This page requires you to enable JavaScript in your web browser for complete functionality.
CIGNA Logo - Click for home page Skip to body of page




Provider Site Index
  Provider Home  
  Popular Links  
  Provider Directory
  Drug Lists/Ordering
  Forms
  Providers  
  Medical  
  Dental  
  Pharmacy  
  Vision  
  Behavioral Health  
  Disability  
  HIPAA  
   

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.


     

Plan Highlights

  • PCP use encouraged, but not required
  • No referrals required
  • Provider responsible for obtaining in-network certification for services that require it.
  • Participating providers do not collect coinsurance or deductibles at time of service
  • Most member payment responsibilities and certification requirements shown on ID card.

Access our Quick Guide to CIGNA HealthCare ID cards to view sample ID cards* (PDF).