CIGNA Open Access Plus Plan Information

Open Access Plus

CIGNA Open Access Plus plans offers choice and convenience � access to our broad national provider network, while offering health care choices. For example:

Members have the option to choose a Primary Care Physician (PCP) to serve as a personal physician and help coordinate health needs.

No referrals are necessary to see specialists in the network. Members Just choose the participating doctor prefered and make an appointment.

The option to see any licensed physician choosen within or outside of the Open Access Plus network - though benefits are higher when care is received from a provider in the Open Access Plus network.

Emergency care is covered 24 hours a day, no matter where the member receive it. You may go to any emergency facility, anywhere.

Here is a summary of your plan's services and how to arrange for care.

Routine Medical Care (such as physical exams, mild fever and pains, chronic pain and, headaches, colds and flu).

Call a PCP within the network during office hours and he or she will provide you with medical advice and/or schedule an office visit for you.

Specialty Care (such as orthopedic or heart disease)

Make an appointment with a specialist within the network for an initial assessment, and if needed, he or she will provide medical advice and treatment.

Hospital Care (such as inpatient care and surgery, or outpatient surgery)

For non-emergency care, call a network PCP and he or she will work with you to coordinate all your hospital care.

Urgent Medical Care (such as fever, sprains or strains, eye or ear infections, or severe sore throat)

Call a network PCP and he or she will assess your situation and if necessary, give you advice on where to seek immediate care.

Emergency Care (such as poisoning, chest pains, broken bones, uncontrolled bleeding, loss of consciousness or sudden paralysis)

Go to the nearest emergency facility or call 911. Call a network PCP or CIGNA HealthCare as soon as reasonably possible, so that someone can coordinate your follow-up care.

If you have a question about your health, call a network physician. And for questions about your health plan or coverage, call the toll-free number on your CIGNA HealthCare ID card.

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