Medical Plan Frequently Asked Questions

  • Which services are subject to the annual deductible?
    The Wesleyan Open Access Plus and Open Access Plus In-Network plans have an annual deductible of $500 for individuals and $1,000 for families.

    The following services fall under this deductible:
    Lab work
    Imaging (X-ray, MRI, PET, CT, and ultrasound)
    Durable medical equipment
    Inpatient procedures and services
    Outpatient procedures and services
    Home health care
    Prosthetic devices
    Hearing aids

    Once the deductible is met, these services are covered at 100% for the rest of the plan year.

    The deductible also counts toward your annual out-of-pocket maximum.
  • How do I get an ID Card for my Medical/Dental/Vision Coverage?
    Cigna (Health and Vision coverage) – Go to Log in and scroll to the bottom of the page where you will see a link to ‘Get an ID Card’.
    Delta Dental – Go to Log in to MySmile and download your ID card from your dashboard.
    EyeMed (lenses and frames) – Go to Member Web. Log in and follow the instructions to print an ID card.  You can also load the EyeMed Members App through App Store or Google Play instead.
  • I have questions about my medical bill. Whom should I contact?

    Call Cigna at 1-800-244-6224 and log into your portal to look up the date of service correlating to the bill. Bills are often sent by the provider before Cigna has fully processed the claim. Always check your Explanation of Benefits (EOB) to see how the claim is being processed. A representative at Cigna is available to help you resolve any eligibility or claim issues you have.

  • My doctor wants me to get an MRI, yet Cigna sent me a letter of denial. What should I do?

    Call Cigna at 1-800-244-6224 to have someone explain the reason for the denial. It is important to receive clarification.

    In many cases of denied authorizations, the treating provider did not submit all of the necessary medical documents needed for an approval. By calling Cigna and engaging with your provider, you should be able to resolve the issue quickly.