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 Clinical, LLC (800) 800-5655 Associated Pathologists, LLC (888) 474-5227 DermPath Diagnostics, a division of Ameripath, Inc. (866) 859-4061 Dianon Systems, Inc. (800) 328-2666 Doctors Lab 818 NW 154th St # 290 Miami Lakes, FL 33016 (305) 556-2898 Esoterix Inc. (800) 444-9111 Fertility and IVF of Miami 8950 N Kendall Dr #103 Ferility And Ivf Of Miami In Miami, FL 33176 (305) 596-4013 Ft Lauderdale Lab 3951 SW 30th Ave Fort Lauderdale, FL 33312 (800) 688-4522 HHLA Lab in A Envelope LLC (888) 522-2677 Home HealthCare (888) 522-4452 10720 Caribbean Blvd # 430 Miami, FL 33189 (305) 969-1045 Athena Diagnostics (800) 394-4493 Berkeley Heartlab Inc (800) 432-7889 D-Path (866) 957-0425 DPG Reference (901) 276-9192 Gables Diagnostic Imaging Associates 475 Biltmore Way #106 Coral Gables, FL 33134 (305) 461-6637 100 NW 170th St # 205 North Miami Beach, FL 33169 (305) 651-2788 Bio-Reference Laboratories Inc (800) 229-5227 Dva Services, Inc 3951 SW 30th Ave Fort Lauderdale, FL 33312 (877) 200-3181 Genomic Health, Inc. (650) 556-9300 Genzyme Genetics (800) 872-3572 10081 Pines Blvd Ste A Pembroke Pines, FL 33024 (954) 430-0633 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.
17901 NW 5th St # 104-105 Pembroke Pines, FL 33029 (954) 433-8764 4201 Palm Ave Ste A Hialeah, FL 33012 (305) 821-2053 7061 Cypress Rd # 101 Plantation, FL 33317 (954) 581-0187 Litholink Corporation (800) 338-4333 Medical Diagnostic Laboratories, L.L.C. (877) 269-0090 1150 NW 14th St # 500 Miami, FL 33136 (305) 545-5356 14713 SW 42nd St # 101 Miami, FL 33185 (305) 223-7592 2720 SW 97th Ave Apt 204 & 205 Miami, FL 33165 (305) 220-2636 2250 NW 84 Ave-Unit 105 Doral, FL 33122 (305) 436-9232 925 Arthur Godfrey Rd # 200 Miami Beach, FL 33140 (305) 674-8096 7150 W 20th Ave # 213 Hialeah, FL 33016 (305) 826-7784 Medical Neurogenetics LLC (678) 225-0222 Metropolitan Pathologists PC (MetroPath) (877) 904-9755 Mod Lab (888) 566-3522 4200 N 29th Ave Hollywood, FL 33020 (954) 342-4789 2731 Executive Park Dr # 5 Weston, FL 33331 (954) 389-7290 951 S Le Jeune Rd # 302 Miami, FL 33134 (305) 443-6886 6350 Sunset Dr 3rd Floor South Miami, FL 33143 (305) 662-3701 9950 SW 107 Ave # 203 Miami, FL 33176 (305) 274-5485 Myriad Genetic Laboratories (800) 469-7423 National Genetics Institute (888) 464-4622 NTD Laboratories (631) 425-0800 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.
Oncometrix (877) 670-4363 Oracle Diagnostic 11880 SW 40th St # 406 Miami, FL 33175 (786) 517-2366 Oracle Diagnostic 1150 NW 35th Ave # 130 Hollywood, FL 33021 (954) 265-6342 ProPath (800) 258-1253 ProPath Services (800) 258-1253 ProPath Women's Services (800) 258-1253 11485 SW 40th St Miami, FL 33165 2925 Aventura Blvd # 306 Aventura, FL 33180 11410 N Kendall Dr # 107-109 Miami, FL 33176 2711 Executive Park Dr # 2-3 Weston, FL 33331 3700 Washington St # 102 Hollywood, FL 33021 11257 SW 152nd St Miami, FL 33157 747 Ponce De Leon Blvd # 303 Coral Gables, FL 33134 Oracle Diagnostic 20880 W Dixie Hwy # 101 N Miami Beach, FL 33180 (350) 830-0552 17900 NW 5th St # 101 Pembroke Pines, FL 33029 1611 NW 12th Ave Miami, FL 33136 5761 SW 40th St Ste C Miami, FL 33155 Our Lab - Oppenheimer Urologic Reference (888) 868-7522 333 W 41st St # 502 Miami Beach, FL 33140 2750 W 68th St # 225 226 Hialeah, FL 33016 3343 Sheridan St Hollywood, FL 33021 Pathology Partners of Memphis PLLC (901) 526-7477 100 NW 82nd Ave # 403 Plantation, FL 33324 100 NW 170th St # 204 North Miami Beach, FL 33169 9521 S Dixie Hwy Pinecrest, FL 33156 Poplar Healthcare PLLC (901) 526-1912 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.
7451 NW 4th St Mark IV Bldg Plantation, FL 33317 Sleep Florida LLC 12251 Taft St Pembroke Pines, FL 33026 (305) 722-1970 12215 Pembroke Rd Pembroke Pines, FL 33025 Sleep Florida LLC 6141 Sunset Dr #130 Miami, FL 33143 (305) 722-1970 2300 N Commerce Pkwy Weston, FL 33326 7150 W 20th Ave # 409 Hialeah, FL 33016 Sng Labs Prosthetic Eye Institute 1990 NE 163rd St #208 North Miami Beach, FL 33162 (561) 391-7099 Specialty Laboratories, Inc. (800) 421-7110 777 E 25th St # 101 Hialeah, FL 33013 Radiology Consultants PA 210 S Federal Hwy Fl 2 Hollywood, FL 33020 (954) 927-1766 US Labs (888) 450-0145 Viro-Med Laboratories, Inc. (952) 563-3300 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.
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.