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HMO and Network Plans The PCP must provide a referral for specialty care. Only in-network providers are covered. POS Plans The PCP must provide a referral for specialty-care services from in-network providers. Patients may receive services from out-of-network providers without a referral from their PCP.
Expert-Verified Answer. The given statement Cigna Medicare HMO plans typically require members to choose a primary care physician (PCP) is true.
For certain Cigna plans, PCPs are required to make patient referrals to specialists in order for: Any part of that care to be covered (the customer may otherwise be responsible for full payment), or. Covered care to be reimbursed at the highest coverage level.
Cigna Healthcare offers two Medicare Advantage plans with prescription drug coverage: Cigna True Choice Medicare (PPO) and Cigna Preferred Medicare (HMO).
Cigna Healthcare HMO and HMO Point of Service Plan features The PCP you choose will coordinate your health care needs and refer you to specialists as needed except for OB/GYN services. You dont need a referral for OB/GYN services.
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Home Delivery with Express Scripts Pharmacy Your Cigna HealthcareSM plan may include access to home delivery with Express Scripts Pharmacy. Its convenient, secure, and free for medications youre taking on a regular basis.

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