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Frequently Asked Sands What does a doctor need to do to be in Cigna's network? Before ing the Cigna network of contracted doctors, health care professionals must meet CIgna standards through a process called credentialing. We regularly review doctors' credentials to ensure they continue to meet these standards. My doctor is not in the Cigna network. Any doctor not already under contract with Cigna who is able to meet the terms and conditions for participation may apply to the network.
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Your best option for helping to keep your costs low is always to try and use in-network doctors.
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The guidelines have been developed with involvement from actively practicing health care professionals and are consistent with sound clinical principles and processes. How can I get a paper copy of the health care professionals directory?
If there are no guidelines available for a service, the nurse uses clinical resource tools based on clinical evidence instead. The benefit information is a brief summary, not a complete description of benefits.
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These doctors are qualified to deliver the type of care or covered services you need and are currently taking new patients. If your plan requires referrals and your PCP is part of a medical group, you may be required to see a specialist who practices in that group for services to be covered. You can find information on Ophthalmologists and Optometrists in the health care professionals stabds.
Check your plan documents, which describe your particular plan coverage, or call Cigna Customer Service using the listed on the back of your ID card for information about the services covered under your plan. Otherwise, they may be sorted according to cost estimates and distance.
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American Disabilities Act Notice In accordance with the requirements of the federal Americans with Disabilities Act of and Section of the Rehabilitation Act of "ADA"UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities. If a Cigna nurse is unable to approve coverage for clinical reasons, the case is referred to a Cigna doctor, who considers each case on an individual basis.
There are standards, required by law, to make sure your appointment happens in a timely manner. Some network providers may have been added or removed from our network after this directory was updated. Paper Directory Requests Paper copies of the network provider directory are available at no cost to members by calling the customer service on the back of your ID card. What is a PCP? This information is not a complete description of benefits.
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If your doctor is part of the Cigna network, then he or she is responsible for contacting Cigna to begin the precertification process. You can search for places by type "cancer treatment center" or proper name using the search boxes or you can browse through directory lists using the "Find a Person" and "Find a Place" selections.
How do I know what doctors and services my health plan covers? Nurseline Disclaimer This service should not be used for emergency or urgent care needs. This link is provided solely as a convenience and is not an endorsement of the content of the third-party website or any products or services offered on that website.
This plan is available to anyone who has both Medical Assistance from the State and Medicare. Access to specialists may be coordinated by your primary care physician. Custom Network Directories differ, so there is no simple answer. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer WWhat at the toll-free shown on your UnitedHealthcare ID card.
This box is for members to report potential inaccuracies for demographic address, phone, etc.
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My doctor is not in the Cigna network. The Cigna doctor makes the decision based on the information received and your plan coverage. There are two ways to access vision services: If you ;cp Vision coverage and you are logged in to myCigna, Wat to "Find a Person" and click on "Eye Doctor. There may be providers or certain specialties that are not included in this application that are part of our network.
Call TTY This link is being made available so that you may obtain information from a third-party website. Cigna does not review or credential NSP out-of-network doctors for cost and quality and you could pay ificantly more for doctors who are out-of-network NSP than if you used in-network doctors. These are medical needs that can wait. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs. Decisions are made within two business days of receiving all necessary information.
Preventive Screenings and Physicals: Within 30 days. Emergencies are medical problems that are life-threatening. The Cigna doctor may speak with your doctor to get more information.
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Cigna receives a request while you are receiving care or in a hospital, skilled nursing facility or rehabilitation facility concurrent review. This site contains documents in PDF format. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your doctor's care.
Can I change my PCP? If you don't have Vision coverage, you can still search for Vision care professionals and services in the directory on Cigna. Who contacts Cigna requesting precertification? Your PCP will: Be your source for basic care, advice and direction.
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You will receive notice when necessary. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare.
It depends on your plan coverage. They include illnesses with symptoms, such as the flu, infections and broken bones that can be set in a medical office instead of in a hospital.
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