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Cost of Procedures
Contact Cigna
855-566-4295, option #4
Monday - Friday
8am - 5pm EST
Get connected to resources to help you get the most out of your healthcare dollars
Connect with a Healthy Life Navigator (HLN) as a resource for cost and quality information for high costs medical services to help you and your family get the most out of your healthcare dollars.
An HLN can help you find quality in-network surgeons, providers, or hospitals. In addition, you can get cost estimates for high-cost procedures. Some examples are open heart surgery, gallbladder surgery, hernia, spinal fusion, organ transplant, prostatectomy, partial colectomy, pacemaker implant, exploratory laparotomy (stomach) skin graft, amputation, thyroidectomy, artificial limb replacement, hip or knee replacement.
An HLN can also help explain how your health plan works and pays.
If you want to learn how to research cost and quality yourself, the HLN can give you information on how do it.
Call today! 855-566-4295, option 4
Amwell Telehealth
Get Started
1-844-733-3627
amwell.com
Register Online, By Phone, or By App
2023 AmWell Telehealth
AmWell telehealth services is a benefit available to medical plan participants.* Participants and covered dependents seeking non-urgent care on demand can connect with board-certified doctors 24 hours a day using your phone, tablet or computer.
AmWell is a faster, easier way to see a doctor. It lets you have video visits with a doctor 24/7/365. It's easy to use, private, and secure. It’s free to enroll and the cost per visit is $20 for acute care visits.
AmWell Offers
- Your choice of trusted, U.S. board-certified doctors
- Video visits using the web or mobile app
- Consultation, diagnosis—even prescriptions (when available and appropriate)
AmWell can be used any time, day or night. It’s perfect when your doctor’s office is closed, you’re too sick or busy to see someone in person, or even when you’re traveling. See how it works.
Not sure what to expect? Click here to read this article about what to expect with online doctor visits.
Allowance Maximums
Know the Facts
Preventive Mammogram and Preventive Mammogram-3D
Preventive Colonoscopy
MRIs and CT Scans
Allowance Maximums
Allowance maximums mean that if you elect to have a MAMMOGRAM or COLONOSCOPY that is more than the allowance, you will be responsible for covering the remaining cost. This remaining cost will not apply to your annual deductible or out-of-pocket maximum.
For MRIs and CT Scans, once you have met your deductible, Cigna will pay 80% per procedure up to the allowed amount, then you will be responsible for any remaining cost.
- Preventive Mammogram: $225
- Preventive Mammogram-3D: $285
- Preventive Colonoscopy: $2,250
- All MRIs: $2,300 (After deductible is met)
- CT Scans: $2,000 (After deductible is met)
Preventive Mammogram Example
Cost for Preventive Mammogram: $272
Plan Pays: $225
Your Responsibility: $47
CT Scan Example
Cost for CT Scan: $2,210
Plan Pays: $1,600 (80% of allowable amount of $2,000)
Your Responsibility: $400 + $210 = $610 (20% Coinsurance + Amount above the allowance)
Click here for additional details
*Allowances are based on national average costs for these diagnostic services.
Preventive Screening
Preventive Screening
Have you Scheduled your Preventive Screening
Preventive services and screenings can help prevent illnesses, disease, and other health problems, or detect illness at an early stage when treatment is likely to work best. Services like screenings, and vaccinations are key to keeping people of all ages healthy. They’re free when you get care from an in-network provider. Here are some common benefits for all adults and children. Always ask your doctor what’s right for you.
Common benefits for all adults
- Blood pressure screenings
- Cancer screenings
- Cholesterol screening
- Diet counseling
- Immunizations
Common benefits for women
- Breast cancer mammography screenings
- Pap tests
- Well visits
Common benefits for men
- Prostate screenings
Common benefits for children
- Immunizations
- Well-baby and well-child visits
Healthy Life Centers
The Company has on-site health clinics that offer healthcare management programs in certain facilities for medical plan participants. See details below for eligibility, locations and services.
Healthy Life Care Teams
Care Teams are provided to give you complete support for your health and well-being. They will guide you through your health journey with the tools you need to be an active participant in your care.
Services
Our HLCs offer primary care, acute care, adult physicals, preventive screenings and more! Telehealth option available in many states. Find more under Healthy Life Services.
- Primary and Acute care services $25
- Adult Physicals, including women’s yearly exams
- Preventive Screenings Urgent Care and minor illness treatment (such as colds, flu, etc.)
