Before joining the Cigna network of contracted doctors, health care professionals must meet CIgna standards through a process called credentialing. We regularly review doctors' credentials to ensure they continue to meet these standards.
Any doctor not already under contract with Cigna who is able to meet the terms and conditions for participation may apply to join the network.
Even when a doctor is listed in the directory, it doesn't guarantee that the services provided by that doctor are covered under your specific medical plan. Check your plan documents, which describe your particular plan coverage, or call Cigna Customer Service using the number listed on the back of your ID card for information about the services covered under your plan.
If you'd like a paper copy of the directory or help locating a doctor please call Cigna Customer Service at the number listed on the back of your ID card. Help is available to locate a doctor or get a list of doctors. These doctors are qualified to deliver the type of care or covered services you need and are currently taking new patients. If you need help making appointments, call Customer Service.
When you need medical care, it's important that your doctor, hospital or other health professional sees you as soon as possible. There are standards, required by law, to make sure your appointment happens in a timely manner.
The following legal standards set the number of days or weeks you can wait for an appointment based on your medical needs:
Emergencies are medical problems that are life-threatening. Examples are heart attacks or serious injuries.
Urgent: Within 24 - 48 hours.
Urgent medical needs are not emergencies, but they do require prompt medical attention. They include illnesses with symptoms, such as the flu, infections and broken bones that can be set in a medical office instead of in a hospital.
Regular or Routine Care: 7 - 14 days.
These are medical needs that can wait. Examples are routine blood work or a blood pressure check after your doctor prescribes a new medication.
Preventive Screenings and Physicals: Within 30 days.
These include your annual physical and preventive screenings. Examples are mammograms and cervical or prostate cancer screens.
Obstetric Prenatal Care: The standard depends on the stage of your pregnancy and your medical situation:
To ensure all customers receive timely care, Cigna conducts an annual survey of doctors, hospitals and other health care professionals to make sure they are complying with these standards.
You can search for places by type ("cancer treatment center") or proper name using the search boxes or you can browse through directory lists using the "Find a Person" and "Find a Place" selections. To find a place that provides cancer treatment services, for example, you can:
You can search for people by specialty ("physical therapy") or proper name using the search boxes or you can browse the directory using the "Find a Person" selections. To find a Physical Therapist, or another health care professional that is not a doctor, dentist, eye doctor, or mental health professional you can:
You can find information on Ophthalmologists and Optometrists in the health care professionals directory. For other eye care services (lenses, frames, routine eye exams, etc.) you will need to search the Cigna Vision Directory. There are two ways to access vision services:
You can get consistent, relevant, and timely information about your plan any time that's convenient for you by:
For more information, please call Cigna Customer Service at the toll-free number on your Cigna ID card.
When you do a search, your search results will be sorted by quality first, if available. Otherwise, they may be sorted according to cost estimates and distance. A sorting drop-down menu located at the top of your results list will indicate how your results are initially sorted. You can then use the drop-down to re-sort the results based on the sorting options available.
Cigna Care Designation (CCD) gives a special status to medical specialists who meet certain quality and efficiency guidelines and who practice in one of these specialties:
Yes, but you may pay more. If your plan includes Cigna Care Designation coverage (check to see if "Cigna Care Network" is printed on your ID card), and you need care in one of the network specialties (see "What is the Cigna Care Designation?" FAQ for the list), here's what will happen when you receive covered services:
Participating specialists are evaluated every two years for the Cigna Care Designation.
Cigna Care Designation is awarded to individual participating doctors in one of the following reviewed specialties based on the following criteria:
Specialists who perform in approximately the top 33 percent in the market for these measures receive the CIGNA Care Designation. Designation is also awarded to participating doctors' groups/practice in one of the reviewed specialties that has at least one MD (Doctor of Medicine) or DO (Doctor of Osteopathic Medicine) in the group and:
Cigna identifies hospitals as Centers of Excellence (COE) when they achieve the highest scores for cost efficiency (cost value) and effectiveness in treating certain procedures/conditions (patient outcomes, or results of care), based on publicly available patient data. This is a partial evaluation of hospitals based on the patient outcomes (results of care) and cost-efficiency (cost value) information for the selected surgical procedures and medical conditions.
This is provided as an informational tool only and you should not use it as the sole source for making a health or medical decision. Talk to your personal doctor when you are choosing a hospital. Even though a hospital is not rated as a COE, it may still provide quality medical care.
Not all hospitals are rated Cigna Centers of Excellence (COE). Many factors affect Cigna's ability to rate a hospital as a Center of Excellence, including but not limited to:
Any of the above can affect both patient outcomes and cost effectiveness measurements and Cigna's ability to make a quality rating.
Even though your hospital is not identified as a Center of Excellence it may still provide you and your family with quality medical care and services. The Cigna hospital ratings are provided for informational purposes only and should not be used as the sole source for making a health or medical decision. Always consult with your primary doctor when making decisions that affect your medical care, including choice of hospital.
Yes, your plan does pay a significant portion of your costs, depending on your coverage. For example:
Cost estimates may help inform you about the differences in health care costs, which is why we recommend you to log in to myCigna to see your personalized cost estimates. The more well informed you are, the better prepared you are to make educated choices when it comes to choosing a doctor or services. These are informational tools only and you should not use them as the sole source for making a health or medical decision.
Costs can vary based on a number of factors, including:
Also some hospitals consistently care for more seriously ill patients than do others, which can also affect hospital cost information.
You should be aware that the cost ratings information you may see in the search results for a medical procedure may be affected by a variety of factors. These can include:
Please note that just because a procedure has a better cost rating, it doesn't always mean that having the procedure at that hospital will cost you less.
Information about doctors and other health care professionals is updated at least once every 15 days. Information may have changed since the last update.
If you see incorrect information listed for your doctor you can call Customer Service at the toll-free number to report it or to provide correct information: 1.800.244.6224. Note: If you call to correct information, it could take up to 15 days before it's changed in the system.