HMO and Network

Network-only plans

HMO and Network plans are network-only plans. At enrollment, members select a primary care physician (PCP) from our broad network of participating physicians. Members can change their PCP at any time. PCPs are responsible for:

• providing routine care;
• referring their patients to in-network specialty care providers;
• obtaining precertification for all services that require it; and
• filing member claims.

HMO and Network plans offer in-network coverage only (except in emergency and urgent care situations). We also offer HMO Open Access and Network Open Access plans, which allow plan members to visit in-network specialists without a PCP referral.

HMO and Network plan members may be responsible for:

• deductibles for inpatient and outpatient facility charges
• coinsurance and/or deductibles for facility charges
• coinsurance and/or deductibles for facility and physician charges

These payment responsibilities are listed on the member's ID card.

Please contact us for more information about CIGNA HealthCare HMO and Network plans, or about how to become a CIGNA HealthCare provider.

HMO and Network plans offer in-network coverage only (except in emergency and urgent care situations). We also offer HMO Open Access and Network Open Access plans, which allow plan members to visit in-network specialists without a PCP referral.