About the Plan
The CIGNA HealthCare of Arizona Individual Plan offers a simple-to-use, comprehensive health plan built to provide you and your family with the comfort and peace of mind that comes with dependable health coverage.
With the CIGNA HealthCare of Arizona Individual Plan, you can expect quality health care and affordable coverage.
The Individual Plan is available to:
- Individuals 18 years of age or older
- Families with children up to 18 years of age or 23 if a full-time student
- Children without an adult subscriber who are at least 3 months of age
You must reside in one of the defined Service Areas for at least nine (9) months per Plan Year:
Phoenix Service Area – covering Maricopa County and the city of Apache Junction, AZ
Tucson & Southern Arizona Service Area – covering Cochise, Graham, Greenlee, Pima, Pinal and Santa Cruz counties, AZ
For a summary of the benefits covered under the CIGNA HealthCare of Arizona Individual Plan, view link below.
For more information about benefits, exclusions or limitations, call CIGNA HealthCare at 1.800.430.0768 or email us AZIndividualPlan@cigna.com
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Provider Network Options
The CIGNA HealthCare of Arizona Individual Plan offers two provider networks:
- CIGNA Medical Group Provider Network – available to members in the Phoenix Service Area
- Arizona Provider Network – available to members in the Phoenix or Tucson & Southern Arizona Service Areas
When you enroll, you select a Primary Care Physician (PCP) for yourself and one for each covered member of your family. Your PCP provides or assists in coordinating your medical care whether it's preventive, specialty care or treatment for an illness or injury.
For CIGNA HealthCare of Arizona Individual Plan members, two provider network options are available:
CIGNA Medical Group Provider Directory – The CIGNA Medical Group, features 400 doctors and support staff that provide primary and some specialty care at health care centers throughout the Valley. Additional specialty care is provided by referral to specialists in private practice. Most health care centers offer lab, X-ray and pharmacy services in one convenient location. Some centers also offer Vision and Hearing services and Urgent Care. CIGNA Medical Group also offers nutritional counseling, wellness classes, and chiropractic and massage services at select locations.
Arizona Provider Network Provider Directory – The Arizona Provider Network includes a wide selection of private practice physicians in the CIGNA HealthCare of Arizona contracted network. If you select this network, you will select a PCP from and all of your specialty care will be coordinated through this network.
For the most up-to-date provider listing, just log on to myCIGNA.com and select "Provider Directory" at the top of the page. Type in your zip code and then select "AZ - Arizona" for the Arizona Provider network or "AZ - CIGNA Medical Group" for the CIGNA Medical Group from the "Network (HMO) Plans or Point of Service (POS) Plans" drop down list. Enter what kind of physician you're looking for and click "search."
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Monthly Premium Rates
The CIGNA HealthCare of Arizona Individual Plan premium rates are based on age and gender of the subscriber and each covered family member. View the link below for the 2008 Individual Plan monthly premium rates.
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How to Apply
You can apply for the CIGNA HealthCare of Arizona Individual Plan in one of two ways:
- Apply on line – complete the enrollment and email to AZIndividualPlan@cigna.com
- Print and mail – complete, print and sign both forms and mail to:
CIGNA HealthCare of Arizona
Attn: Individual Underwriting
11001 N. Black Canyon Highway
Phoenix, AZ 85029
Your application will be reviewed and you will be notified of your enrollment status within 10 business days.
Applications approved through the 10th day of the month can become effective retroactively to the first day of that month. For example, the effective date of coverage for an application approved June 8th would be June 1st.
For questions or help with completing the enrollment application, please contact your broker or a CIGNA HealthCare representative at 1.800.430.0768.
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Services
As a CIGNA HealthCare of Arizona member, you'll receive programs and services available to large employer groups including:
myCIGNA.com, an interactive website that allows you to review your benefits, check the status of claims, print an ID card, change your PCP and access health and wellness information.
CIGNA HealthCare 24-Hour Health Information LineSM, talk with a nurse for helpful health information by phone, day or night.
CIGNA Healthy Rewards®, get discounts on products and services from health clubs and weight management systems to Lasik vision correction and magazine subscriptions through our value-added member affinity program.
CIGNA HealthCare Healthy Babies® program, encourages prenatal care and provides important information and resources for parents-to-be.
CMG CareToday Convenience Care Clinics —Quick, convenient, affordable care–No appointment needed!
Easy Pay, membership premiums can automatically be deducted from your checking or savings account.
Access to Relay Health®,if you choose the CIGNA Medical Group (CMG) network, you can take advantage of this convenient, time-saving tool to communicate with your CMG doctor's office via a secure website. Make or reschedule an appointment, request a prescription refill or ask your doctor a question.
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Frequently Asked Questions
Who should I call for questions or if I need help completing the CIGNA HealthCare Individual Plan enrollment application?
Please call your broker or CIGNA HealthCare at 1.800.430.0768.
What is the difference between the CIGNA Medical Group and the Arizona Provider Network?
By selecting the CIGNA Medical Group, you'll receive all of your primary and specialty care through the CIGNA Medical Group (CMG), a network of full-service health care centers and other medical facilities located throughout the greater Phoenix area. The CMG provider network is available to members in the Phoenix service area only.
The Arizona Provider Network includes a wide selection of private practice providers in the CIGNA HealthCare of Arizona contracted network. The Arizona Provider Network is available in the Phoenix and Tucson/Southern Arizona service areas.
Can I select a PCP from the CIGNA Medical Group for myself and a PCP from the Arizona Provider Network for my spouse?
Yes, the benefits and services provided are the same for both networks, however, the monthly premium amount differs. If you choose different networks for family members, two separate applications must be completed.
What should I do if I want to change my Primary Care Physician?
Changing your PCP is easy. You can 1) call CIGNA HealthCare Member Services at 1.800.CIGNA24 (1.800.244.6224), or 2) you can complete the and follow the instructions or 3) log on to . Please note that your monthly premium rate will be adjusted if you change to a Primary Care Physician in a different network. For example, if you change your physician from one in the Arizona Provider network to one in the CIGNA Medical Group network, your monthly premium rate will change
Is there a waiting period for maternity benefits?
In order to be covered under the CIGNA HealthCare of Arizona Individual Plan, delivery must occur 12 months after the effective date of coverage.
Will my monthly premium change if I have a birthday that puts me into a different age category?
Your monthly premium will automatically be adjusted the month following a birthday that puts you into a higher age category.
Am I covered outside of the service area and outside of the country?
For emergencies, you're covered out of the service area – even outside of the U.S. For all non-emergency/non-urgent care, you should receive care from within your designated provider network.
Which hospitals can I use?
As a CIGNA HealthCare of Arizona member, you have access to a large network of hospitals throughout the state.
For the most up-to-date hospital listing, just log on to www.cigna.com and select "Provider Directory" at the top of the page. Select "Hospital" under "Type of Provider" and type in your zip code. Then select "AZ - Arizona" for the Arizona Provider Network or "AZ - CIGNA Medical Group" for the CIGNA Medical Group from the "Network (HMO) Plans or Point of Service (POS) Plans" drop down list. Enter what kind of hospital you're looking for and click "search."
Who should I call if I have questions regarding my eligibility for the plan or about a bill that I received?
For questions regarding enrollment eligibility or a bill that was received, please call Member Services at 1.800.753.5190.
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