Plan Comparison Worksheet
SNHP 220
Spring 2023
Please use the following three plans and answer the questions below. If you can’t find the answer, explain how you looked and why you can’t find it.
Plan 1
Cigna Connect
Plan 2
KP Platinum
Plan 3
Blue Choice HMO Young Adult
Premium
$310/month
$534/month
$208/month
Summary of Benefits and Coverage
Cigna Connect SBC
KP SBC
Blue Choice SBC
Prescription Drug List
Cigna Connect Prescription Drug List
KP prescription Drug List
Blue Choice Prescription Drug List
• Go to “Those who buy directly from Carefirst” and click on “Exchange formulary”
Provider Network
Cigna Connect Provider Network
• Pick Arlington County, VA (zip 22204)• Choose “enter as guest”
KP Provider Network
• Pick “Kaiser Permanente Added Choice POS”
Blue Choice Provider Network
• Choose “continue as a guest”• Choose BlueChoiceAdvantage network
Question 1:
Which plan covers Rubina Dolvane (located in Arlington, VA)? And how much will it cost to see her? How much do you have to pay before your plan starts paying (e.g., what is deductible for an individual)?
Question 2:
Which plans cover Eliquis (any strength), a brand-name drug, used to treat and prevent blood clots and how much does it cost for each plan? How much do you have to pay before your plan starts paying (e.g., what is deductible)?
Question 3:
For each plan, how much will you pay for an HIV test?
Question 4:
Assume you are a young, relatively healthy single adult without children (so your health care utilization will consist of mostly primary care and preventive care) which plan would you choose and why?
Plan Comparison Worksheet
SNHP 220
Spring 2023
Please use the following three plans and answer the questions below. If you can’t find the answer, explain how you looked and why you can’t find it.
Plan 1 Cigna Connect |
Plan 2 KP Platinum |
Plan 3 Blue Choice HMO Young Adult |
|
Premium |
$310/month |
$534/month |
$208/month |
Summary of Benefits and Coverage |
Cigna Connect SBC |
KP SBC |
Blue Choice SBC |
Prescription Drug List |
Cigna Connect Prescription Drug List |
KP prescription Drug List |
Blue Choice Prescription Drug List · Go to “Those who buy directly from Carefirst” and click on “Exchange formulary” |
Provider Network |
Cigna Connect Provider Network · Pick Arlington County, VA (zip 22204) · Choose “enter as guest” |
KP Provider Network · Pick “Kaiser Permanente Added Choice POS” |
Blue Choice Provider Network · Choose “continue as a guest” · Choose BlueChoice Advantage network |
Question 1:
Which plan covers Rubina Dolvane (located in Arlington, VA)? And how much will it cost to see her? How much do you have to pay before your plan starts paying (e.g., what is deductible for an individual)?
Question 2:
Which plans cover Eliquis (any strength), a brand-name drug, used to treat and prevent blood clots and how much does it cost for each plan? How much do you have to pay before your plan starts paying (e.g., what is deductible)?
Question 3:
For each plan, how much will you pay for an HIV test?
Question 4:
Assume you are a young, relatively healthy single adult without children (so your health care utilization will consist of mostly primary care and preventive care) which plan would you choose and why?
Question 5:
Now, assume you are living with HIV and take the anti-retroviral medication Biktarvy and need to see both a primary care doctor and an infectious disease specialist regularly. Which plan would you choose and why?