How can I reach you when I need help?
• Call us anytime day or night – live, 24/7 customer service
• Find information when you need it at myCIGNA.com
• We speak many languages
Life is unpredictable.
How can you help me when something
changes – my health, I move, I’m traveling, I get married?
•
Find a doctor whenever you need one, online or by
phone
• Open Access Plus (OAP) Network
–
Nation-wide network of doctors
–
No referrals to see specialists
–
Your option to choose a Primary Care Physician
• Transition of Care
–
Keep your doctor during transition for certain health care
How can I see if my doctor participates with the Open
Access Plus network?
•
Log onto
www.CIGNA.com
•
Click on Provider Directory at the top
•
Select the type of provider you are searching
– Optional-complete information to narrow your search
•
Enter your city/state or zip code
•
Enter your search radius (distance you are willing to travel)
•
Click next
•
Select Open Access Plus under “What type of plan do you have”
•
Select if you are searching for a Primary Care Physician or a
Specialist from the drop down menu
What do I do if my physician does not participate?
•
If your doctor does not currently participate with
CIGNA’s Open Access Plus Network:
–
Please complete a Physician Nomination Form and send it
back to CIGNA
–
CIGNA will begin the recruitment and credentialing process
–
Please note that this process takes approximately 3 – 6
My life is busy.
How can you save me time?
•
Talk to a trained nurse with questions when you can’t
reach your doctor – day or night
•
myCIGNA.com lets you:
–
Print or order ID cards
–
Find participating doctors and hospitals
–
Check your coverage
–
Access articles and health education resources, and
sign up for online coaching programs
–
Track deductibles and claims
–
Keep track of your health history and records with a
Everyone says they are the best.
Why should I trust you?
• Voted 2008 Best Managed Care Organization and Best Employee Assistance Program by Business Insurance • Top industry rankings for Effectiveness of Care
by the independent National Committee for Quality Assurance (NCQA)
• Winner of “Innovation in Multicultural Health Care” Award from NCQA
• Our customer call centers are certified by J.D. Power and Associates for providing “an outstanding customer service experience.”
• CIGNA HealthCare Mid-Atlantic voted one of America’s best health plans by U.S. News and World Report
What are you doing to make sure I’m getting quality care?
• Quality rankings let you compare doctors and hospitals
• Alerts sent to you and your doctor if we see or anticipate possible gaps or errors in care
• Support from our care coordinators if you are hospitalized with a serious illness
I want to know I won’t be faced with big bills.
How do you protect me financially?
Medical Plan Highlights* If you're considering a CIGNA Choice Fund with a Health Savings Account (HSA), you can contribute pre-tax dollars to build your balance, up to a yearly limit set by the IRS. Employees who reach age 55 may make an additional catch-up contribution of $900. Employer or incentive
Unlimited Maximum Benefit
$35 copay per visit (copay is waived if admitted) Emergency Room & Urgent
Care
$10 copay per visit Office Visits (Primary Care &
Specialists) 100% Coinsurance $1,500 Individual $3,000 Family Out-of-Pocket Maximum None/None Deductible (Individual/Family)
Open Access Plus In-Network Summary of Services
I’m healthy.
What will your plan do for me?
• Save money on health and wellness products and services like fitness clubs, eyewear, massage therapy and more
• Easy-to-use, confidential health assessment gives you an overall health “score” and a personalized report
• Online coaching programs to help you maintain a healthy lifestyle
• Coverage for wellness checkups, immunizations and preventive screenings
The health of my family is my number one priority.
Why should I trust our health to you?
• Healthy pregnancy education programs with March of Dimes help every baby get a healthy start
• Fit and Fun Family Toolkit created by Healthy Kids Challenge offers tips and activities to keep your family healthy and active
• Reminders to help you stay up-to-date on childhood immunizations
• Alerts sent to you and your doctor when we see a missed preventive screening, like a mammogram
I have a serious health condition.
What can you do to make my life easier?
• Information and resources help you learn about your condition and treatment options and tips for self-care
• A dedicated health advocate to help you manage
your health condition, treatment options and self-care
Questions?
Call our pre-enrollment hotline with questions prior to
enrollment (1-800-564-7642)
“CIGNA,” “CIGNA HealthCare” and the “Tree of Life” logo are registered service marks of CIGNA Intellectual Property, Inc., licensed for use by CIGNA Corporation and its operating subsidiaries. All products and services are provided exclusively by such operating subsidiaries and not by CIGNA
Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Tel-Drug, Inc. and its affiliates, CIGNA Behavioral Health, Inc., Intracorp, and HMO or service company subsidiaries of CIGNA Health Corporation and CIGNA Dental Health, Inc. In Arizona, HMO plans are offered by CIGNA HealthCare of Arizona, Inc. In California, HMO plans are offered by CIGNA HealthCare of California, Inc. and Great-West Healthcare of California, Inc. In Connecticut, HMO plans are offered by CIGNA HealthCare of Connecticut, Inc. In Virginia, HMO plans are offered by CIGNA HealthCare Mid-Atlantic, Inc. In North Carolina, HMO plans are offered by CIGNA HealthCare of North Carolina, Inc. All other medical plans in these states are insured or administered by Connecticut General Life Insurance Company.
822707 08/09 © 2009 CIGNA
