Advice for Cigna Commercial Health Plan Members: Frequently Asked Questions
What is happening between Spartanburg Regional Healthcare System and Cigna?
As of March 31, 2018, Spartanburg Regional’s contract with Cigna will expire. Spartanburg Regional Healthcare System (SRHS) has been working with Cigna executive leadership to finalize terms for a new contract. However, these discussions have not been successful. At this time, Spartanburg Regional continues discussions to reach an agreement with Cigna. There is currently not an agreement in place for Cigna plan members beginning April 1, 2018.
Advice for Cigna Commercial Health Plan Members
Spartanburg Regional Healthcare System is continuing good-faith efforts to reach a fair and equitable contract with Cigna. We believe that members of the Upstate community should have access to the best healthcare services and physicians. When companies like Cigna are unwilling to collaborate with us, it hinders our ability to accomplish our mission.
The Upstate continues to grow, and Spartanburg Regional seeks to partner with all health plans in the area to support the growing demand for our healthcare services in the region. Spartanburg Regional Healthcare System has been serving the community for decades, and we believe that members should have access to the best healthcare services and physicians.
Medicare patients enrolled with Cigna HealthSpring are not affected by the expiration of Spartanburg Regional’s commercial contract with Cigna.
What can you do?
Contact your benefits department and insurance company. Call and send a letter in support of your physician and hospital of choice and express your desire to continue these healthcare relationships.
As a precautionary measure, should a successful resolution not be reached:
If you are a Cigna plan member, you should determine if you qualify for continuity of care benefits. You may confirm this by contacting your health plan administrator or calling Cigna using the phone number on the back of your insurance card.
Should an agreement not be reached, when will plan coverage end?
Cigna’s commercial plans contract with all Spartanburg Regional Healthcare System hospitals, facilities, Medical Group of the Carolinas physicians, and ambulatory surgery centers will expire on March 31, 2018.
I have a Cigna health plan and already have an appointment scheduled with a Medical Group of the Carolinas physician and/or practice. What will happen?
If you or your family members are currently receiving care from Medical Group of the Carolinas for an ongoing special condition, you may be able to continue your course of care with in-network benefits. These special conditions include pregnancy and illnesses that are acute, terminal, or chronic (life-threatening, degenerative or disabling). Please call Cigna as soon as possible using the phone number on your health insurance card to verify your benefits.
What Spartanburg Regional Healthcare System facilities and physicians are impacted by the Cigna/Spartanburg Regional contract expiration if an agreement is not reached?
Cigna will discontinue coverage with physicians employed by Spartanburg Regional Healthcare System, Medical Group of the Carolinas, independent physicians contracted by Spartanburg Regional and the facilities listed below:
- Spartanburg Medical Center
- Pelham Medical Center
- Union Medical Center
- Gibbs Cancer Center & Research Institute
- Bearden-Josey Center for Breast Health
- Ellen Sagar Nursing Center
- Spartanburg Hospital for Restorative Care
- Woodruff Manor
- Spartanburg Regional Rehabilitation Services
- Spartanburg Regional Outpatient Services
What plan(s) would Cigna discontinue with Spartanburg Regional Healthcare System?
Medicare patients enrolled with Cigna HealthSpring are not affected by the expiration of Spartanburg Regional’s commercial contract with Cigna. Cigna plans that would be discontinued include employer-sponsored and individual health plans, as well as plans purchased on the state health exchange:
- CIGNA (includes Great West Healthcare)*
- Great West Healthcare - CIGNA Open Access Plus
- Choice Fund Open Access Plus
- CIGNA Healthcare PPO
- HMO (or POS)
- Network Open Access
- Open Access Plus
- POS (or HMO) Open Access
*If you do not see your plan listed above, please call Cigna to verify your coverage.
What if I have an emergency and need to go to the hospital?
You should always go to the nearest hospital in the event of an emergency, or call 911. Please note that emergency services are covered at in-network benefit levels even if you go to a non-network provider.