Cigna HealthCare
cigna One guide
Cigna One Guide is by your side to help you understand your plan, get care, and save money
VIRTUAL CARE
Summary of Benefits / Group Agreements (Policies)
SUMMARY OF BENEFITS
Select (HMO) Summary of Benefit Coverage
Network (HMO) Summary of Benefit Coverage
Open Access Plus (OAP) Summary of Benefit Coverage
PLAN DOCUMENTS
Network (HMO) Plan Schedule of Co-payments 10-1-2015
Network (HMO) Group Service Agreement
Open Access Plan (OAP) 10-1-2015
Medicare Expand Open Access Plan 10-1-2015
Cigna Transparency of Coverage - Machine Readable Files
Cigna mental/behavioral care
Additional Information
Cigna help deciding which coverage is right for you
Urgent and Emergency Care Outside the US
Preventative Frequency Care Reference Guide
Know Before You Go: ER, Urgent, or Doctor Visit?
Active and Fit Direct FAQ Document
Active and Fit Direct Cigna Enrollment Instructions
Cigna Physical and Occupational Therapy Program
Physical Therapy and Chiropractic Care Medical Necessity Review (MNR)
Rx Cigna Vaccine Program Pharmacy Directory Flyer
Maximum reimbursable charge - How out-of-network claims are paid
Cigna Healthy Babies
Contact Cigna / Forms
Cigna Website for Newport-Mesa USD
Call 800-Cigna24 / 800-244-6224
Pharmacy
Chiropractic Care
When searching for a provider and you are enrolled in Cigna Network HMO or Select HMO, ask the provider if they accept American Specialty Health (ASH) not if they accept Cigna HMO.
Use the below instructions to find providers within your network.
Cigna Network and Select (HMOs) Chiropractic Search
Tips for Network American Specialty Health Users:
- When collecting payment up front, the member should not be charged over the co-payment amount
- If non-covered services are rendered, the member should sign the Member Billing Acknowledgement From which list the specific date of service, CPT code, and charged amount. If the member does not sign this form prior to receiving non-covered services, the member would not be responsible for these charges.
- If member has coinsurance, wait for the remittance advise to bill the member or review the client summary to best gauge the amount the member should be billed. When the remittance advise is received by the office, either a refund for the overpaid amounts to the member will be made or underpaid amounts will be invoiced to the member.
