Page 10 - 2018 Endeavor Schools Benefit Guide

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Important Tips For Cigna Members

Make sure you’re always seeing Remember that if you’re treated for an illness during this
Contracted Providers! visit it will no longer be considered a preventive visit and
How do I locate a Cigna Contracted provider? you will be charged the applicable copay/coinsurance.

Online: If your Doctor orders an MRI, CT Scan or an Ultrasound,
remember that an Independent Testing Facility is much
• Go to www.Cigna.com, click on FIND A DOCTOR/ more cost effective than a hospital. Prior authorization is
DENTIST at the top of the screen. Then select the required for selected outpatient and diagnostic testing.
orange box that reads “If your insurance plan is
offered through work.” Remember that you can call Cigna or log in to

• If you are already enrolled in a plan, log in to www.mycigna.com and utilize the Cost Estimator tool to
www.mycigna.com. get an estimate on how much services will cost.

• Choose whether you’re looking for a doctor or a If you DO NOT have a life-threatening
place to receive medical care. emergency then remember to visit a

• Enter the geographic location you want to search. Contracted Convenience Care Center or
Urgent Care Center for Medical services.
• Select the Open Access Plus
• CVS Minute Clinics
• Enter a name, specialty or other search word. Click
“search” to see your results. • Walgreens Take Care Clinic

You can also refine your search results by distance, years in
practice, specialty, languages spoken and more.

Make sure you always review your Cigna
“Explanation of Benefits” (EOB). Don’t forget about the Generic Drug Discount

What if I receive an invoice from a provider or programs that are available at most retail
a facility and I verified they were contracted chains. (Publix - free antibiotics, Wal-Mart,
with Cigna? Target) without presenting your insurance.

• Retrieve your EOB from Cigna for that specific
claim/date of service.

• If the amount that you owe on the EOB is equal to
the amount on the invoice, then the invoice should
be paid.
• If the amount that you owe on the EOB is less than
the amount on the invoice (the invoice is greater)
and you’re certain you went to a contracted Cigna
provider, send a copy of your EOB with the invoice
and the amount that Cigna states you owe to your
Cigna contracted provider/facility.

When you visit your Contracted Cigna provider
for your Annual Physical/Exam make sure
you’re stating that this is your “Preventive
Visit” so that you’re not charged.