Cigna program to pay out-of-network providers for COVID-19 services

Cigna will pay out-of-network providers market-based rates for treatment provided to its members with COVID-19, the health insurer said May 6.

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The move is an effort to protect Cigna members from surprise or large balance bills from out-of-network providers. 

Under its new Customer Protection Program, Cigna is advocating for healthcare providers to bill “reasonable, market-based rates” for treatment related to COVID-19. Cigna defines “reasonable rates” as rates that are in line with what the federal government pays for care in a given area. Rates should also meet state requirements and be consistent with what’s considered normal for COVID-19, Cigna said.

Cigna added that it will help patients resolve surprise or balance bills from out-of-network providers related to COVID-19 treatment and will report “excessive and/or egregious” billing practices to regulatory officials and possibly pursue litigation.

More articles on payers:
Financial updates from Cigna, Anthem, Centene & Humana
Humana waives costs for primary care, behavioral health visits for 4.5 million members
Hospitals get help from insurers with improved balance sheets

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