the broad Cigna OAP Network only if the member’s current network has lost 5 or more participating hospitals between January 1, 2020 and June 1, 2020.
This change is important because the HCA/TriStar providers are leaving Cigna LocalPlus on June 1 so members of Cigna LocalPlus ARE eligible to change their enrollment to Cigna OAP. The BCBST Network S has not lost 5 or more participating hospitals over this time period, so members in BCBST Network S DO NOT MEET the eligibility requirements.
LocalPlus members who choose to enroll in Cigna OAP must pay the higher premium which includes a monthly surcharge of $40 for employee only or employee+child(ren) coverage or $80 for employee+spouse and employee+spouse+child(ren) coverage. Your new OAP coverage would begin on July 1, 2020.
For more information about this limited opportunity to change to Cigna Open Access Plus (OAP) Network, click on the following link: https://www.tn.gov/partnersforhealth/health-options/carrier-network.html.