865162_STRATEGIC ALLIANCE _v9.indd

STRATEGIC ALLIANCE
Information for Cigna-contracted providers
Cigna has strategic alliances with nationally recognized health care companies, including
Tufts Health Plan, HealthPartners, Health Alliance Plan (HAP), and MVP Health Care.
What this means for patients
What this means for Cigna-contracted providers
Your patients who are enrolled in an alliance health
plan have access to providers and hospitals that
participate in the Cigna network and alliance
network associated with their health plan.
• Providers should treat customers with alliance health
plans as they would customers with a Cigna plan.
SCENARIO
JOHN SMITH
is a patient with an alliance
plan. When he is in the
alliance health service area,
he utilizes their network of
providers and hospitals.
• Providers can identify customers with an alliance
health plan by viewing their customer ID card, which
includes the alliance and Cigna logos. Sample ID card
images are shown below.
John is traveling outside the alliance service
area and needs to be treated by a provider or
hospital while he is away. He can go to any
Cigna-participating provider or hospital, and
receive care at the in-network benefit level.
ABC Company
Group#: 111
Commercial Plans
tuftshealthplan.com
Open Access Plus
Alliance Health
and Life
MEMBER NAME
ID#: 999999999
PPO
Insurance
Company
Copayments
Preventive: $0
ER: $200
OV: $25
Cigna-contracted providers should treat him like
they would patients with a Cigna plan. However,
providers should submit claims to the alliance
payer ID, which can be found on the back of the
patient’s customer ID card.
Mail PPO Claims To:
ASR Health Benefits
P.O. Box 6392
SAMPLE, SAM
475-0066
Group # 123456
ID number: 9999
Benefi
as of: 08/01/2016
9999ts999
Birth date: 01 1900
Plan Type: MVP Preffered High Deductible
EOP Open Access
Group ID:
99999999999
Member Servi Subscriber/Contract
Holder
RxBin:
610011
Behavioral Hea JOHN Q. SAMPLE
RxPCN:
HAPAHL
AWAY FROM HOME Member ID 8000
RxGroup:
99999999999
Connecticut General Life Insurance Co.
ID
Name
Care Type
hap.org
99999999
Group 0001
Jane K Doe
Health Partners Open Access
Office Visits
Urgent Care
Convenience Care
RxBIN 003585 RxPCN 24004
healthpartners.com
Renewal No.
January
Customer Service: (888)
999-4347
$##.00
$##.00
$##.00
OAP
Open Access
Plus Plan
Offered by: Life Insurance Company of North America, Cigna Life Insurance Company of New York, or Connecticut General Life Insurance Company.
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including 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. The Cigna name, logo, and other Cigna marks are owned by Cigna
Intellectual Property, Inc.
865162 THN-2016-617 09/16 © 2016 Cigna. Some content provided under license.