Get the free Cigna Continuity of Care Request Form

This document serves as a request form for patients seeking Continuity of Care benefits with Cigna HealthCare, allowing them to continue receiving approved treatment from non-participating healthcare

How to fill out cigna continuity of care

How to fill out Cigna Continuity of Care Request Form

1. Obtain the Cigna Continuity of Care Request Form from the Cigna website or your healthcare provider.
2. Fill out the patient’s personal information, including name, address, date of birth, and policy number.
3. Provide details about the current healthcare provider that the patient is requesting to continue care with.
4. Specify the medical condition being treated and the type of care required.
5. Attach relevant medical records or documentation from the current provider to support the request.
6. Sign and date the form to authorize the release of medical information.
7. Submit the completed form to Cigna via the designated method (fax, mail, or online portal).
8. Follow up with Cigna to confirm receipt and inquire about the status of the request.

Who needs Cigna Continuity of Care Request Form?

1. Patients currently receiving ongoing treatment from a provider that is not part of the Cigna network.
2. Individuals transitioning to Cigna from another insurance plan who need to maintain continuity of care.
3. Patients requiring continuation of care for a chronic condition or ongoing treatment regimen.

People Also Ask about

Why are doctors dropping Cigna?

Physicians allege misconduct The AMA Litigation Center and the state medical associations alleged “that Cigna's misconduct is riddled with conflicts of interest and manipulations that routinely shortchanged payments to MultiPlan Network physicians and interfered with the patient-physician relationship.”

Can I find my 1099-SA online?

Where can I find my tax documents in my online account? Get your 1099-SA and 5498-SA forms in the Message Center or from the Resources page. You won't get a 5498-SA form if you didn't have contributions and your balance was zero dollars at the end of the year.

What is the lawsuit against Cigna?

In 2022, the AMA, state medical societies, including the Medical Society of New Jersey, and patients filed a class-action lawsuit against Cigna accusing the insurer of using lower-payment methods for non-participating physicians, leading to balance billing for patients and interfering with the patient-physician

What is a continuity of care form?

Continuity of care is a process that allows continued care for members who change plans, or whose plans or provider(s) have been terminated from the participating provider network. Coverage depends on the terms and conditions of your plan.

How do I get a 1099-SA form?

Where Can I Get Form 1099-SA? The financial institution that manages the account is responsible for sending you a copy of Form 1099-SA. If you haven't received one and believe you should have, contact the financial institution.

For pdfFiller’s FAQs

What is Cigna Continuity of Care Request Form?

The Cigna Continuity of Care Request Form is a document used by patients to request the continued provision of medical services from a provider when they transition to a new health plan or provider network.

Who is required to file Cigna Continuity of Care Request Form?

Patients who are transitioning to a new health plan and wish to continue receiving care from their current provider are required to file the Cigna Continuity of Care Request Form.

How to fill out Cigna Continuity of Care Request Form?

To fill out the Cigna Continuity of Care Request Form, patients should provide their personal information, the details of their current healthcare provider, the type of care needed, and any relevant medical history or ongoing treatments.

What is the purpose of Cigna Continuity of Care Request Form?

The purpose of the Cigna Continuity of Care Request Form is to ensure that patients can maintain access to necessary medical services without interruption during a transition to a new health plan or provider.

What information must be reported on Cigna Continuity of Care Request Form?

The information that must be reported on the Cigna Continuity of Care Request Form includes the patient's personal details, current provider information, specific services required, and any ongoing treatments or medical conditions.