How to find Cigna doctors? What is In-Network, Out of Network – Hospital, and clinic?
This is a complete guide with highlights that we send out to our client who has bought the Cigna insurance from us.
We are a broker company like Insubuy.com (so we could have sold to you many carries i.e.
We had sold them, don’t want to comments why we stop selling all of them except Cigna, but Cigna is the only company that we endorse for our individual clients.
With the Cigna insurance, you can buy it to see doctors right away (you must call us if there is any pre-existing medical condition) or even use it to deliver babies.
Cigna is an American worldwide health services organization based in suburban Bloomfield, Connecticut and Philadelphia, Pennsylvania. Its insurance subsidiaries are major providers of medical, dental, disability, life and accident insurance and related products and services, the majority of which are offered through employers and other groups (e.g. governmental and non-governmental organizations, unions and associations).
Cigna offers Medicare and Medicaid products and health, life and accident insurance coverages primarily to individuals in the U.S. and selected international markets. In addition to its ongoing operations described above, Cigna also has certain run-off operations, including a Run-off Reinsurance segment. In the Phoenix metropolitan area, Cigna runs a full-service staff-model HMO (health maintenance organization) with satellite clinics throughout the region, known as the Cigna Medical Group.
Cigna Global Health Benefits also operates under the Cigna Corporation. Cigna’s motto is ‘Together, all the way. The company ranked No. 73 in the 2018 Fortune 500 list of the largest United States corporations by total revenue. On March 7, 2018, it was announced that Cigna would buy Express Scripts in a $67 billion deal and on August 24, 2018, the shareholders of Cigna and Express Scripts approved the deal.
*Express Scripts Holding Company is an American Fortune 100 company. As of 2018, the company is the 25th-largest in the United States by total revenue as well as the largest pharmacy benefit management (PBM) organization in the United States. Express Scripts had 2016 revenues of $100.752 billion. Since December 20, 2018, the company has been a subsidiary of Cigna.
Below are the featured NY Cigna hospitals network & their associated providers
MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES (433)
NEW YORK PRESBYTERIAN BROOKLYN METHODIST (888)
NEW YORK PRESBYTERIAN HOSPITAL (1,614)
NYU AMBULATORY CARE DIABETIC FOOT AND ANKLE CLINIC (1)
NYU HOSPITALS CENTER (189)
NYU HOSPITALS CENTER RUSK (323)
NYU HOSPITALS CENTER TISCH (1,557)
NYU LUTHERAN MEDICAL CENTER (613)
NYU PRE ADMIN TESTING EXT CLINIC (5)
NYU WINTHROP HOSPITAL (1,110)
Find Doctors and Hospitals
To search USA doctor & hospital, click here
To search China, Korea, HK, Taiwan, Singapore & other countries, click here
To learn about what is in-network vs out of network, HMO, EPO & PPO, click here
Please contact our Customer Care Team prior to treatment. We can help you arrange your treatment plan, and point you in the right direction, saving you the time and hassle of looking for a hospital, clinic or medical practitioner yourself. What’s more, in most cases we can arrange direct payment with your treatment provider, cutting down the hassle and letting you focus on your health.
Call 1 800 835 7677 to make an appointment before you go to see a doctor, just for the first time you need to do this
You DO NOT need to call the doctor every time, just the first time. After that, every other time will be all set.
If prior approval is obtained, but the beneficiary decides to receive treatment at a hospital, medical practitioner or clinic which is not part of the Cigna network, we will reduce any amount which we will pay by 20%. A list of Cigna network hospitals, clinics, and medical practitioners is available in your secure online Customer Area or you can contact our Customer Care Team for more information.
Customer Service Email: CGI@Cigna.com
Your Overall Limit
Our plans comprise of 3 distinct levels of cover: Silver, Gold and Platinum.
Your chosen level of cover is detailed in the table below. All amounts apply per beneficiary and per period of cover (except where otherwise noted).
International Medical Insurance is your essential cover for inpatient, day patient and accommodation costs, as well as cover for cancer, mental health care and much more. Our Gold and Platinum plans also give you cover for inpatient and day-patient maternity care.
Cigna Annual Coverage Limit is 1million for silver plan, 2 million for gold plan & unlimited amount for platinum plan.
The 1 or 2 million limits are per member, if a mother buys the plan for herself and 2 children, each member will have 1 million coverage under the silver plan.
Doctors and Specialist Visits
We usually recommend the adult patient to just get the core coverage and save some money by seeing the doctor and pay cash for your occasional flu and allergy visits.
However, for the family with children, it is best to include the doctor visits portion to your insurance plan. Children, especially those that go to daycare, are sick all the time.
Hospital charges are paid in full
This is the coverage limit (for prescription drugs) per doctor visits.
