Connect Silver 6500 Indiv Med Deductible · 41921VA0020030
Cigna Health and Life Insurance Company offers this marketplace health insurance plan (Plan ID 41921VA0020030) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.
Marketplace enrollment for 2025 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Virginia). Submit changes before the deadline to avoid a coverage gap.
Enroll by Dec 15 for Jan 1 starts.
Finalize plan switches before the window closes.
Special Enrollment Periods
You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).
Report the event within 60 days.
Keep documentation handy for Healthcare.gov or your state exchange.
CSR & subsidy reminders
Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.
Enter accurate income to maximize Advanced Premium Tax Credits.
Limited Cost Sharing Plan Variation plans like this one keep deductibles and copays lower if you qualify.
Thinking about switching?
Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.
Match provider networks so ongoing care isn’t disrupted.
Confirm prescriptions stay on-formulary or budget for tier changes.
Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.
Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).
All providers in VirginiaN/A
PCPs in VirginiaN/A
Telehealth supportData pending
Nationwide providersN/A
N/A doctors statewideN/A PCPsN/A OB/GYN
Provider network(s)
['VIRGINIACONNECTNETWORK']
Providers
Virginia
All US states
All
N/A
N/A
PCP
N/A
N/A
Allergy
N/A
N/A
OB/GYN
N/A
N/A
Dentists
N/A
N/A
Drug coverage overview
4,702 drugs tracked
Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.
Tier
Covered drugs
GENERIC
1,901
PREFERRED-BRAND
1,276
SPECIALTY-AND-OTHER-HIGH-COST-DRUGS
534
PREFERRED-GENERIC
532
NON-PREFERRED
459
Prior authorization
Drugs
Required
785
Not Required
3,917
Step therapy
Drugs
Required
42
Not Required
4,660
Quantity limits
Drugs
Has Limit
973
No Limit
3,729
Customer highlights
What stands out for members
Issuer: Cigna Health and Life Insurance Company · Plan ID 41921VA0020030 · 2025 filing.
Disease management programs available: Pregnancy, High Blood Pressure & High Cholesterol, Diabetes, Heart Disease, Asthma.
Download the latest formulary directly from the issuer here.
Variant 41921VA0020030-03 (Open to Indians above 300% FPL) currently displayed.
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Variant attributes
Connect Silver 6500 Indiv Med Deductible · Variant 41921VA0020030-03
Plan identifiers & tier
Issuer-provided metadata for this variant.
Business Year
2025
CSR Variation Type
Limited Cost Sharing Plan Variation
HIOS Product ID
41921VA002
Metal Level
Silver
Plan ID (Standard Component ID with Variant)
41921VA0020030-03
Plan Marketing Name
Connect Silver 6500 Indiv Med Deductible
Plan Variant Marketing Name
Connect Silver-1 6500 Indiv Med Deductible
Issuer & service area
Issuer-provided metadata for this variant.
Issuer Actuarial Value
70.01%
Issuer ID
41921
Market Coverage
Individual
Multiple In Network Tiers
No
National Network
No
Network ID
VAN001
Out of Country Coverage
Yes
Out of Country Coverage Description
Emergency Only
Out of Service Area Coverage
Yes
Out of Service Area Coverage Description
Emergency Only
Service Area ID
VAS001
State Code
VA
Cost sharing & actuarial values
Issuer-provided metadata for this variant.
AV Calculator Output Number
0.711917555
Medical Drug Deductibles Integrated
Yes
Medical Drug Maximum Out of Pocket Integrated
Yes
SBC Scenario, Having a Baby, Coinsurance
$2,400
SBC Scenario, Having a Baby, Copayment
$10
SBC Scenario, Having a Baby, Deductible
$6,500
SBC Scenario, Having Diabetes, Coinsurance
$0
SBC Scenario, Having Diabetes, Copayment
$600
SBC Scenario, Having Diabetes, Deductible
$900
SBC Scenario, Treatment of a Simple Fracture, Coinsurance
$0
SBC Scenario, Treatment of a Simple Fracture, Copayment
$300
SBC Scenario, Treatment of a Simple Fracture, Deductible
$2,100
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family
per person not applicable | per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual
Not Applicable
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance
40.00%
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family
$9150 per person | $18300 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual
$9,150
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family
per person not applicable | per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual
Not Applicable
Enrollment & documents
Issuer-provided metadata for this variant.
Formulary ID
VAF005
SBC Scenario, Having a Baby, Limit
$60
SBC Scenario, Having Diabetes, Limit
$20
SBC Scenario, Treatment of a Simple Fracture, Limit
$0
Additional attributes
Issuer-provided metadata for this variant.
Child-Only Offering
Allows Adult and Child-Only
Composite Rating Offered
No
Dental Only Plan
No
Design Type
Not Applicable
Disease Management Programs Offered
Pregnancy, High Blood Pressure & High Cholesterol, Diabetes, Heart Disease, Asthma
EHB Percent of Total Premium
100%
First Tier Utilization
100%
Import Date
1/13/2025
HSA Eligible
No
IsItANewPlan
Existing
Notice Required for Pregnancy
No
Is a Referral Required for Specialist?
No
Plan Effective Date
1/1/2025
Plan Expiration Date
12/31/2025
Plan Type
EPO
QHP/Non QHP
Both
Source Name
SERFF
Plan ID
41921VA0020030
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family
per person not applicable | per group not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual
Not Applicable
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family
$6500 per person | $13000 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual
$6,500
TEHBDedOutofNetFamily
per person not applicable | per group not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Individual
Not Applicable
Unique Plan Design
Yes
Version Number
1
Wellness Program Offered
No
Copay & coinsurance
Pharmacy cost sharing by tier
Drug tier
Pharmacy type
Copay amount
Copay option
Coinsurance rate
Coinsurance option
Mail order
Questions & answers
Frequently asked questions
How do I choose the right ACA plan in Virginia?
Connect Silver 6500 Indiv Med Deductible (41921VA0020030) is a Silver EPO from Cigna Health and Life Insurance Company in Virginia for the 2025 coverage year.
Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.
Does Connect Silver 6500 Indiv Med Deductible support telehealth or virtual urgent care?
The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.
Is Connect Silver 6500 Indiv Med Deductible HSA-eligible and does it include dental or vision coverage?
It is not marked as HSA-eligible, so confirm with the issuer before relying on tax-advantaged savings.
Dental coverage is not listed for this plan.
Vision coverage is not listed for this plan.
Does Connect Silver 6500 Indiv Med Deductible support mail-order prescriptions?
Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.
Which disease management programs come with Connect Silver 6500 Indiv Med Deductible?
The issuer lists disease management resources for: Pregnancy, High Blood Pressure & High Cholesterol, Diabetes, Heart Disease, Asthma.
Is there out-of-country coverage for Connect Silver 6500 Indiv Med Deductible?
Yes, limited out-of-country coverage is available. Review the Summary of Benefits for reimbursement steps. Details: Emergency Only
Does Connect Silver 6500 Indiv Med Deductible cover care outside the service area?
Yes, you have limited out-of-area coverage. See the plan documents for referral and prior authorization rules. Details: Emergency Only
How do I enroll in or manage payments for Connect Silver 6500 Indiv Med Deductible?
Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
