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)
2020-2021 (ENDING 9/30/2021)
2020-21 Select Network (HMO) Summary of Benefit Coverage
2020-21 Network (Full HMO) Summary of Benefit Coverage
2020-21 Open Access Plus (OAP) Summary of Benefit Coverage
2021-2022 (BEGINNING 10/1/2021)
2021-22 Select Network (HMO) Summary of Benefit Coverage
2021-22 Network (Full HMO) Summary of Benefit Coverage
2021-22 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
Cignabehavioral.com
Additional Information
Active and Fit Direct FAQ Document
Active and Fit Direct Cigna Enrollment Instructions
Cigna help deciding which coverage is right for you
Cigna Physical and Occupational Therapy Program
NMUSD Cigna website for Travel Information
Rx Cigna Vaccine Program Pharmacy Directory Flyer
St.Joseph's Hoag Health Select - Orange County
HealthCare Partners Select - Los Angeles County
SCRIPPS Select - San Diego County
Know Before You Go: ER, Urgent, or Doctor Visit?
Urgent and Emergency Care Outside the US
Preventative Frequency Care Reference Guide
Maximum reimbursable charge - How out-of-network claims are paid
Cigna Healthy Babies
Contact Cigna / Forms
Pharmacy
Cigna Integrated Pharmacy Benefits Overview
Cigna Pharmacy Price a Medication
Cigna Pharmacy moves to Express Scripts
Signature log policy extended due to COVID 19
Refill too soon Override due to COVID 19
Home Delivery with Express Scripts Pharmacy
Express Scripts Frequently Asked Questions
Cigna Prescription Drug List Jan 2021
Chiropractic Care
When searching for a provider and you are enrolled in Cigna Network (HMO) or St Joesph Hoag Health (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 St Joseph Hoag Health (HMOs) Chiropractic Search
Physical Therapy and Chiropractic Care Medical Necessity Review (MNR)
Cigna Network (HMO) Chiropractic Rider information NMUSD-Cigna website
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.
