Cigna Group Health: Global Coverage and Behavioral Health Focus
Cigna (now The Cigna Group, following its merger with Express Scripts) is a major national carrier with strong California market presence, particularly among technology companies, professional services firms, and employers with internationally mobile employees. Cigna's Open Access Plus EPO/PPO is the flagship product — offering no referral requirements and a strong California provider network.
What distinguishes Cigna: strong behavioral health and EAP integration through Cigna Behavioral Health, Evernorth (specialty pharmacy and health services), and Cigna's global coverage options for businesses with international employees or operations.
Behavioral Health as a Differentiator
Cigna has invested significantly in behavioral health — EAP counseling sessions, mental health telehealth through MDLive, substance use disorder treatment coordination, and wellness programs targeting stress and burnout. For employers in high-pressure industries (technology, finance, legal, healthcare), Cigna's behavioral health benefits are a recruitment and retention differentiator. California's mental health parity requirements are fully met.
Global Medical Plan for International Employers
For Bay Area and LA tech companies with employees who travel internationally or are based abroad, Cigna's Global Medical Plan provides seamless coverage in 190+ countries. This eliminates the need for separate international travel health policies. Cigna is one of very few carriers with genuine global product integration.
Evernorth and Pharmacy Benefits
Following the Express Scripts merger, Cigna's Evernorth division provides pharmacy benefits management, specialty drug management, and fertility benefit services (Progyny partnership). For employers looking for a comprehensive health benefits ecosystem beyond just medical, Cigna/Evernorth is a strong integrated option.
Best Fit for California Employers
Cigna is an excellent choice for tech companies (Bay Area and LA), professional services firms, employers with international travel or remote global employees, and employers who prioritize behavioral health. Compare Cigna's CA Open Access Plus network specifically against Anthem PPO and Blue Shield PPO in your market.