Medical Coverage

Choose the Plan that Works for You

NFM Lending offers you choices when it comes to medical coverage through Cigna. All the plans provide coverage for comprehensive medical care and prescription drugs. They differ in how you pay for health care.

Medical/Prescription Plan Comparison


Services
Plan 1: Value HDHP 2500
In-network
Plan 2: Standard PPO 1500
In-network
Plan 3: Enhanced PPO 750
In-network
Coinsurance after Deductible
You pay 20%
You pay 10%
You pay 10%
Calendar Year Deductible (Individual/Family)
$2,500/$5,000
$1,500/$3,000
$750/$1,500
Out-of-Pocket Maximum (Individual/Family)
$5,000/$10,000
$4,500/$9,000
$2,250/$4,500
Annual Company Contribution to HSA
Employee Only: $250 Family: $500
N/A
N/A
Preventive Care
Preventive Care Services/Immunizations
$0
$0
$0
Emergency Room
20% after deductible
$250 copay
$250 copay
Urgent Care
20% after deductible
$50 copay
$50 copay
Ambulance
20% after deductible
10% after deductible
10% after deductible
Primary Care Physician Office Visit
20% after deductible
$30 copay
$25 copay
Specialist Office Visit
20% after deductible
$50 copay
$40 copay
Teladoc Doctor Visits (by video / phone / mobile app)
20% after deductible
$30 copay
$25 copay
Inpatient Hospital Services
20% after deductible
10% after deductible
10% after deductible
Outpatient Hospital Services
20% after deductible
10% after deductible
10% after deductible
Inpatient Mental Health
20% after deductible
10% after deductible
10% after deductible
Outpatient Mental Health Physician Office
20% after deductible
$30 copay
$25 copay
Labs/X-rays (independent facility)
20% after deductible
10% after deductible
10% after deductible
Diagnostic Imaging (independent facility)
20% after deductible
10% after deductible
10% after deductible

Out-of-Network Benefits

Services
Plan 1: Value HDHP 2500
Plan 2: Standard PPO 1500
Plan 3: Enhanced PPO 750
Coinsurance after Deductible
You pay 40%
You pay 30%
You pay 30%
Calendar Year Deductible (Individual/Family)
$5,000/$10,000
$3,000/$6,000
$1,500/$3,000
Out-of-Pocket Maximum (Individual/Family)*
$10,000/$20,000
$9,000/$18,000
$4,500/$9,000
Office Charges
40% after deductible
30% after deductible
30% after deductible
Facility Charges
40% after deductible
30% after deductible
30% after deductible

Prescriptions are covered by Cigna’s Performance Rx Formulary

Prescription Drugs
Value HDHP 2500
30-day supply / 90-day supply
Standard PPO 1500
30-day supply / 90-day supply
Enhanced PPO 750
30-day supply / 90-day supply
Deductible
Combined with medical
N/A
N/A
Generic
$10 after deductible /
$25 after deductible
$10 copay / $25 copay
$10 copay / $25 copay
Preferred
$35 after deductible /
$88 after deductible
$35 copay / $88 copay
$35 copay / $88 copay
Non-Preferred
$60 after deductible /
$150 after deductible
$60 copay / $150 copay
$60 copay / $150 copay
Speciality
$100 / Not available
$100 / Not available
$100 / Not available

2026 Medical Cost Per Pay

Value HDHP 2500
Standard PPO 1500
Enhanced PPO 750
Employee Only
$65.00
$159.50
$246.50
Employee + Spouse
$219.50
$538.00
$831.50
Employee + Child(ren)
$172.50
$421.50
$650.50
Family
$302.50
$742.00
$1,146.00

Preventive Care: 100% Covered!

All medical plans cover specific preventive care services. Even when you’re in the best shape of your life, a serious condition with no symptoms may put your health at risk. Using these services at the right time can help you stay healthier by:

  • Preventing certain illnesses and health conditions from happening
  • Detecting health problems at early stages, when they may be easier to treat

Visit www.mycigna.com or call Cigna at 1-866-494-2111 for more information regarding preventive care.

Enjoy Easier Service with a Cigna One Guide Team

Connect by calling 1-888-806-5042, chatting on myCigna.com, or using the myCigna® App. You’ll be instantly connected with a One Guide® representative who can help you:

Understand your plan

  • Learn how your coverage works
  • Get answers to health care and plan questions

Get care

  • Find in-network providers, labs, or urgent care
  • Connect with health coaches, pharmacists, and more
  • Receive one-on-one support for complex health needs

Save money and stay healthy

  • Get cost estimates to avoid surprises

Cigna Resources and Tools

The Cigna plans also offer many resources and tools to help you maintain a healthy lifestyle.

How to Locate a Provider

If you currently have a Cigna plan and have registered for an account, log in to www.mycigna.com.

If you are not enrolled/registered, please follow the steps below to search for a provider/facility near you:

  • Go to www.cigna.com and click on Find a Doctor
  • Click on “Employer or School”
  • Enter your Address, City, or Zip Code and choose how you would like to search: Doctor by Type, Doctor by Name, or Health Facilities and Group Practices
  • When asked to Log In/Register, choose “Continue as Guest”
  • Choose “Continue without a Plan”
  • On the results screen, click on “Select a Plan”
  • Under Medical Plans, select “Open Access Plus, OA Plus, Choice Fund OA Plus” and click “Choose”
Download the app: Apple App Store
Download the app: Google Play Store

For full plan details, including out-of-network costs, click the plan name for the appropriate Summary of Benefits and Coverages.

Value HDHP 2500
Standard PPO 1500
Enhanced PPO 750

Cigna Telehealth Connection: MDLIVE

Cigna provides covered employees with access to MDLIVE. Cigna Telehealth Connection is a telehealth service designed to offer you greater control when you need to see a doctor. With Cigna Telehealth Connection, you can get the care you need — including prescriptions — for a wide range of minor conditions. You can connect with a board-certified doctor when, where and how it works best for you — via video or phone — without having to leave home or work.

MDLIVE televisits can be a cost-effective alternative to a convenience care clinic or urgent care center, and cost less than going to the emergency room. Costs are usually the same or less than a visit with a primary care provider. This easy-to-use and cost effective alternative to care can help reduce costs and non-urgent ER visits. We encourage you to register for this service, so you’re ready when and if you need care.

Visit myCigna.com
Call 1-888-726-3171

Enrollment and Eligibility

Eligibility →

Changes & Qualifying Events →

Health and Wellness

Medical →

Prescription Drugs →

Telehealth through Cigna →

Dental →

Vision →

Wellness Programs and Resources →

Financial Resources

Health Savings Account (HSA) →

Flexible Spending Accounts (FSAs) →

401(k) & 403(b) Programs →

1:1 Financial Assistance →

Income Protection

Life & AD&D Insurance →

Disability Insurance →

Hospital Indemnity Insurance →

Critical Illness Insurance →

Accident Insurance →

LegalShield →

IDShield →

Perks and Other Benefits

Paid Time Off & Holidays →

Employee Mortgage Discount Program →

Verizon Wireless Discount →

Working Advantage Discount Program →

Contacts and Notices

Contacts →

Annual Notices →