Dynagene (713) Esoterix Inc. (800) Fertility and IVF Center of Miami

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Melina Perkins
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Services Bostwick Laboratories Inc (800) 214-6628 Dynagene (713) 798-9500 GI Pathology, PLLC (888) 244-7284 AmeriPath, Inc (866) 859-4061 Anatomical Pathology Consortium PLLC (901) 526-1912 Ascend

1 Services Bostwick Laboratories Inc (800) Dynagene (713) GI Pathology, PLLC (888) AmeriPath, Inc (866) Anatomical Pathology Consortium PLLC (901) Ascend Clinical, LLC (800) Associated Pathologists, LLC (888) DermPath Diagnostics, a division of Ameripath, Inc. (866) Dianon Systems, Inc. (800) Doctors Lab 818 NW 154th St # 290 Miami Lakes, FL (305) Esoterix Inc. (800) Fertility and IVF of Miami 8950 N Kendall Dr #103 Ferility And Ivf Of Miami In Miami, FL (305) Ft Lauderdale Lab 3951 SW 30th Ave Fort Lauderdale, FL (800) HHLA Lab in A Envelope LLC (888) Home HealthCare (888) Caribbean Blvd # 430 Miami, FL (305) Athena Diagnostics (800) Berkeley Heartlab Inc (800) D-Path (866) DPG Reference (901) Gables Diagnostic Imaging Associates 475 Biltmore Way #106 Coral Gables, FL (305) NW 170th St # 205 North Miami Beach, FL (305) Bio-Reference Laboratories Inc (800) Dva Services, Inc 3951 SW 30th Ave Fort Lauderdale, FL (877) Genomic Health, Inc. (650) Genzyme Genetics (800) Pines Blvd Ste A Pembroke Pines, FL (954) Provider information was last updated on 2/21/2012 Information listed in this directory is not guaranteed and may be subject to change without notice. Revisions to this directory may not be made immediately. For the most up-to-date information please contact Member Services at the number listed on your CIGNA HealthCare member ID card.

2 17901 NW 5th St # Pembroke Pines, FL (954) Palm Ave Ste A Hialeah, FL (305) Cypress Rd # 101 Plantation, FL (954) Litholink Corporation (800) Medical Diagnostic Laboratories, L.L.C. (877) NW 14th St # 500 Miami, FL (305) SW 42nd St # 101 Miami, FL (305) SW 97th Ave Apt 204 & 205 Miami, FL (305) NW 84 Ave-Unit 105 Doral, FL (305) Arthur Godfrey Rd # 200 Miami Beach, FL (305) W 20th Ave # 213 Hialeah, FL (305) Medical Neurogenetics LLC (678) Metropolitan Pathologists PC (MetroPath) (877) Mod Lab (888) N 29th Ave Hollywood, FL (954) Executive Park Dr # 5 Weston, FL (954) S Le Jeune Rd # 302 Miami, FL (305) Sunset Dr 3rd Floor South Miami, FL (305) SW 107 Ave # 203 Miami, FL (305) Myriad Genetic Laboratories (800) National Genetics Institute (888) NTD Laboratories (631) Provider information was last updated on 2/21/2012 Information listed in this directory is not guaranteed and may be subject to change without notice. Revisions to this directory may not be made immediately. For the most up-to-date information please contact Member Services at the number listed on your CIGNA HealthCare member ID card.

