Medical Network Plans
Cost-effective care to help your employees stay healthy.
Medical Network Plans Overview
Cigna Healthcare℠* Medical Network plans are available to organizations in certain service areas. For most Medical Network plans, employee care is coordinated by a Primary Care Provider (PCP) which can help lower their costs and improve their health. Our Medical Network is designed around a focused set of quality, cost-effective doctors and hospitals.
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Your plan will vary based on what you discuss with your local Cigna Healthcare representative, but here is a basic summary of how Network plans typically work:
| Plan Features | Network | Network Open Access | Network Point of Service | Network Point of Service Open Access |
|---|---|---|---|---|
| PCP Required | Yes | No | Yes | No |
| PCP Auto-Assignment Included | Yes | No | Yes | No |
| Referrals to Specialists Required | Yes | No | Yes | No |
| Out-of-Network Coverage | No | No | Yes | Yes |
| Urgent/Emergent Services Coverage | Yes | Yes | Yes | Yes |
| Prior Authorization Required | May be required for hospitalizations and some types of outpatient care | May be required for hospitalizations and some types of outpatient care | May be required for hospitalizations and some types of outpatient care | May be required for hospitalizations and some types of outpatient care |
| Fully Insured, ASO, and Minimum Premium Funding Options Available | Yes | Yes | Yes | Yes |
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*Offered by Cigna Health and Life Insurance Company or its affiliates
In Utah, plans are offered by Cigna Health and Life Insurance Company.
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Product availability may vary by location and plan type and is subject to change. All group health insurance policies and health benefit plans contain exclusions and limitations. For costs and complete details of coverage, contact your Cigna Healthcare representative.
Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company (Bloomfield, CT.) (CHLIC), or its affiliates, and HMO or service company subsidiaries of Cigna Health Corporation, including Cigna HealthCare of Arizona, Inc., Cigna HealthCare of California, Inc., Cigna HealthCare of Colorado, Inc., Cigna HealthCare of Connecticut, Inc., Cigna HealthCare of Florida, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Indiana, Inc., Cigna HealthCare of St. Louis, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of New Jersey, Inc., Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of Tennessee, Inc. (CHC-TN), and Cigna HealthCare of Texas, Inc. In Utah, all products and services are provided by Cigna Health and Life Insurance Company (Bloomfield, CT). Policy forms: OK – HP-APP-1 et al., OR – HP-POL38 02-13, TN – HP-POL43/HC-CER1V1 et al. (CHLIC); GSA-COVER, et al. (CHC-TN).
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