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 Rd Lake Worth, FL 33467 10241 W Broward Blvd Plantation, FL 33324 10701 NW 41st St Doral, FL 33178 12401 Miramar Pky Miramar, FL 33027 12955 SW 112th St Miami, FL 33186 15395 NW 82nd Ave Miami Lakes, FL 33016 306 Lincoln Rd Miami Beach, FL 33139 4610 S University Dr Davie, FL 33314 4701 S Flamingo Rd Cooper City, FL 33330 520 S Federal Hwy Boca Raton, FL 33432 5701 Coral Ridge Dr Coral Springs, FL 33076 7016 Beracasa Way Boca Raton, FL 33433 8765 S Dixie Hwy Miami, FL 33143 101 N Main St Belle Glade, FL 33430 12295 Biscayne Blvd North Miami, FL 33181 340 SW 24th St Fort Lauderdale, FL 33315 4010 SW 137th Ave Miami, FL 33175 4200 SW 8th St Miami, FL 33134 4600 Coconut Creek Pky Coconut Creek, FL 33063 4601 N State Rd 7 Pompano Beach, FL 33073 (866) 826-3227 Provider information was last updated on 11/2/2009 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. *** Retail based clinics staffed by Nurse Practitioners who provide convenient care for common family ailments. Primary care physician's office visit cost share applies. For current Patient Service Locations please access their website at www.minuteclinic.com
4895 Palm Ave Hialeah, FL 33012 12001 Southern Blvd Loxahatchee, FL 33470 1305 N University Dr Coral Springs, FL 33071 (954) 840-0086 601 E Commercial Blvd Oakland Park, FL 33334 18310 Pines Blvd Pembroke Pines, FL 33029 13880 Wellington Trace Wellington, FL 33414 (561) 337-3388 6025 Lake Worth Rd Lake Worth, FL 33463 21880 State Rd #7 Boca Raton, FL 33428 2895 N Military Trl West Palm Beach, FL 33409 (561) 337-3399 6458 Linton Blvd Delray Beach, FL 33484 2855 Stirling Rd Fort Lauderdale, FL 33312 4260 SW 152nd Ave Miami, FL 33185 (786) 228-3456 8790 W McNab Rd Tamarac, FL 33321 11977 Southern Blvd Royal Palm Bch, FL 33411 (561) 209-2056 150 S Federal Hwy Deerfield Beach, FL 33441 (954) 363-7860 11105 Stirling Rd Cooper City, FL 33328 12500 W Sunrise Blvd Sunrise, FL 33323 (954) 622-4999 Provider information was last updated on 11/2/2009 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. *** Retail based clinics staffed by Nurse Practitioners who provide convenient care for common family ailments. Primary care physician's office visit cost share applies. For current Patient Service Locations please access their website at www.minuteclinic.com
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. www.cigna.com 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.
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 www.cigna.com to search for participating providers, find information on preventive care and other health topics, and learn more about your plan s benefits and programs.
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, www.cigna.com/lifesource, 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.
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
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.