3 Oncometrix (877) Oracle Diagnostic SW 40th St # 406 Miami, FL (786) Oracle Diagnostic 1150 NW 35th Ave # 130 Hollywood, FL (954) ProPath (800) ProPath Services (800) ProPath Women's Services (800) SW 40th St Miami, FL Aventura Blvd # 306 Aventura, FL N Kendall Dr # Miami, FL Executive Park Dr # 2-3 Weston, FL Washington St # 102 Hollywood, FL SW 152nd St Miami, FL Ponce De Leon Blvd # 303 Coral Gables, FL Oracle Diagnostic W Dixie Hwy # 101 N Miami Beach, FL (350) NW 5th St # 101 Pembroke Pines, FL NW 12th Ave Miami, FL SW 40th St Ste C Miami, FL Our Lab - Oppenheimer Urologic Reference (888) W 41st St # 502 Miami Beach, FL W 68th St # Hialeah, FL Sheridan St Hollywood, FL Pathology Partners of Memphis PLLC (901) NW 82nd Ave # 403 Plantation, FL NW 170th St # 204 North Miami Beach, FL S Dixie Hwy Pinecrest, FL Poplar Healthcare PLLC (901) Provider information was last updated on 2/21/2012 Information listed in this directory is not guaranteed and may be subject to change without notice. Revisions to this directory may not be made immediately. For the most up-to-date information please contact Member Services at the number listed on your CIGNA HealthCare member ID card.

4 7451 NW 4th St Mark IV Bldg Plantation, FL Sleep Florida LLC Taft St Pembroke Pines, FL (305) Pembroke Rd Pembroke Pines, FL Sleep Florida LLC 6141 Sunset Dr #130 Miami, FL (305) N Commerce Pkwy Weston, FL W 20th Ave # 409 Hialeah, FL Sng Labs Prosthetic Eye Institute 1990 NE 163rd St #208 North Miami Beach, FL (561) Specialty Laboratories, Inc. (800) E 25th St # 101 Hialeah, FL Radiology Consultants PA 210 S Federal Hwy Fl 2 Hollywood, FL (954) US Labs (888) Viro-Med Laboratories, Inc. (952) Provider information was last updated on 2/21/2012 Information listed in this directory is not guaranteed and may be subject to change without notice. Revisions to this directory may not be made immediately. For the most up-to-date information please contact Member Services at the number listed on your CIGNA HealthCare member ID card.

5 A Business of Caring. A Business of Caring. WHO WE ARE The CIGNA HealthCare companies make up one of the largest health care organizations in the world. Approximately 10 million people are covered under CIGNA HealthCare medical plans in the U.S. WHAT YOU CAN EXPECT Convenient access to quality health care. Before joining the Open Access Plus/CareLink SM network of contracted physicians, doctors must meet CIGNA HealthCare standards through a process called credentialing. Physicians credentials are reviewed regularly to help ensure they continue to meet these standards. You choose your doctor. This guide can help. Responsive customer service. Whether on our website, w w w. c i g n a. c o m, by phone when you talk to a representative or through our automated telephone system, you have easy access to consistent, accurate, and timely information about your plan when it s convenient for you. ABOUT THIS DIRECTORY The following pages list the doctors and other health care providers in this area who participate in the Open Access Plus/CareLink network. An updated listing of participating providers is available at w w w. c i g n a. c o m. You can use our online directory to: search for participating physicians, hospitals and providers. download your own personalized provider directory to have on hand when you need it. find hospital scores for specific conditions/procedures through CIGNA s of Excellence. The online provider directory is updated often, so visit it often. For more information, please visit w w w. c i g n a. c o m or call CIGNA HealthCare Customer Service at the toll-free number on your CIGNA HealthCare ID card.

6 A Business of Caring. Your personal physician can serve as a source for advice and direction. WORKING WITH YOUR DOCTOR We encourage you to choose a primary care physician to be your personal physician. Your personal physician can serve as a home base for basic care your source for advice and direction. Your personal physician also coordinates your care - from preventive checkups and routine medical care to specialized care and hospitalizations. YOUR SUMMARY OF BENEFITS Your S u m m a r y o f B e n e f i t s gives you important information on the medical benefits and other types of services your plan covers. You should read your S u m m a r y o f B e n e f i t s to determine whether you have prescription drug coverage, coverage for mental health and substance abuse, and/or vision care coverage as a part of your CIGNA HealthCare plan. Visit to search for participating providers, find information on preventive care and other health topics, and learn more about your plan s benefits and programs.

