A Message to Cigna Members
Dignity Health and Cigna are in discussions to renew agreements that will allow Cigna members in California and Nevada to continue to access Dignity Health providers and facilities as part of their in-network benefits. Both organizations have been negotiating for months, but we have yet to reach agreement.
For patients in California and Nevada, Dignity Health providers are now out of network for most Cigna members. Although we continue to try and negotiate in good faith, Cigna has been unwilling to agree to terms that would allow Dignity Health to sustain our services in our community.
For services scheduled to occur, patients should contact Cigna to determine if the procedure will be authorized to be provided by a Dignity Health provider or facility.
By law, your Cigna benefits apply to both in and out-of-network providers when Cigna members receive emergent care. So, in an emergency, you should always visit the nearest emergency room.
Dignity Health is a mission driven, nonprofit health system dedicated to providing high quality and affordable care to all people in the communities we serve. All of our revenue is invested back into our health care delivery system to fund operating expenses, technology, facilities, and equipment. Our provider agreements with insurance companies allow us to sustain the critical health services our patients depend on.
We recognize how important continuity of access to health care providers is for our patients and our communities, and we apologize for any inconvenience or confusion this has caused. Below are answers to common questions patients may have.
Frequently Asked Questions
For patients in California and Nevada, Dignity Health providers are now out of network for most Cigna members. Although we continue to try and negotiate in good faith, Cigna has been unwilling to agree to terms that would allow Dignity Health to sustain our services in our community.For services scheduled to occur, patients should contact Cigna to determine if the procedure will be authorized to be provided by a Dignity Health provider or facility.
For patients that live in a rural area, or if your physician provides specialized treatment and there are no others doctors that provide the necessary care, Cigna may overturn “out-of-network” determinations on a case-by-case basis.
Please note: Cigna’s Medicare supplement plans are not affected by the current Dignity Health/Cigna contract termination. Cigna’s Medicare supplemental plans do not require a Cigna participating network. Costs not covered by Medicare should be paid by Cigna’s Medicare’s supplemental plan.
Other exceptions to this contract termination are:
- Intel Connected Care
- Members covered under Cigna’s Continuity of Care benefits.
Health care providers and patients should use the Cigna website (cigna.com) or call Cigna (using the telephone number on the back of the member’s card) to determine if their individual physician’s contract has been terminated. Cigna has made allowances in many cases and some physicians will remain contracted through January 31, 2020 (PPO) and through March 31, 2020 (HMO).
Oftentimes, a termination means that a patient must change doctors or hospitals, but in some cases the patient may be able to keep their doctor or hospital for a limited time. This is called “continuity of care”. In order to receive continuity of care, the patient must call their health plan to ask for continuity of care, and the doctor or hospital must also agree to continue providing care to the patient. Only certain kinds of health problems or conditions may qualify for continuity of care. If the patient is planning to continue care with a Dignity Health doctor or hospital, that patient will need to request continuity of care authorization from Cigna.
Depending on the services the patient needs, Cigna may elect to move the patient to an in-network doctor or hospital for the completion of services. Some exclusions may apply, so the best thing a patient can do is call the Customer Service number on the back of their member insurance card to have Cigna answer questions specific to their individual circumstances.
Certain medical conditions including acute services needing ongoing treatment, chronic conditions, services previously authorized, and maternity-related care may be eligible for continued care with Dignity Health providers. Patients should contact Cigna to request information on continuity of care.
Health plans will continue to cover emergency care regardless of contract status. In an emergency, you should always visit the nearest emergency room.
If Dignity Health provides some services that are offered nowhere else in the immediate area or state, can I still go to Dignity Health for these services?
If a Dignity Health doctor or hospital is the only one in the area that provides a specific service, the patient or the primary care physician will need to contact Cigna to determine if Cigna will authorize the patient to go to Dignity Health for the service. Depending on the benefit plan, Cigna may authorize the service without additional cost or may require the patient to use out-of-network benefits and reimburse accordingly.
If the claim was incurred prior to the contract termination date, Cigna should fulfill its obligation and pay in accordance with the contractual agreement based upon the Cigna member’s in network benefits. Patients with questions regarding possible changes should call the Customer Service center number located on the back of their Cigna insurance card.
Dignity Health providers continue to be in-network with almost all other commercial and Medicare insurance plans. For information about whether your Dignity Health provider is in-network with specific insurance plans, contact the Dignity Health provider directly.
Dignity Health is a mission driven, nonprofit health system dedicated to providing quality and affordable care to our communities. Dignity Health also plays a key role in the social safety net as the largest private provider of Medicaid and Medicare services in many of the communities we serve. All of our revenue is invested back into our health care services, and our provider agreements with insurance companies allow us to sustain the critical health services our patients depend on.
The primary issue is the negotiated reimbursement paid by insurance companies like Cigna, which is what allow Dignity Health to sustain our services, provide quality care, and ensure services will continue to be available to all in our communities. We are negotiating in good faith to reach a reasonable agreement so access to Dignity Health providers is not interrupted for Cigna members.
If you have any questions about which health care services may be covered, we encourage you to reach out to Cigna.
If you are a Nevada Cigna member, you may also contact a Dignity Health Customer Service Representative at (702)616-5029 for further assistance. If you are a California Cigna member, you may contact a Dignity Health Customer Service Representative at (916)851-2099 for further assistance.