Cigna PPO vs Cigna HSA

The Differences Between Cigna's PPO and HSA Plans

One of the first things we have to acknowledge is that an HSA plan is different from any other insurance plan types, but any of those plan types can be an HSA eligible plan. In order for a plan to be HSA eligible, it must be high-deductible. 


An HSA is a medical savings account that is meant to cover all eligible medical expenses, which may include services that are not covered in your plan. This account reduces your taxable income because the contributions are taken from your paycheck before it is taxed. Additionally, whatever money you don’t use during the year from your HSA will roll over into the next one.  But remember, in order to get the HSA, you must be covered by a High-Deductible Plan first. A HDHP is a plan that usually has a minimum deductible of around $1,300 and a maximum out-of-pocket cost of $6,500 for single coverage. This means that the amount you pay for covered health expenses before your insurance will cover it is going to be greater than any other plan. 


A PPO gives access to providers that become a part of your network. With PPO plans, the out-of-pocket costs may get to be very high. However, PPOs excel in flexibility and access. This is because you do not need a Primary Care Provider to recommend you to see a specialist. Additionally, you will play smaller co-payments when you go to see these providers. 


At Cigna, the PPO plan includes global emergency and urgent care coverage 24/7. Additionally, the out-of-network services will be covered at a higher cost to you and you will have to submit all of the claims yourself. Cigna also requires you to meet a separate out-of-network deductible. Cigna recommends that you choose a primary care provider to serve as your health advocate and coordinate care, but it is not required. You can use Nayya to find doctors based on specialties, including primary care physicians!


For Cigna’s HSA, it’s a high deductible plan with lower premiums and higher deductibles. But the money is deposited from your paycheck before the account is taxed. You can also use the HSA to pay for health care expenses for you and your covered dependents. 


If you are healthy and only usually go to the doctor once a year or so, an HSA plan is best for you. If you have a chronic health condition or go to your primary care provider frequently, you must determine if the savings from low premiums will outweigh the cost of regular care, but usually the best option is a PPO plan because individuals will meet their deductible sooner. In turn, receiving their insurance benefits sooner.