Important Information for all Cigna members
What has happened?
For the past several months, Spartanburg Regional and Cigna have been in contract negotiations. Spartanburg Regional recognizes how important continuity of access to health care is for patients. Unfortunately, both sides could not reach an agreement. Spartanburg Regional’s contract with Cigna expired on May 31, 2020. Therefore, Spartanburg Regional and its affiliated physicians are now out of network for Cigna commercial members. Medicare Advantage plans remain in network.
We understand Cigna has communicated to its customers that Spartanburg Regional requested a significant increase in our contract rates. This is not accurate. Cigna was unwilling to agree to contract terms consistent with those we have with much larger health plans, such as Blue Cross Blue Shield and Aetna.
Spartanburg Regional is dedicated to providing high-quality and cost-effective care to the communities we serve. Our healthcare system reinvests in the community, through technology, facilities and equipment that serve our patients. Our agreements with insurance companies, like Cigna, allow us to sustain the critical health services our patients depend on.
How does this affect me?
Effective June 1, 2020, you may be responsible for higher out-of-network costs based on your health benefits plan with Cigna, as Spartanburg Regional providers are no longer in the Cigna network.
What can I do?
First, contact your insurance company. Send a letter or call Cigna to let them know that you obtain your medical services from Spartanburg Regional and its affiliated providers and that you would like to continue to receive services from Spartanburg Regional. Contact your employer’s benefits department and inform them that you would like to continue to use Spartanburg Regional and its affiliated providers and encourage them to call Cigna. Spartanburg Regional maintains relationships with insurance companies that provide coverage to the majority of insured residents in the area.
Can I still make appointments with my doctors and can I still have procedures at SRHS hospitals?
Yes. However, you may be responsible for higher out-of-network costs based on your health benefits plan with Cigna. You are encouraged to call the phone number on the back of your insurance card for more detailed information.
What if I am pregnant or receiving treatment for a special condition on or after June 1, 2020, and Spartanburg Regional hasn’t come to an agreement with Cigna?
Cigna members with specific conditions currently receiving care from Spartanburg Regional may be able to continue receiving services for a period of time at in-network coverage levels. This is called Transition of Care/Continuity of Care. For example, members who are in second or third trimesters of pregnancy, those with high-risk pregnancies or members undergoing active treatment for a serious medical condition, such as cancer, may qualify. Members seeking continuity of care eligibility with Spartanburg Regional must contact Cigna directly by calling the phone number on their health insurance cards or by logging into my.cigna.com and completing a Transition of Care/Continuity of Care request form. Spartanburg Regional cannot grant this authorization.
How do I get my medical records?
You can access your patient records through MyChart. If you have not yet signed up for a MyChart account, please visit MyChart.SpartanburgRegional.com.
What if I need to go to an emergency room?
You continue to have access to Spartanburg Regional’s hospitals and affiliated physicians in cases of emergency treatment, regardless of Spartanburg Regional’s network status with Cigna. If you experience an emergency, please seek treatment at the nearest emergency center or call 911.