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PPO

Self-directed health care

Preferred Provider Organization (PPO) plans allow members to visit any provider. They don't choose a primary care physician (PCP) to coordinate their care and treatment, and they don't need a referral to see a specialist.

Your patients may have one of these CIGNA HealthCare PPO plans:

  • PPO—members have both in-network and out-of-network coverage. You're responsible for filing the claim form; you're also responsible for obtaining precertification for all in-network services that require it.
  • EPO—members have in-network benefits only, except in emergency and urgent care situations. You're responsible for obtaining precertification for all in-network services that require it.

In addition to their PPO plan, members may also have a CIGNA Choice Fund®—an employer- or employee-funded account that can be used to pay for qualified health care expenses.

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


     

Plan Highlights

  • Self-directed (no PCP required)
  • No referrals required
  • You are responsible for obtaining precertification for all in-network services that require it.
  • In-network and out-of-network coverage
  • 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).