I do not wish to participate in this new plan, what do I tell my patients?
The following suggestion was shared with MAS and we are passing it along to you:
If you choose not to contract with Cigna/ASH, each provider needs to contact their Cigna patients and explain why they will no longer be in the network, and/or why they will not join the network. Sharing the reimbursement amount with patients may drive the point home. Patients need to complain to Cigna AND their Human Resources department, if their insurance is self-funded, or complain directly to Cigna if they purchase it directly.
We have been advised that Cigna WILL listen to patients, and of course, their employer will as well.
Please note: This information cannot come directly from the State Association, it must come from Cigna’s members, your patients. A phone call is always more powerful if they can make the time. Below is the phone information we have been given along with a phone script to share with your patients, so they do not have to re-invent the wheel.
Here is the information we were given:
Phone: 1 (800) 244-6224
Include the following information:
- Provider Name
- Tax ID/NPI
- Service address
- Reason for termination
- Effective Date
Sample Phone Script For Patients To Use
Because of the integration of Cigna with American Specialty Health for acupuncture services and the implementation of ASH’s significantly lower reimbursement rates, my acupuncturist of (X years) is terminating his/her contract with Cigna. ASH reimbursement rates are so low that my acupuncturist cannot accept the rates and sustain his/her practice. ASH severely limits the amount of time spent with patients to 1 unit which is just 15 minutes equaling around $40 per treatment. A typical acupuncture treatment is 45-60 minutes, so this is not nearly enough time to give appropriate quality care. This change will end up costing my acupuncture practitioner, which is not sustainable for his/her practice. For this reason, I will not be able to receive acupuncture treatments which I rely on for (conditions you get treated for). Please reconsider this drastic move on behalf of the best interest of your members and reinstate Cigna’s previous reimbursement rates.