Upload
pngobiro
View
8
Download
5
Embed Size (px)
DESCRIPTION
Employee Communication
Citation preview
0Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Employee Communication GHA 10+
Welcome to CIGNA InternationalExpatriate Benefits
Were Making A World of Difference to Expatriates & their Families
Action Against Hunger
Policy Number: 05030A
Effective Date: May 1, 2011
1Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Getting StartedID Card andMember Website
Permanent ID cards will be mailed directly to Action Against Hunger
Once members receive their permanent ID card, they can contact our Customer Contact Center or go to our Secured Member website (www.cignaenvoy.com) choose Members from the drop down box and click on register now :
Last and First name as it appears on their ID card Date of Birth 9 Digit Member ID number Policy Type Policyholder/Policy Number
Click Register!
2Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Keep Your CIGNA International ID Card with You at All Times, so that you can access health care anywhere in the world...
How We Make A DifferenceWorldwide Service Capabilities
3Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Informative Worldwide, country-specific,
cultural, security, medical, general, and pre-travel information. Drug, Medical terminology and medical phrase translations, pharmacy information.
Valuable International Provider Directory
U.S. Provider Directory
Accessible Prompt access to claims status
(accessible to member by online PIN generation using information as it appears on the permanent ID card).
Multilingual claim forms available
www.CIGNAenvoy.com
Secure Website
4Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
International Directory* Website directory of >3,000 screened
primary care physicians, dentists and full service hospitals (153 countries and locales)
11,000 preferred medical/dental providers through International SOS referral process
Preferred pricing
CIGNALinks Leveraging local relationships in Europe
and Asia
*These doctors, hospitals, dentists and clinics are recommended by CIGNA Intl but you are free to choose any provider.
Directory for Hospitals/Doctors/Clinics
5Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
How We Make A Difference
98% accuracy regardless of language or currency
Reimbursement options in more than 100 currencies
Direct deposit (US and Canadian banks)
EFT (US only) and wire transfers
Payment guarantees
Remote check processing
Toll-free access 24 hours a day, seven days a week, 365 days via telephone, fax, email and/or online
Direct access to multilingual medical advice, second opinions, referrals, and assistance in local admissions.
Customer ServiceCustomer Service
6Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Toll Free Phone:
1.800.441.2668 (US & Canada)
International Calls:
ATT Access Code + 800.441.2668
Telephone:
1.302.797.3100 (collect calls are accepted)
Toll Free Fax:
1.800.243.6998 (US & Canada)
International Fax:
ATT Access Code + 800.243.6998
Direct Fax:
1.302.797.3150
Always Reference your Policy Number (05030A) or member ID #
Toll-free access 24 hours a day, seven days a week, 365 days via telephone, fax, email and/or online.
Direct access to multilingual medical advice, second opinions, referrals, and assistance in local admissions.
Secured Member Website: www.CIGNAenvoy.com
CIGNA International Contact Numbers
7Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Direct Payment to a Hospital or Doctor
If CIGNA International has direct billing set up with a hospital,
doctor or facility, it will display on the Provider Directory on the
website. Look for Direct settlement may be available
Show your CIGNA International ID card to the doctor or hospital
The doctor or hospital will bill CIGNA International directly for your medical care
No payment required by you
8Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Dedicated Medical Team: Medical Director and nurses with expatriate experience and knowledge
Closely integrated communication with ISOS and CIGNA International Contact Center
Assistance with medical issues or recommendations
Clinical depth that supports highest quality of care, regardless of where you are
Physician-directed appointment and admission assistance (outside US)
Access to Medical Director
International Provider Network SOS Providers:
Full Service Hospitals, Clinics, Primary Care Doctors, SpecialtyDoctors, Dentists
CIGNAs Online Directory in 153 Countries, 430 Cities with Contracted Providers
Expert Second Opinion via e-Cleveland Clinic
Health Services and WellnessMember Support
9Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Requesting a Guarantee of Payment
If CIGNA International does not have direct billing with a
hospital, doctor or facility, you may request a Guarantee of
Payment for your medical care.
Show your CIGNA International ID card to the doctor or hospital
Ask the doctor or hospital to contact CIGNA International at 302-797-3100.
CIGNA International Customer Service Center will arrange to have payment sent directly to the doctor or hospital
10Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
When you personally pay for medical services, you will submit aclaim for reimbursement of your expenses.