7 CIGNA LIFESOURCE Transplant Network CIGNA LIFESOURCE Transplant Network CIGNA HealthCare is committed to providing access to quality health care through today s innovative and technologically advanced medical options. As a CIGNA HealthCare member, you ll have access to the CIGNA LIFESOURCE Transplant Network, a network of participating organ and tissue transplant centers. Developed by a team of CIGNA HealthCare clinical professionals, the CIGNA LIFESOURCE Transplant Network includes respected hospitals and medical centers throughout the United States. As part of the credentialing program, each transplant facility is evaluated for favorable rates of patient outcomes, housing arrangements, and patient friendly environments, before it is included in the CIGNA LIFESOURCE Transplant Network. CIGNA LIFESOURCE participants are managed by the Comprehensive Transplant Case Management Unit. This unit consists of Registered Nurses with clinical experience in transplant, hematology/oncology, home health care, dialysis, critical care and/or community care. They are specially trained to manage complex transplant cases. Respected hospitals and medical centers throughout the United States. Benefits from the Comprehensive Transplant Case Management Unit include: Clinical partnership with providers Consistency in service and benefit administration Dedicated resources for complex areas of medicine Advocacy Administrative efficiency In some instances a travel allowance is offered as a feature of the program. Please be aware that most of these expenses are considered taxable income. As a CIGNA HealthCare member, you can have access to these services when they are coordinated through your physician and your CIGNA HealthCare plan Medical Director. You may not receive the in-network level of benefits for all types of transplants at all facilities. Please see the CIGNA LIFESOURCE Transplant Network website, for a list of facilities with the programs covered at the in-network benefit level. Not all CIGNA LIFESOURCE Transplant Network facilities are available to members in all plans. Please call Member Services for more information.

8 CIGNA LIFESOURCE Transplant Network Alabama Florida - (Cont.) Nebraska South Carolina University of Alabama at Birmingham Medical Arizona Banner Good Samaritan Good Samaritan City of Hope Mayo Clinic Scottsdale University of Arizona Health Sciences California California Pacific Medical Cedars-Sinai Children s Los Angeles City of Hope National Loma Linda University Lucile Salter Packard Children's Scripps Green Sharp Memorial Stanford University Medical UCLA UCSF UC Davis USC University Colorado Children s of Denver Presbyterian St. Luke's University of Colorado Connecticut Yale-New Haven Florida All Children s Florida H. Lee Moffitt Cancer Mayo Clinic Jacksonville Shands Tampa General University of Miami Jackson Memorial Georgia Children s Healthcare of Atlanta at Egleston, Atlanta, Georgia Northside /The Blood and Marrow Transplant Group of Georgia Illinois Children s Memorial University of Chicago and Wyler Children's Indiana Clarian Health - Indiana University Clarian Health - Methodist Clarian Health - Riley Children's Kansas Children s Mercy Kentucky Jewish Maryland Johns Hopkins Health System University of Maryland Minnesota Mayo Clinic Rochester Missouri Barnes Jewish Children s Mercy St. Louis Children's The Nebraska New Jersey Hackensack University Robert Wood Johnson University St. Barnabas New York Mt. Sinai New York University North Carolina Duke University Medical University of North Carolina s Ohio Children's Medical Cleveland Clinic Foundation Columbus Children s University s of Cleveland Oregon Legacy Good Samaritan and Medical Oregon Health & Science University Pennsylvania Children s of Pittsburgh Temple University Health System Thomas Jefferson University University of Pennsylvania Health System UPMC Presbyterian Shadyside Medical University of South Carolina Tennessee Methodist University St. Jude Children s Research Vanderbilt University Texas Cook Children's Medical Medical City Dallas Memorial Hermann Texas Children's Texas Transplant Institute The Methodist University of Texas MD Anderson Cancer University of Texas Southwestern St. Paul Virginia Medical College of Virginia s University of Virginia Wisconsin Children's of Wisconsin Froedtert St. Luke s

