CIGNA Claims Assistance

CIGNA Claims Assistance

• CIGNA ID Card
• CIGNA Helpline
• How to claim for Hospital treatment
• How to claim for Emergency treatment
• How to claim for Dental treatment

For more information about CIGNA Health Insurance Plans, or to receive a free Health Insurance Quote, please contact one of our dedicated advisers today.

CIGNA ID Card

• Bring your CIGNA ID Card to your medical appointment.
• Your CIGNA ID Card will provide contact details for inquiries or assistance.
• Your CIGNA ID Card will provide details on your ID Number, Coverage Effective Date, Account Number, Co-payment, and general information relating to inpatient or outpatient claims.
• 'Away from Home Care' logo will indicate access to CIGNA National Network.
• Claims are submitted to the address shown on the back of the CIGNA ID Card.

CIGNA Customer Helpline

The CIGNA Helpline can provide you with assistance throughout the claims process. CIGNA members can use the service to discuss their policy benefits and receive instructions on how to claim.

How to claim for Hospital treatment

You will need pre-authorisation from CIGNA for hospital treatment.

• Call CIGNA to obtain pre-authorization
  Call the CIGNA Treatment Approval Team
  Hong Kong: 0800 96 1111 followed by 1800 835 7677
  Outside Hong Kong: +44 (0) 1475 788182
• Pre-authorisation
  Download a claim form from the CIGNA website
  A claim form is completed by you and your doctor
  Claim form is sent to CIGNA
  CIGNA assesses your claim for treatment and makes a decision
  CIGNA approves your treatment and you are admitted to hospital.
• After pre-authorization
  Admission to hospital or health care facility
  
  
• Direct Settlement
  CIGNA will pay the hospital or health care facility
  Direct settlement is the typical mode of payment
  CIGNA and the hospital will organise authorisation and payment
• If you pay for treatment
  Obtain an invoice from the hospital or health care provider
  Send invoice to CIGNA with a claim form for the treatment you received
  CIGNA will reimburse you within 5 days of submitting a completed claim
• If you have selected a Deductible
  If you have a deductible option, you will pay this amount to the hospital or health care facility. CIGNA will pay the outstanding amount after the deductible has been paid.
  A deductible is an agreed amount in which the policy holder pays before treatment is reimbursed by the insurer.

How to claim for Emergency treatment

Pre-authorization is not required if you require emergency medical treatment.

• Call CIGNA within 48 hours of an emergency
  Call the CIGNA Treatment Approval Team
  Hong Kong: 0800 96 1111 followed by 1800 835 7677
  Outside Hong Kong: +44 (0) 1475 788182
• Direct Settlement
  CIGNA will pay the hospital or health care facility
  Direct settlement is the typical mode of payment
  CIGNA and the hospital will organise authorisation and payment
• If you pay for treatment
  Obtain an invoice from the hospital or health care provider
  Send invoice to CIGNA with a claim form for the treatment you received
  CIGNA will reimburse you within 5 days of submitting a completed claim
• If you have selected a Deductible
  If you have a deductible option, you will pay this amount to the hospital or health care facility. CIGNA will pay the outstanding amount after the deductible has been paid.
  A deductible is an agreed amount in which the policy holder pays before treatment is reimbursed by the insurer.

How to claim for Dental treatment

You will not need to fill out a claim form if you receive treatment at a Network Provider.

• Select a dentist from the CIGNA list of dental Network providers.
  If you do not select a dentist from the Network list, you will need to obtain approval from CIGNA, otherwise your treatment may not be covered unless it is for emergency treatment.
• Make an appointment with your dentist.
  Bring your CIGNA ID Card to the appointment.
• If you pay for treatment
  Obtain an invoice from the hospital or health care provider
  Send invoice to CIGNA with a claim form for the treatment you received
  CIGNA will reimburse you within 5 days of submitting a completed claim
• Direct billing
  You will not need to pay for dental treatment, that is covered under your dental policy benefits.
• Out of pocket expenses
  Any treatment that is not covered on your dental plan will need to be paid. Out of pocket costs are generally lower at Network providers.

For more information about CIGNA Health Insurance Plans, or to receive a free Health Insurance Quote, please contact one of our dedicated advisers today.