Form preview

Get the free cigna continuity of care form

Get Form
What is continuation of care? Continuation of care allows new PPO members to receive time-limited care for specified medical conditions from an out-of-network, non-contracted physician at the benefit
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign cigna continuity of care request form

Edit
Edit your cigna continuity of care form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your cigna continuity of care form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit cigna continuity of care online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the services of a skilled PDF editor, follow these steps below:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit cigna continuity of care. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
With pdfFiller, it's always easy to work with documents. Try it out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out cigna continuity of care

Illustration

How to fill out cigna healthcare transition of:

01
Start by gathering all the necessary information and documents, such as your personal details, insurance policy number, and any relevant medical records.
02
Visit the Cigna website or contact their customer service to obtain a copy of the healthcare transition form.
03
Carefully read the instructions provided on the form to understand the information required and the specific sections that need to be filled out.
04
Begin by providing your personal information, including your name, address, contact details, and policy number.
05
Proceed to fill out the sections that require information about the healthcare provider you are transitioning from, such as their name, contact information, and the date of your last visit to them.
06
Supply all the necessary details about your new healthcare provider, such as their name, address, and contact information.
07
Include any additional information about your medical condition, treatment plan, or medications that may be relevant for the transition process.
08
Double-check all the information you have entered for accuracy and completeness.
09
Once you are satisfied with the form, sign and date it as required.
10
Submit the completed form to Cigna as instructed, either online, via mail, or by fax.

Who needs cigna healthcare transition of:

01
Individuals who are changing their healthcare provider and are covered under Cigna insurance need to complete the healthcare transition form.
02
If you have recently switched jobs or insurance plans and need to transfer your medical records and coverage to a new healthcare provider, you will require this form.
03
Patients who are undergoing a significant change in their healthcare needs, such as transitioning from pediatric to adult care or moving to a new geographical location, may need to fill out the healthcare transition form to ensure a smooth continuity of care.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
59 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

To distribute your cigna continuity of care, simply send it to others and receive the eSigned document back instantly. Post or email a PDF that you've notarized online. Doing so requires never leaving your account.
Upload, type, or draw a signature in Gmail with the help of pdfFiller’s add-on. pdfFiller enables you to eSign your cigna continuity of care and other documents right in your inbox. Register your account in order to save signed documents and your personal signatures.
The pdfFiller app for Android allows you to edit PDF files like cigna continuity of care. Mobile document editing, signing, and sending. Install the app to ease document management anywhere.
The Cigna healthcare transition refers to the process of switching to a new Cigna healthcare plan or provider.
Individuals or organizations who are currently enrolled in a Cigna healthcare plan and wish to make changes or switch to a different plan or provider.
To fill out the Cigna healthcare transition form, you need to provide personal information such as your name, contact details, current plan information, desired changes or preferences, and any supporting documents.
The purpose of the Cigna healthcare transition form is to facilitate the smooth process of transitioning to a new healthcare plan or provider, ensuring that all necessary information and preferences are correctly recorded.
The Cigna healthcare transition form typically requires information such as your name, contact details, current plan information, desired changes or preferences, and any supporting documents.
Fill out your cigna continuity of care online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.