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Open Access Plus Open Access Plus In-Network
Specialist care without a referral
The CIGNA Open Access Plus plan gives members referral-free access to specialists. If members choose an out-of-network provider, services are covered at a reduced benefit level.
The CIGNA Open Access Plus In-Network plan also provides referral-free access to specialty care. However, members must visit providers in the Open Access Plus network to receive benefits. (Only emergency and urgent care are covered when received from out-of-network providers.)
Primary Care Physician coordination available
Members in these plans are encouraged but not required to select a Primary Care Physician (PCP) to coordinate their care and to provide:
- routine checkups
- follow-up care
- information and guidance.
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
- charges for out-of-network care (Open Access Plus In-Network members only)
These payment responsibilities are listed on the members' ID card. You should not contact a member for payment unless the Explanation of Payment (EOP) indicates member responsibility for payment or partial payment.
Please contact us for more information about these CIGNA HealthCare plans, or about how to become a CIGNA HealthCare provider.
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