Medical Shared Administration Repricing Program

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CIGNA's Shared Administration^SM program enables self-administered Trust Funds, Federal Plans and TPAs to access a subset of CIGNA's national network, care support, health improvement programs and web-based Member tools. CIGNA's Shared Administration program includes the following features:

Product Features

• Provider Networks. Seamless, national access to more than more than 1 million In-Network provider locations for our Shared Administration PPO and OAP networks. As a participant of either the Shared Administration^SM PPO or OAP program, your Members have access to networks that include hospitals, physicians, and many specialty providers such as hospices and home health care providers.
  
  Shared Administration PPO Provider Directory
  Shared Administration OAP Provider Directory



• Inpatient Hospital and Sub-Acute Facility Pre-Admission Certification & Continued Stay Review. Our pre-certification program is designed to ensure that your Members receive the right care, in the right setting, at the right time.



• Case Management Support. CIGNA's nurses work with your Members, hospitals and physicians to monitor and manage care provided to those patients who need help the most - the critically or chronically ill or injured.



• Maternity Support. This program works to achieve a healthy outcome for both mother and baby. Members receive valuable prenatal guidance and are given access to a toll-free, 24-hour-a-day, 365-day-a-year answer line. A high-risk maternity screening is also conducted. When appropriate, maternity and prenatal care is subsequently coordinated and supported through a Case Management nurse to increase the likelihood of a healthy delivery for mother and baby.



• 24-Hour NurseLine Support. Members can get answers to medical questions 24-hours-a-day, 365-days-a-year. This toll-free line also provides direction to the type of provider and level of care that best suits the symptoms and situation, and often provides an alternative to the emergency room when appropriate.



• Centers of Excellence & Organ Transplant Services. "Centers of Excellence" is a term used for recognizing the highest performing providers of a particular service. Review the LifeSource Quality Transplant Care Network information. Special care and case management support services are also provided.



• Web Tools. Through the provision of member-friendly web tools, CIGNA provides information and resources to help your Members improve and maintain a healthy lifestyle as well as enhance their ability to be a better and more efficient consumer of health care services. All CIGNA Shared Administration Members have access to helpful web tools, available through the link below. A plan level password is required to access the information on the below site. Please contact a CIGNA Sales Representative for additional information. CIGNA Online Support



• Healthy Rewards This convenient health discount program offers CIGNA Shared Administration Members the opportunity to save money on a number of products and services not typically covered under their benefit plan. These include discounts on gym and fitness centers, alternative medicine providers such as chiropractors, acupuncturists, massage therapists, and registered dietitians, weight management and tobacco cessation programs, vision and hearing care discounts, and much more.