- Management for chronic conditions such as Diabetes and High Blood Pressure
- Sample Medications available at most locations at no cost
- Pediatric Care-ages 2 and up for non-emergency acute care
- Routine Adult Vaccinations-No pediatric vaccinations Routine Blood Work-Results sent to ordering
- Physician Care Coordination-for referrals, procedures and screenings And More!
Helpful Information
- New Hires Biometrics
- Behavioral Health Resources
- Qualifying Life Events
- Mammogram Screening Schedule
New Hires Biometrics
As a new hire, if you enroll in the Company medical plan, you and your covered spouse must complete a biometric screening within 60 days of your benefit effective date.
Employees and covered spouses who do not complete a biometrics screening will receive a surcharge of an additional $28.85 per week or $125 per month on top of the medical premium. Click below for details.
Behavioral Health Resources
Behavioral Health is an important part of your overall well-being. Mohawk is pleased to offer a variety of resources to our employees and their families. We encourage you take advantage of the resources linked here and below. Visit often for updates.
Qualifying Life Events
If you have had a qualifying life event (QLE)* (example: birth, marriage, divorce) and need to enroll or make a change to your benefits, please call the Benefits Service Center (BSC) at 1-866-481-4922. Required documentation must be submitted to the BSC for the changes to be complete.
*Due to IRS regulations, most Qualifying Life Event changes must be made within 31 days of the event. Please note IRS regulations for birth, adoption or death must be made within 60 days of the event.
BSC hours: Mon-Thu 8 am - 6 pm ET and Fri 8 am - 5 pm ET
Mammogram Screening Schedule
All women should have one screening mammogram between the ages of 35 and 40. After age 40, a screening mammogram is recommended every year. If you have any breast abnormalities, even a small change or concern call your doctor, who may order a diagnostic mammogram. We only do screening mammograms on the mobile unit. If you meet these age guidelines and have not had a mammogram within the calendar year of 2024, and you are a Mohawk Health plan member, you should get a mammogram.
Biometrics and Health Coaching
Where to get your Biometrics
There are convenient options for you
Biometrics
The screening assesses your body mass index, blood pressure, cholesterol, and A1c blood sugar levels. To pass, you must meet all the standards. Medical plan participants and covered spouses who do not complete biometrics testing will receive a surcharge of an additional $28.85 per week or $125 per month on top of the medical premium.
Where to Get Your Biometrics
- Quest Onsite Events (employees only)
- Healthy Life Centers (spouses)
- Quest Patient Service Centers
- Personal physician (You must download the Quest Physician form at my.questforhealth.com)
What are the Biometric Standards?
Visit the Biometrics & Coaching page for full details.
Know your Numbers
The standards are based on the National Institutes of Health (NIH)
What do your numbers tell you about your health?
Mohawk is committed to helping our employees and their families have healthy lifestyles. Your biometric results can tell a lot about your overall health. It can let you know if you are at risk for some serious chronic conditions, such as diabetes, heart disease and high blood pressure. Knowing your numbers can help prevent the onset of chronic conditions. It gives you the opportunity to take action to improve your health.
Biometric Standards
We have adopted the standards and requirements from the National Institutes of Health (NIH). Please review the numbers.
Members not meeting the recommended biometric standards will be required to engage with a Healthy Life Team health coach to avoid a wellness surcharge. Members must meet all biometric standards to be considered passing.
Visit the Biometrics & Coaching page for full details.
Call a
Coach
Schedule here
855-566-4295
Wellness Surcharge
What is a Wellness Surcharge?
Find out what you need to do to avoid it
Wellness Surcharge
Employees and covered spouses who do not complete biometrics testing, choose not to work with a health coach, or do not make contact with a coach, will receive a surcharge of an additional $28.85 per week or $125 per month on top of the medical premium.
You may receive a wellness surcharge for any of the following:
- No biometrics screening for employee and/or spouse
- No health coaching engagement for employee and/or spouse
So how do you get a wellness surcharge removed?
- Complete a biometrics screening
- Engage with a health coach or Healthy Life Center provider
- Call the Healthy Life Team at 855-566-4295 to begin working towards a goal
Once the completed screening or coaching has been processed, the surcharges will be removed. The surcharge removal process may take up to 60 days.
Visit the Biometrics & Coaching page for full details.
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