Cigna is a global health insurance provider with a large network of physicians and hospitals. It offers a range of insurance plans for individuals, families, and employers, including health, dental, vision, and Medicare plans. While it has received praise for its financial stability, robust provider networks, and convenient customer service options, there are also numerous negative reviews citing issues with claims denials and poor customer service.
Characteristics | Values |
---|---|
Number of customer complaints | High volume of customer complaints about claim denials and customer service problems |
Customer service | 24/7, 365 customer service by phone, online live chat, email, regular mail, and social media |
Customer service quality | Poor customer service, long wait times, lack of empathy, lack of knowledge, frequent disconnection |
Provider network | Large national network of quality providers and facilities |
Supplemental insurance | Supplemental insurance policies offer additional coverage and cash benefits |
Dental insurance | Dental insurance policies available, with over 18 million dental insurance members |
Pharmacy | Owns Express Scripts Pharmacy, its home delivery pharmacy |
NCQA rating | 3.2 out of 5 stars |
AM Best rating | A (Excellent) |
Availability | Not available nationwide |
Cost | Better than average Affordable Care Act (ACA) plan rates, cheaper than average deductibles for silver ACA plans |
Types of plans | HMO, EPO, PPO, Open Access, high-deductible health plan with HSA |
Telehealth | Free telehealth services for members |
App | myCigna app for easy management of coverage details, claims, appointment reminders, spending, health goals, etc. |
What You'll Learn
Cigna's customer service
Cigna has received a high volume of customer complaints about claims denials and customer service problems. Many customers have reported issues with denied claims, poor customer service, and long wait times. Some have also reported that Cigna's customer service representatives lack knowledge and empathy. However, there are also positive reviews, with some customers praising Cigna's customer service for being courteous, responsive, and helpful.
Overall, while Cigna has received a significant number of negative reviews regarding its customer service, there are also positive reviews highlighting the responsiveness and helpfulness of its support team.
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Cigna's coverage and reimbursement
Cigna offers a wide range of insurance plans and products that focus on all aspects of well-being, including physical and emotional health. They provide health insurance coverage to millions of individuals and families in 14 states on the Affordable Care Act (ACA) marketplace. Cigna's plans include virtual care starting at $0 and come with $0 preventive care. They also offer additional coverage for conditions such as diabetes and asthma/COPD.
In terms of reimbursement, Cigna follows a standard claims process. When a claim is received, it is checked against the individual's plan to ensure the services are covered. Once approved, Cigna pays the healthcare provider directly or reimburses the individual, depending on who submitted the claim. Any remaining charges not covered by the plan are billed directly to the individual by the provider.
It is important to note that some procedures or services may require pre-approval by Cigna Healthcare before receiving care; otherwise, the claim may be denied. This is known as prior authorization.
Cigna also offers supplemental insurance policies, which provide additional coverage and cash benefits in the event of hospitalization, stroke, heart attack, accidents, or life insurance. These policies typically have budget-friendly monthly premiums and can be purchased at any time.
While Cigna provides a range of coverage options, some individuals have expressed concerns about delays in reimbursement and issues with claim denials. It is always advisable to carefully review the terms and conditions of any insurance plan before making a decision.
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Cigna's health plans
Cigna is a global health insurance provider that offers a range of health plans for individuals, families, and employers. Its health plans are available in ten US states: Arizona, Colorado, Florida, Illinois, Kansas, Missouri, North Carolina, Tennessee, Utah, and Virginia. The company also has a presence in over 200 countries and territories worldwide, catering to those living, working, or studying abroad.
One of the notable features of Cigna's health plans is their large provider network, which includes over 1.5 million healthcare providers, clinics, and facilities. The company also has contracts with more than 67,000 pharmacies, ensuring convenient access to medications. In addition, Cigna offers free telehealth services, allowing members to connect with board-certified doctors 24/7 via smartphone, computer, or tablet.
The myCigna website and mobile app are valuable tools for members, enabling them to manage coverage details, claims, appointment reminders, spending, and health goals. The platform also allows users to search for in-network doctors, estimate costs, check claims status, and access insurance ID cards.
Cigna has received mixed reviews from its customers. While some praise the company for its excellent customer service and comprehensive coverage, others have expressed frustration with claims denials and customer service issues. There have been complaints about unexpected bills, difficulties in reaching customer support, and delays in reimbursement.
Despite some negative experiences, Cigna is considered a good insurance company by many. It has strong financial stability, as evidenced by its "A (Excellent)" rating from AM Best, and its customer service center has won awards for its 24/7 availability.
Overall, Cigna's health plans offer a wide range of benefits and provide access to a vast network of healthcare providers. However, it is always advisable to carefully review the terms and conditions of any insurance plan before making a decision.
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Cigna's pharmacy services
However, some customers have expressed dissatisfaction with Cigna's pharmacy services. There are complaints about delays in reimbursement, issues with prescription refills, and difficulties in dealing with customer service. Some reviewers mention issues with getting accurate estimates of out-of-pocket costs, with actual bills being higher than estimated. Others have faced challenges with getting prescriptions filled on time, especially for specialty medications.
Cigna offers a variety of insurance plans, including health, dental, disability, life, supplemental health, and accident insurance. They also provide group health insurance through employers. Cigna's ACA marketplace plans are available in 14 states, and they have contracts with over 67,000 pharmacies.
Overall, while Cigna provides a broad range of pharmacy options, there are concerns about the reliability and responsiveness of their services, particularly regarding billing, reimbursements, and prescription-related issues.
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Cigna's online services
Reviews of Cigna's online services are mixed. Some customers appreciate the convenience of the mobile app and the ability to access information and services anytime, anywhere. However, others have reported issues with claim reimbursements, customer service, and difficulties navigating the website and app.
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Frequently asked questions
Cigna is a financially sound insurance company with high financial strength ratings and an award-winning customer service centre that is available to members 24/7. The company provides access to a large national network of quality providers and facilities, and also offers free telehealth services to members.
Cigna health insurance is not available nationwide. Not all forms of supplemental health insurance policies can be combined with the basic health insurance policy. There are a large number of customer complaints about claims denials and customer service problems.
Cigna offers health insurance for individuals and families on the health insurance marketplace. The company also offers dental insurance, vision insurance, Medicare plans, and other supplemental insurance plans for individuals and families.