Open Access Plus
Open Access Plus In-Network
Specialist care without a referral
The CIGNA Open Access Plus (OAP) plan provides referral-free access to specialists for your patients covered by these CIGNA administered plans. If these patients choose an out-of-network health care professional, services are covered at a reduced benefit level.
The CIGNA Open Access Plus In-Network (OAPIN) plan also provides referral-free access to specialty care. However, patients covered by these plans must visit health care professionals in the Open Access Plus network to receive benefits (only emergency and urgent care are covered when received from out-of-network health care professionals.)
In addition to their CIGNA administered OAP or OAPIN plan, patients may also have a CIGNA Choice Fund®, an employer- or employee-funded account that can be used to pay for qualified health care expenses.
Primary Care Physician coordination available
Patients covered by these CIGNA administered plans are encouraged and have the opportunity to select a Primary Care Physician (PCP) to coordinate their care and to provide:
- Routine checkups
- Follow-up care
- Information and guidance
Patients covered by these plans may be responsible for:
- Deductibles for inpatient and outpatient facility charges
- Coinsurance and/or deductibles for facility charges
- Coinsurance and/or deductibles for facility and physician charges
- Charges for out-of-network care (applies to your patients in CIGNA Open Access Plus In-Network plans only)
These payment responsibilities are listed on the patient's ID card. Coinsurance/deductible should not be collected at the time of service unless you have accessed the CIGNA Cost of Care Estimator®, located on our eServices page, to obtain an estimate of the patient's costs, and provide a copy of the Explanation of Estimate to the patient.
Please contact us for more information about these CIGNA plans, or about how to become a participating CIGNA health care professional.