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Cigna Medicare Advantage
Let your customers know how to best use their PPO benefits
We are proud of the breadth and depth of our provider networks that we offer to our Medicare Advantage customers. With our plan offerings, many customers across the country choose a Cigna Medicare Advantage Preferred Provider Organization (PPO) plan for increased flexibility in seeing an out-of-network provider. Even though these plans provide coverage for these types of visits, we continue to get a lot of questions from customers who don't fully understand the benefits of their PPO plan. Give your customers a call to go over the answers to some of the most frequently asked questions for PPO benefits.
While there is some coverage for out-of-network visits, customers save time and money when choosing in-network providers. Many out-of-network providers will not file claims on behalf of the customer, taking even more time for the customer to complete and submit the claims paperwork.
Cigna will cover services as long as they are covered benefits and are medically necessary. But keep in mind, they may still cost more than going to an in-network provider. To avoid unnecessary costs, encourage your customer or the provider to ask Cigna for a coverage decision before the visit or procedure.
Also, make sure your customer understands that an out-of-network provider is not contracted with Cigna for Medicare Advantage, and that provider has no obligation to accept the customer as a patient unless it is for emergency care. Your customer should ask the provider if they are willing to accept and provide care for a Cigna customer. If the customer is not an established patient with a provider, he or she should also ask the provider if they are currently accepting new patients.
We update our provider directories each day for the most accurate, up-to-date listing of in-network providers. We break these out by state to provide information that is valuable to customers in your area. To find today's directory, log in to Producers' University and search the resource library for "provider directory" in the state you want to view.
Let your customers know how to best use their PPO benefits
We are proud of the breadth and depth of our provider networks that we offer to our Medicare Advantage customers. With our plan offerings, many customers across the country choose a Cigna Medicare Advantage Preferred Provider Organization (PPO) plan for increased flexibility in seeing an out-of-network provider. Even though these plans provide coverage for these types of visits, we continue to get a lot of questions from customers who don't fully understand the benefits of their PPO plan. Give your customers a call to go over the answers to some of the most frequently asked questions for PPO benefits.
While there is some coverage for out-of-network visits, customers save time and money when choosing in-network providers. Many out-of-network providers will not file claims on behalf of the customer, taking even more time for the customer to complete and submit the claims paperwork.
Cigna will cover services as long as they are covered benefits and are medically necessary. But keep in mind, they may still cost more than going to an in-network provider. To avoid unnecessary costs, encourage your customer or the provider to ask Cigna for a coverage decision before the visit or procedure.
Also, make sure your customer understands that an out-of-network provider is not contracted with Cigna for Medicare Advantage, and that provider has no obligation to accept the customer as a patient unless it is for emergency care. Your customer should ask the provider if they are willing to accept and provide care for a Cigna customer. If the customer is not an established patient with a provider, he or she should also ask the provider if they are currently accepting new patients.
We update our provider directories each day for the most accurate, up-to-date listing of in-network providers. We break these out by state to provide information that is valuable to customers in your area. To find today's directory, log in to Producers' University and search the resource library for "provider directory" in the state you want to view.