Cigna Out of Network Information

March 25, 2021

It is with a heavy heart that we regret to inform you that we will be going out-of-network with Cigna health insurance, effective June 1, 2021.   Cigna has decided to partner with American Specialty Health (ASH) to facilitate any and all claims for specialty services, including acupuncture, in the state of Maryland as well as other areas across the country.  This partnership forces acupuncture Providers like our practice to choose between: 

          1. Accepting into the ASH network and navigating a heavily complicated process for claim submission and receiving substantially reduced amounts for claims.      
             *Accepting into ASH effectively terminates any and all prior contracted rates with Cigna. 
          2. Or terminate their contract with Cigna and opt out-of-network. 
             
The deadline from Cigna for this decision is April 1, 2021.  Unfortunately, we were given notice of this monumental change just this week which underlines the urgency of this letter.


What does this mean for Cigna patients? 
          ● For dates of service occurring on or after June 1, 2021, Holistic Health Associates will be out-of-network with Cigna. 
          ● Cigna patients will owe the 'self-pay' rate of $100/appointment due at the time of their appointment. 
          ● There is a possibility that Cigna will reimburse some of the cost to you, the patient! 
                    1. You will need to contact Cigna to find out if you have out-of-network acupuncture benefits and also what those limitations and rates are. 
                    2. Once confirmed, we can supply you with the necessary paperwork to submit your claim to Cigna yourself. 
                    3. Once accepted and processed, Cigna will send you a reimbursement check.

What are we doing? 
          ● Our Team at Holistic Health Associates is working hard to advocate for our patients. Taking great care of you is always at the forefront and heart of our practice. 
          ● We have contacted Cigna and ASH representatives, indicating our disapproval of not only this partnership and its effects but of the meager notice provided to our    
             office. 
          ● We remain as a solid team for our patients to help guide them through these uncharted waters. 
          ● We have developed an Informational Resource to help guide Cigna patients who wish to access their out-of-network benefits. Click here for more information   

What can you do? 
          ● As a client of Cigna, we urge you to communicate any disapproval to your insurance representatives!  Click here for a Sample Script you can use.
          ● If you receive your insurance through your employer, notify them right away and urge them to contact Cigna. 
          ● This is affecting specialty practices (acupuncture, physical therapy, occupational therapy, etc.) across the country with no clear advantages to the patients. 
                    - Benefits of participating/in-network providers are lost to Cigna patients for specialty services as more and more providers are dropping the network. 
                    - If ASH is paying a lower rate to accepting providers, is your insurance premium lower? 

Questions? 
If you have any questions, please direct them to lauren.embrey@hhamd.com or you can leave a voicemail at ext. 117.

Please click the button below for information on how to verify and access your out of network benefits.