You must include: diagnosis, and itemization
You can submit your claim in many ways:
Fax: 1-302-797-3150
Secure Website: You can scan your claim and email it through the Website
Courier Delivery
Claim Submission Made Easy
Multiple submission methods
11Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Courier Delivery:
CIGNA International Expatriate BenefitsCustomer Service Center590 Naamans RoadClaymont, DE 19703
Ground Delivery:CIGNA International Expatriate BenefitsCustomer Service CenterP.O. Box 15050Wilmington, DE 19850-5050 USA
Fax: 302-797-3150
Scan and Email your claim form through the Secure Member website at: www.CIGNAenvoy.com
Our Medical and Dental claims forms are
available in 16 languages:
Arabic, Chinese, Czech, Dutch, English, French, German, Hindi, Italian,
Japanese, Korean, Portuguese, Russian,
Spanish, Swedish, Thai
How to Submit Your Claim Forms
12Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Multiple Payment Methods
CIGNA International Charges No Fees Regardless of the Method of Reimbursement
9 Direct Mail / Check Deposit9 International e-Payment9 International Wire Transfer
(Your bank may charge you fees for wire transfer)
Reimbursement Options
BANK
13Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Lifetime Maximum Benefit
Unlimited
Coinsurance 100% 80% 60%
Deductible$0 individual/$0 family $300 individual/$600
family$400 individual/$800 family
Infertility
Plan coinsurance for diagnosis and treatment. In-vitro not covered.
Plan coinsurance for diagnosis and treatment. In-vitro not covered.
Plan coinsurance for diagnosis and treatment. In-vitro not covered.
Well Child Care to age 18 (Child Preventive Care Services)
100% coinsurance 100% coinsurance 60% coinsurance after deductible
Adult Preventive Care (for Member 18 years old and over)
100% coinsurance 100% coinsurance 60% coinsurance after deductible
Out of Pocket $0 individual/$0 family $2,000 individual/$6,000 family
$3,000 individual/$9,000 family
Doctor/Specialist Office Visits
100% coinsurance 100% after $25 co-pay 60% coinsurance after deductible
Prescription Drug Benefit
100% coinsurance $10 Generic/$25 Brand/$40 Non Brand
60% coinsurance after deductible
Out of Network USBenefits
In Network USInternationalPlan Feature
Medical and Prescription
14Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Action Against Hunger Dental Program
Plan Feature Benefits
Annual Deductible $50 Individual/ $100 Family maximum
Annual Benefit Maximum $1,000
Preventive Dental Services: Class I Plan pays 100% , 2 visits per calendar year.
Basic Restorative Services: Class IIPlan pays 80% - Filings, Extractions, Oral Surgery, Endodontics, Periodontics, Prosthetic Maintenance, Emergency Dental Care
Major Restorative Services: Class IIIPlan pays 70% - Crowns, Bridges, Inlays. Full or Partial Dentures
Orthodontia Services: Class IV(Dependents under age 19)
Plan pays 70%, subject to $1,000 lifetime maximum benefit
15Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Action Against HungerVision Program
Plan Feature InternationalU.S. In Network
U.S. Out of Network
Eye Exam (per person)(Limited to one
examination paid during each 12month period)
100% Coinsurance 100% after $25 Co-Pay 100% after deductible
Frames and Lenses all types or contacts (per person)
(Limited to one set paid during each 12 month period)
Single Lenses = $20 per calendar yearBifocal Lenses = $35 per calendar yearTrifocal Lenses = $45 per calendar yearLenticular Lenses = $75 per calendar yearContact Lenses = $40 per calendar year; $100 Lifetime MaxFrames = $20 per calendar year
16Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
Action Against HungerInternational EAP Assist Program
Barrier-free Telephonic AccessDirect dial, 24/7, year round immediate access to confidential services for behavioral health
Triage & ReferralTelephonic triage for emergent & urgent referralsReferrals to non-clinical services
Telephonic Consultation 24/7 access for telephonic pre-treatment confidential service
Crisis Intervention ServicesIntervention & counseling in crisis situations stemming from mental health &/or substance abuse issues
Management ConsultationDirect dial, 24/7 access to behavioral care professionals to consult & assist manager/supervisors with workplace issues
17Confidential, unpublished property of CIGNA. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel. Copyright 2011 (CIGNA )
We at CIGNA International wish you and your family a safe and healthy assignment.
Welcome to CIGNA InternationalExpatriate BenefitsWere Making A World of Difference to Expatriates & their FamiliesGetting Started ID Card andMember Website How We Make A DifferenceDirect Payment to a Hospital or Doctor Requesting a Guarantee of PaymentClaim Submission Made EasyHow to Submit Your Claim FormsReimbursement OptionsMedical and PrescriptionAction Against Hunger Dental ProgramAction Against HungerVision ProgramAction Against HungerInternational EAP Assist Program