We regularly review doctors' credentials to ensure they continue to meet these standards. What does a doctor need to do to be in the Cigna Vision network?īefore joining the Cigna network of contracted doctors, health care professionals must meet Cigna standards through a process called credentialing. All eye care professionals participating in the Cigna Routine Vision Network undergo a review of their qualifications in accordance with Cigna's credentialing requirements, including education and training, licensure status, current professional liability insurance and malpractice history. We use a variety of resources including Geographic Access Reports and input from our market teams. Cigna runs specific reports to determine if standards are being met and whether to apply appropriate interventions when gaps are identified.Ĭigna develops our network expansion plans annually after carefully assessing and reviewing client and geographic market needs. Cigna utilizes reports to analyze and determine the percentage of members that will have access to a provider within a specified distance. Cigna's access standard is two providers in a 10-mile radius urban/suburban and one provider in a 15-mile radius for rural. For Connecticut residents - within 15 calendar daysĬigna continually assesses the provider network to ensure adequate access for members.Routine (non-urgent) Appointments - within 30 calendar days.If you are not provided care within the following timeframes, please call the number on the back of your Cigna ID card and assistance will be provided to ensure you receive timely access to care. We follow these standards for access as established by the State of California. For interpreter services at the time of your appointment, tell the eye care professional's office that you need an interpreter when scheduling your appointment.Ĭigna is committed to providing you access to care on a timely basis. If there's a conflict between this information and your organization's contract with Cigna Vision, the terms of the contract prevail.Īll Cigna Vision Network eye care professionals must provide access to emergency services 24 hours a day, seven days a week and cannot discriminate against the hearing impaired, developmentally challenged and/or physically challenged.Ĭigna Vision contracted eye care professionals allow full and equal access to covered services, including insureds with disabilities as required under the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973.Īs a Cigna Vision customer you can access language interpreter services at no cost. Cigna Vision Network eye care professionals will contact Cigna Vision to check your eligibility. Unusual red eye high blood pressure related eye problems diabetes mellitus related eye problems HIV or AIDS patients who can have eye problem in future need to consult an ophthalmologist as soon as possible to save their sight.Searching for an eye care professional doesn't guarantee your eligibility or coverage. Loss of peripheral (side) vision misaligned eyes new floaters (black "strings" or specks in the vision) and/or flashes of light pain in the eye thyroid disease-related eye problems (Graves' disease) Patients having eye problems like bulging of one or both eyes dark curtain or veil that blocks vision decreased vision, even if temporary ĭistorted vision double vision excess tearing eyelid abnormalities family history of eye disease halos (colored circles around lights) injury to the eye He/she is medically trained to deliver total eye care: primary, secondary and tertiary (i.e., vision services, contact lenses, eye examinations, medical eye care and surgical eye care), diagnose general diseases of the body and treat ocular manifestations of systemic diseases. Ophthalmologists is a physician who specializes in eye and vision care.
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