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POS

One plan, more options

Point of service (POS) plans are physician-coordinated plans that give members the opportunity to access care from out-of-network providers. 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 or out-of-network specialty care providers;
  • obtaining precertification for all in-network services that require it; and
  • filing member claims for in-network care.

POS 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.

We also offer a POS Open Access plan, which allows plan members to visit in-network specialists without a referral.

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


     

Plan Highlights

  • PCP-coordinated care
  • Referrals required for coverage at the in-network benefit level
  • You're responsible for obtaining precertification for all in-network services that require it.
  • In-network and out-of-network coverage (in-network utilization encouraged)
  • Do not collect coinsurance or deductibles at time of service.
  • Most member payment responsibilities and precertification requirements shown on member's ID card.

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