9 Provider Compensation Provider Compensation CIGNA HealthCare is committed to keeping you informed about matters related to your health care plan. For that reason, we offer the following description of the way that CIGNA HealthCare compensates health care providers (physicians, hospitals and other health care practitioners and facilities) that participate in our managed care networks. CIGNA HealthCare compensates health care providers in ways that are intended to emphasize preventive care, promote quality care and ensure the appropriate and cost- effective use of covered medical services and supplies. CIGNA HealthCare reinforces this philosophy through utilization management decisions made by its medical directors and medical management staff. CIGNA HealthCare employees are encouraged to promote appropriate utilization of covered health care services and to discourage underutilization. The methods by which participating health care providers agree to be compensated are described generally here. The amount and type of compensation a health care provider agrees to accept may vary depending upon the type of plan. For example, a hospital may agree to accept less for services provided to patients enrolled in an HMO plan than to patients enrolled in other types of plans. In addition, CIGNA HealthCare may attempt in various ways to promote the use of those participating providers that are the most costeffective, while assuring quality and access to covered services and supplies. DISCOUNTED FEE FOR SERVICE: Payment for services is based on an agreed-upon discounted amount from the health care provider s bill. CAPITATION: By mutual agreement, network physicians, provider groups or physician/hospital organizations (PHOs) are paid a fixed amount (capitation) at regular intervals for each member assigned to the physician, group or PHO, whether or not services are provided. This payment covers physician and/or, where applicable, hospital or other services covered under the benefits plan. Medical groups and PHOs may in turn compensate providers using a variety of methods. Capitation offers health care providers a predictable income, encourages physicians to keep people well through preventive care, eliminates the financial incentive to provide services that will not benefit the patient and reduces paperwork. Providers paid on a capitation basis may participate in a risk-sharing arrangement with CIGNA HealthCare; they agree on a target amount for the cost of certain services and share all or some of the amount by which costs are over or under the target. Provider services are monitored using criteria that may include accessibility, quality of care, member satisfaction and appropriate and cost-effective use of medical services and supplies. CIGNA HealthCare may also work with third parties that administer payments to participating providers. Under these arrangements, CIGNA HealthCare pays the third party a fixed monthly amount per member for these services. Providers are compensated by the third party for services provided to CIGNA HealthCare plan members from the fixed amount. Compensation arrangements are agreed upon by the third parties and their contracted health care providers, and may include discounted fee for service and capitation. SALARY: Physicians and other providers who are employed to work in CIGNA HealthCare's Arizona staff-model medical facility are paid a salary. The salary is decided in advance each year and is guaranteed regardless of the services provided. Physicians are eligible for a bonus at the end of the year based on performance, which is evaluated using criteria that may include quality of care, quality of service and appropriate and costeffective use of medical services and supplies. BONUSES AND INCENTIVES: Some providers may receive additional payments based on their performance, which is measured using criteria that may include quality of care, quality of service and appropriate and cost-effective use of medical services and supplies. Providers may also receive financial and/or nonfinancial incentives that promote utilization of cost-effective participating providers (such as hospitals, labs, specialists and vendors) and covered drugs and supplies. PER DIEM: A specific amount is paid to a hospital per day for all health care received. The payment may vary by type of service and length of stay. CASE RATE: A specific amount is paid for all health care received in the hospital for a given hospital stay (such as for a normal maternity delivery). If you would like to find out which compensation method applies to services you receive from a provider, just ask the provider s administrative staff. CIGNA HealthCare Member Services is available to help with general questions at the toll-free telephone number on your CIGNA HealthCare ID card.

Convenience Care Clinics

Convenience Care Clinics 11936 W Forest Hill Blvd Wellington, FL 33414 131 N Congress Ave Boynton Beach, FL 33426 13749 SW 152nd St Miami, FL 33177 1700 S Federal Hwy Fort Lauderdale, FL 33316 8954 Lantana