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1 Cigna Cancer Support Program for patients, for families, for every step of the way Approximately half of all men and one third of all women in the United States will face cancer in their lifetime. 1 Offered by: Connecticut General Life Insurance Company or Cigna Health and Life Insurance Company. 1 American Cancer Society. Cancer Facts & Figures Atlanta: American Cancer Society; The mark, American Cancer Society, is a registered trademark of the American Cancer Society, Inc. Cigna and mycigna.com are registered service marks, and the Tree of Life logo and GO YOU are 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 (CGLIC), Cigna Health and Life Insurance Company (CHLIC), 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. In Connecticut, HMO plans are offered by Cigna HealthCare of Connecticut, 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 CGLIC or CHLIC. All models are used for illustrative purposes only b 05/ Cigna. Some content provided under license b 05/12
2 THE RIGHT CARE. AT THE RIGHT TIME. IN THE RIGHT PLACE. Cigna care management for inpatient and outpatient services. Cigna care management helps you access the right care, at the right time, in the right setting. With precertification, you find out in advance if a service is covered, which can help you lower costs and avoid unnecessary procedures. Our nurse case managers support you as you recover after a hospital stay or outpatient procedure to help you get back to better health. What does care management mean for you? 1. Ease. When you or a covered family member visit a participating Cigna doctor or facility: Your doctor arranges all the care. Your doctor gets precertification when it s needed. If you visit an out-of-network doctor or facility, you re responsible for getting precertification. 2. Savings. We review inpatient and outpatient services and look for ways to save you money. We may: Provide a list of preferred facilities in your plan s network. Transition inpatient care to outpatient treatment. Help identify avoidable treatments or procedures. 3. Quality of care. You ll have access to nurse case managers who can help you find the support you need to get better. This includes: Home health care. Therapies. Special medical needs to help you avoid complications after a hospital stay or outpatient procedure. And, our service quality is proven. Our customers report an over 95% overall satisfaction rating with their case management experience. 1 What is precertification? With precertification, you know in advance whether a procedure, treatment or service will be covered under your health care plan. It helps make sure that you get the right care in the right setting. It may save you from costly and unnecessary services. Who is responsible for getting the precertification? In-network services: Your doctor is responsible. Out-of-network services: You re responsible. Before you choose an out-of-network provider, make sure your plan covers out-of-network services. To request precertification, call the toll-free number on your Cigna ID card. When you call, make sure you have: The name of the doctor or facility. The procedure code(s). The date of service. Remember, with out-of-network providers your out-of-pocket costs will be higher. Also, your coverage may be reduced or denied if you don t get precertification d 04/15
3 What services need to be precertified? Your doctor will help you decide which procedures require a hospital stay and which can be handled on an outpatient basis. Inpatient services require you to stay overnight in a hospital or related facility. Outpatient services don t require an overnight stay. Here are some examples of services requiring precertification.* INPATIENT SERVICES All inpatient admissions and non-obstetric observation stays such as: Acute hospitals skilled nursing facilities rehabilitation facilities long-term acute care facilities hospice care transfers between inpatient facilities Experimental and investigational procedures Cosmetic procedures Maternity stays longer than 48 hours (vaginal delivery) or 96 hours (cesarean section) OUTPATIENT SERVICES Certain outpatient surgical procedures High-tech radiology (MRI, CAT scans, PET scans, nuclear cardiology) Injectible drugs (other than self-injectibles) Durable medical equipment (insulin pumps, specialty wheelchairs, etc.) Home health care/home infusion therapy Dialysis (to direct to a participating facility) External prosthetic appliances Speech therapy Cosmetic or reconstructive procedures Infertility treatment Sleep management Transplants Radiation therapy *This list does not include all services requiring precertification. What other services are available to me? Sometimes you or a covered family member may need care beyond a traditional hospital stay. Our experienced nurse case managers can help. They work closely with you and your doctor to: Help you sort out your options. Arrange care. Access community resources and programs. Whether you need home care, help understanding your medications or finding additional services, your case manager helps you find the care you need to help you get better. Using the Cigna network saves time and money Choosing in-network Cigna health care professionals can help you reduce your out-of-pocket costs. And you won t have to arrange care or file claims. Your in-network doctor will take care of that for you. To find a participating doctor, use the provider directory on mycigna.com. There, you ll find complete physician profiles including education, languages spoken and hospital affiliations. And, you can use online tools to find cost estimates for common procedures. We want to help you save money. And make the best choice for your needs. What if I have questions about my coverage? Visit mycigna.com or call the toll-free number on your Cigna ID card Cigna case management customer satisfaction survey. Cigna and the Tree of Life logo are registered service marks, and Together, all the way. is a service mark, of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries and not by Cigna Corporation. Such operating subsidiaries include Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation, including Cigna HealthCare of Arizona, Inc., Cigna HealthCare of California, Inc., Cigna HealthCare of Colorado, Inc., Cigna HealthCare of Connecticut, Inc., Cigna HealthCare of Florida, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc. (IL & IN), Cigna HealthCare of Indiana, Inc., Cigna HealthCare of St. Louis, Inc. (MO, KS & IL), Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of New Jersey, Inc., Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of Tennessee, Inc. (TN & MS), and Cigna HealthCare of Texas, Inc d 04/ Cigna. Some content provided under license.
