For Healthcare Providers

PrinterEmail

News

CIGNA Preventive Care Payment Policy Changes

Recent News


CIGNA has changed how it administers preventive care claims.  The changes do not affect fee schedules.

Previously, if services were not included on CIGNA's "covered preventive" list, they may still have been paid at the preventive care benefit level when submitted with a preventive care claim. Now, regardless of whether submitted separately or with a preventive care claim, services not on the preventive care list will be considered under the patient’s available non-preventive/routine care coverage.  

Additional information at the patient/plan level about eligibility and benefits is available on the secure CIGNA for Health Care Professionals website.

Services Considered as Routine Care

Effective October 1, 2010,
as plans renew

Effective May 15, 2011,
for plans that renewed on
or after October 1, 2010
  • Chest x-ray
  • Vitamin D testing
  • General health panels
  • Comprehensive metabolic panels
  • Basic metabolic panels
  • Electrocardiogram (EKG)
  • Urinalysis

For all other plans, EKG and urinalysis
coverage changes will become
effective on the renewal date.