SAMPLE Cigna Open Access Plus Plan

SAMPLE Cigna Open Access Plus Plan Important Information THIS IS A SAMPLE DOCUMENT. NO BENEFITS ARE GUARANTEED. NO COVERAGE REPRESENTATION IS CONSIDERED TO BE ACTUAL MEDICAL BENEFITS PROVIDED TO YOU BY Cigna . Table of Contents Important Information ..6 Special Plan Provisions ..8 Important Notices ..9 How To File Your Claim ..11 Eligibility - Effective Date ..11 Employee Insurance .. 11 Waiting Period .. 11 Dependent Insurance .. 12 Important Information About Your Medical Plan ..12 Open Access Plus Medical Benefits ..13 The Schedule .. 13 Certification Requirements - Out-of-Network .. 25 Prior Authorization/Pre-Authorized .. 25 Covered Expenses.

a panel of Physician advisors who offer guidance on up-to-date treatment programs and medical technology. While the Case Manager recommends alternate treatment programs and helps coordinate needed resources, the patient's attending Physician remains responsible for the actual medical care. or an attending Physician can request toll-free number

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