How can I reach you when I need help?

Transcription

1 M-NCPPC

2 Why choose CIGNA? 2

3

4 How can I reach you when I need help? Call us anytime day or night live, 24/7 customer service Find information when you need it at mycigna.com We speak many languages For J.D. Power and Associates Certified Call Center Program SM information, visit 4

5 Life is unpredictable. How can you help me when something changes my health, I move, I m traveling, I get married? Find a doctor whenever you need one, online or by phone Open Access Plus (OAP) Network Nation-wide network of doctors No referrals to see specialists Your option to choose a Primary Care Physician Transition of Care Keep your doctor during transition for certain health care conditions 5

6 How can I see if my doctor participates with the Open Access Plus network? Log onto Click on Provider Directory at the top Select the type of provider you are searching Optional-complete information to narrow your search Enter your city/state or zip code Enter your search radius (distance you are willing to travel) Click next Select Open Access Plus under What type of plan do you have Select if you are searching for a Primary Care Physician or a Specialist from the drop down menu Click Search 6

7 What do I do if my physician does not participate? If your doctor does not currently participate with CIGNA s Open Access Plus Network: Please complete a Physician Nomination Form and send it back to CIGNA CIGNA will begin the recruitment and credentialing process Please note that this process takes approximately 3 6 months 7

8 My life is busy. How can you save me time? Talk to a trained nurse with questions when you can t reach your doctor day or night mycigna.com lets you: Print or order ID cards Find participating doctors and hospitals Check your coverage Access articles and health education resources, and sign up for online coaching programs Track deductibles and claims Keep track of your health history and records with a secure online database 8

9 Everyone says they are the best. Why should I trust you? Voted 2008 Best Managed Care Organization and Best Employee Assistance Program by Business Insurance Top industry rankings for Effectiveness of Care by the independent National Committee for Quality Assurance (NCQA) Winner of Innovation in Multicultural Health Care Award from NCQA Our customer call centers are certified by J.D. Power and Associates for providing an outstanding customer service experience. CIGNA HealthCare Mid-Atlantic voted one of America s best health plans by U.S. News and World Report 9

10

11 What are you doing to make sure I m getting quality care? Quality rankings let you compare doctors and hospitals Alerts sent to you and your doctor if we see or anticipate possible gaps or errors in care Support from our care coordinators if you are hospitalized with a serious illness 11

12 I want to know I won t be faced with big bills. How do you protect me financially? Medical Plan Highlights Summary of Services Deductible (Individual/Family) Out-of-Pocket Maximum Coinsurance Office Visits (Primary Care & Specialists) Emergency Room & Urgent Care Maximum Benefit Open Access Plus In-Network None/None $1,500 Individual $3,000 Family 100% $10 copay per visit $35 copay per visit (copay is waived if admitted) Unlimited * If you're considering a CIGNA Choice Fund with a Health Savings Account (HSA), you can contribute pre-tax dollars to build your balance, up to a yearly limit set by the IRS. Employees who reach age 55 may make an additional catch-up contribution of $900. Employer or incentive contributions reduce the maximum an employee can contribute by an amount equal to the contribution. 12

13

14 I m healthy. What will your plan do for me? Save money on health and wellness products and services like fitness clubs, eyewear, massage therapy and more Easy-to-use, confidential health assessment gives you an overall health score and a personalized report Online coaching programs to help you maintain a healthy lifestyle Coverage for wellness checkups, immunizations and preventive screenings Programs to help you better manage stress, quit tobacco or lose weight 15

15 The health of my family is my number one priority. Why should I trust our health to you? Healthy pregnancy education programs with March of Dimes help every baby get a healthy start Fit and Fun Family Toolkit created by Healthy Kids Challenge offers tips and activities to keep your family healthy and active Reminders to help you stay up-to-date on childhood immunizations Alerts sent to you and your doctor when we see a missed preventive screening, like a mammogram 16

16 I have a serious health condition. What can you do to make my life easier? Information and resources help you learn about your condition and treatment options and tips for self-care A dedicated health advocate to help you manage your health condition, treatment options and self-care Help with coordinating care if you re admitted to the hospital 17

17 Call our pre-enrollment hotline with questions prior to enrollment ( ) Questions? 19

18

19 CIGNA, CIGNA HealthCare and the Tree of Life logo are registered service marks of CIGNA Intellectual Property, Inc., licensed for use by CIGNA Corporation and its operating subsidiaries. All products and services are provided exclusively by such operating subsidiaries and not by CIGNA Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Tel-Drug, Inc. and its affiliates, CIGNA Behavioral Health, Inc., Intracorp, and HMO or service company subsidiaries of CIGNA Health Corporation and CIGNA Dental Health, Inc. In Arizona, HMO plans are offered by CIGNA HealthCare of Arizona, Inc. In California, HMO plans are offered by CIGNA HealthCare of California, Inc. and Great-West Healthcare of California, Inc. In Connecticut, HMO plans are offered by CIGNA HealthCare of Connecticut, Inc. In Virginia, HMO plans are offered by CIGNA HealthCare Mid- Atlantic, Inc. In North Carolina, HMO plans are offered by CIGNA HealthCare of North Carolina, Inc. All other medical plans in these states are insured or administered by Connecticut General Life Insurance Company / CIGNA For J.D. Power and Associates Certified Call Center Program SM information, visit 21