Local Ambulance and Air Ambulance Reimbursement
Transplant charges are paid in full
MRI, CT and PET Scans
› We will pay for the following scans if they are recommended by a specialist as a part of a beneficiary’s inpatient, day patient or outpatient treatment:
• magnetic resonance imaging (MRI);
• computed tomography (CT); and / or
• positron emission tomography (PET);
› We may require a medical report in advance of a magnetic resonance imaging (MRI) scan.
› Following a diagnosis of cancer, we will pay for costs for the treatment of cancer if the treatment is considered by us to be active treatment and evidence-based treatment. This includes chemotherapy, radiotherapy, oncology, diagnostic tests, and drugs, whether the beneficiary is staying in a hospital overnight or receiving treatment as a day patient or outpatient.
› We do not pay for genetic cancer screening.
PARENT AND BABY CARE
Routine maternity benefit care (Gold and Platinum plans only)
I personally have a close relative that has gone thru IVF, got pregnant with twins & had 2 twin boys prematurely at 7 months. Despite this relative very well off background, I doubt there will be happy with the 250K dollars bill for NICU. I don’t really know what it stands for, however, I have heard the phrase NIC-U so many times, I just know it is very expensive.
So after my relative insurance paid out 250K to some hospital, I realized that when a couple is having twins, (via IVF or natural), the chances of premature birth is high. (add research later)
With premature babies that don’t have Medicaid, it is very important to have health insurance.
We just had a prospect who is delivering with twins next week that just call us up. In the past, no matter how high the medical bill is, you can still resort to have Medicaid to help you pay for this bill. However, President Trump has taken measure to close that loophole. We have heard that many foreigners that abuse the Medicaid system knowingly or unknowingly, has been banned from entering the USA for life, that might defeat the purpose of having a US citizen child to begin with
Maternity and childcare coverage is covered, but if you are not NY City, I advise you not to use this plan. There is another much better option for coverage.
Complications from maternity (Gold and Platinum plans only)
Homebirths (Gold and Platinum plans only)
New Born Care
Up to the maximum amount shown for treatment within the first 90 days following birth. Available once at least one parent has been covered by the policy for 12 months or more.
› Payable for children at appropriate age intervals up to the age of 6.
› We will pay for well-child routine tests at any of the appropriate age intervals (birth, 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months, 2 years, 3 years, 4 years, 5 years and 6 years) and for a medical practitioner to provide preventative care consisting of:
• evaluating medical history;
• physical examinations;
• development assessment;
• anticipatory guidance; and
• appropriate immunizations and laboratory tests; for children aged 6 or younger.
We will pay for the following immunizations for children aged 17 or younger:
• DPT (Diphtheria, Pertussis, and Tetanus);
• MMR (Measles, Mumps, and Rubella);
• Hib (Haemophilus influenza type b);
• Hepatitis B;
• Meningitis; and Human Papilloma Virus (HPV).
Health and Wellbeing
International Health and Wellbeing covers the beneficiary for screenings, tests, examinations and counseling support for a range of life crises and tailored advice and support through our online health education and health risk assessment, helping the beneficiary to take control and manage their health the way they want.
During each period of cover, we will pay for the following tests to be carried out by a medical practitioner.
No Referral Needed to Cigna
Rarely, we cannot get health insurance for the client, but when that does happen, it places a heavy burden on me.
I had just declined to help a nice young lady, (she is nice, as she hasn’t cursed me out for not helping to get insurance for her.)
She is a noble person. She (with a possible last name of either Zhu or Zhou) openly declared that she is coming to the USA to give birth. SHowed the US custom her assets in the USA and come in to give birth to her firstborn.
Unfortunately, when she has found her, it is too late for us to do anything.
Her OBGYN found out very recently, her child has a heart problem. In fact, a lot of people, even the doctor, didn’t know that foreign nationals can buy health insurance while there are in China or anywhere else in the world, and come to the USA for medical treatment.
If I had known this fine lady earlier…
I had always wanted to share this information for the benefits of other people, and also, obviously for my own financial gain as well, but seriously, the best insurance is to take good care of your body
Lastly, allowed me to add a few paragraphs of shameless plug.
A few months ago, a very long-time client brought his friend (His last name is either Zhu or Zhou) to meet with me.
This young man, only 27, who graduated in New York, already have a 2 years old daughter. Her daughter is with the grandparent in Tianjin.
He was a bit hesitant to pay for the monthly premium of $398.87/month.
However, after seeing that one of the so-called “direct bill settlement” hospitals the same one he is using now, very close to his house. So, he finally decided to bite the bullet and bought the insurance.
Less than a month with the insurance policy inforced, I got either an urgent communication from him on WeChat. He said the daughter has mistakenly swallowed something and has been rushed to the hospital. He is asking me to help him to resolve the hospital bill.
I had this insurance company paid out quite a few claims before I share them with more people.
Can you guess what happened?
I haven’t heard back from him afterward. I know, a very lame ending, but those outcomes are my happy moments.