4 Cigna Healthy Pregnancies, Healthy Babies a healthy start starts here Proud Supporter Cigna and Cigna Healthy Pregnancies, Healthy Babies are registered service marks, and the Tree of Life logo and GO YOU are 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 (CGLIC), Cigna Health and Life Insurance Company (CHLIC), 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. In Connecticut, HMO plans are offered by Cigna HealthCare of Connecticut, 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 CGLIC or CHLIC. All models are used for illustrative purposes only c 12/ Cigna. Some content provided under license c 12/12
5 where do you start? you re expecting. That means you re going to be choosing a name. Looking for a pediatrician. And seeing big changes to your body and your lifestyle. Enroll in this program designed to help you and your baby stay healthy during your pregnancy and in the days and weeks following your baby s birth. Find support early and often Tell us about you and your pregnancy so we can meet your needs. Ask us anything your nurse is there to support you during your whole pregnancy. Get a pregnancy journal with information, charts and tools to help you have a happy 9 months. Learn as much as you want Get live support 24 hours a day, 7 days a week. Just call the number on your Cigna ID card to: Talk to a nurse who can help you with everything from tips on how to handle your discomfort during pregnancy to what foods to avoid, birthing classes and maternity benefits. Or, visit mycigna.com for tools to help you track your pregnancy week by week, prepare for delivery and care for your baby. Get rewarded for a good decision When you participate and complete the program you ll be eligible to receive: $150 rebate if you enroll by the end of your first trimester; or $75 rebate if you enroll by the end of your second trimester. Call to enroll as soon as you know you are pregnant. Access an audio library of maternity and general health topics.
6 Cigna Cancer Support Program is here to help. We go beyond just cancer support. We offer information, assistance and one-on-one support every step of the way. From understanding your diagnosis to discussing treatment options identified by your doctor to celebrating survivorship, we re here to support you and your family and help you get the care you need. Planning Every Stage The Cigna Cancer Support Program is designed to support people and their families facing all types of cancer, based on each person s specific care needs: Surveillance This level supports cancer survivors by offering survivorship information and the option to call a specialized nurse at any time. Maintenance This level is for people who have had cancer in the past and still take medication or have ongoing preventive treatment. People at this level receive outreach phone calls and survivorship information in the mail. Active and Active with Complications This is for people currently living with cancer, and those who have cancer and other complications like diabetes or chronic obstructive pulmonary disease. These people receive support over the phone and work with specially trained nurses to create personalized service plans. Dedicated Support The Cigna Cancer Support Program provides access to a specially trained cancer nurse to assist you one-on-one. Your nurse can help you understand your diagnosis, medications, treatment options identified by your doctor and help answer any questions you may have. In addition, we can help you coordinate your care, understand your insurance coverage, and find additional resources like local support groups and facilities. The Cigna Cancer Support Program provides: Print and online resources Includes a wide variety of articles and other materials focused on cancer prevention, treatment options and side effects. Additional information on support services is also available. Cancer Condition Center Located on mycigna.com, this online resource offers information and tools that can help prevent future illness. Cigna 24 Hour Health Information Line SM Offers the option to speak directly to a nurse 24 hours a day, 7 days a week. The Health Information Line can also be used to access educational audio tapes on topics of interest. End-of-Life Care The Cigna Cancer Support Program helps people and their families who are facing end-of-life care. We provide help in the following areas: n Helping individuals voice desires and choices n Emotional and clinical support for patients and their families in coordinating end-of-life care n Access to an extensive network of quality end-of-life care options This program is not meant to replace the care you would receive from your doctor, but to provide additional support if you need it. To learn more about the Cigna Cancer Support Program and how to take advantage of all this program has to offer, please call the number on the back of your Cigna ID card.
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