Posted in Cinga Insurance, Updates

CIGNA: LocalPlus Plans for 2021 (Multiple States)

Effective 01/01/2021 Cigna LocalPlus Plan will expand into the following markets:

LocalPlus Plans include a full list of services provided by a traditional Cigna-administered plans. However, these benefits are only limited to services that are furnished by local participating providers and facilities.

There are 4 types of LocalPlus Plans: LocalPlus, LocalPlus In-Network, Choice Fund LocalPlus, and Choice Fund LocalPlusIn.

The main difference between LocalPlus Plan and LocalPlusIn is the level of benefits and whether the members have access to local LocalPlus in-network participating providers for covered services.

If your patients have an access to Cigna national Open Access Plus network, they will have a away from home logo, on the back of the card.

Below are sample Cigna LocalPlus cards:

FRONT OF THE CARD
BACK OF THE CARD

Provider TIP: *To avoid costly denials, make sure to verify that you participate in the LOCALPLUS network. *

Suggested workflow: Once the patient contacts your office, to make an appointment, have your staff call the customer services to verify your plan participation. If customer service does not have that information, you might have to contact your Cigna Network Representative and verify with them, if you are a participating provider. Do not assume that because you are in network with your local insurances that you also participate with this plan. (network)

Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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