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News Release

Important Information Regarding Your Care at Phoenix Children’s

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Continuity of Care Information

If Cigna is the current health plan for you or your child, a possible change to Phoenix Children’s agreement with Cigna may affect your ability to receive in-network services from Phoenix Children’s on or after February 1, 2023.

Health systems like Phoenix Children’s periodically update agreements with health plans and Phoenix Children’s is currently in such discussions about a new agreement with Cigna. Unfortunately, if an agreement is not reached by February 1, 2023, Phoenix Children’s will no longer be a contracted in-network provider with Cigna.

That means the care you or your child receives from Phoenix Children’s, as well as our physician providers and urgent care centers, would be considered out-of-network as of February 1, 2023, and you might see changes in your financial responsibility for care received at Phoenix Children’s. 

Phoenix Children’s will continue to work with Cigna over the coming weeks to reach an agreement so that we may avoid any disruption to the exceptional care you’ve come to expect from us.

If you have questions about your benefits or wonder how you can help avoid this disruption, please contact Cigna directly. You can also speak with your human resource department/employer and make them aware of your concerns.

Frequently Asked Questions: Phoenix Children’s and Cigna Contract Negotiation

I have a Cigna health plan. What does this mean for me?

Nothing is changing for you until February 1, 2023, as negotiations between Phoenix Children’s and Cigna have been ongoing. If an agreement cannot be reached by the termination date of January 31, 2023, all Phoenix Children’s providers, including Phoenix Children’s Hospital, Phoenix Children’s Medical Group, Phoenix Children’s Pediatrics and Phoenix Children’s Urgent Care locations will be out-of-network for all patients with Cigna health plan. You will have to pay more if you receive care at Phoenix Children’s.

Why haven’t Phoenix Children’s and Cigna come to an agreement yet?

We are working to remain in-network with Cigna but have not reached a new agreement yet because Cigna is unwilling to assist us with the growing cost of providing care. Phoenix Children’s is focused on reaching an agreement that allows us to continue providing highest quality of care to our growing community as patient families deserve exceptional pediatric care close to home.

If Cigna is out-of-network, how will my access to your providers change?

If termination occurs, on or after February 1, 2023, Phoenix Children’s and Cigna will no longer be contracted. This means you may no longer have in-network benefits with our providers. You may continue to access our health care providers and hospitals for health care services as follows:

  • Emergency Care: Emergency care access is not impacted. You may continue to receive emergency care at our Emergency Room, regardless of our network status with Cigna.
  • Continuity/Transition of Care: Certain patients may be eligible to receive “Continuity of Care” or “Transition of Care” benefits with Cigna for a short period of time if they need ongoing treatment for a specific illness or medical condition only. For questions about ongoing care or benefits coverage, please call the phone number listed on the back of your Cigna insurance card.
  • Out-Of-Network Care: You may still access our health care providers and hospitals for health care services if you have an out-of-network benefit. In some situations, Cigna may authorize in-network benefits if alternative providers are not available in the service area. Please call the number listed on the back of your insurance card to discuss your specific in or out-of-network benefits with Cigna.

Which Cigna products are affected by the contract termination?

To discuss your specific plan and how it may be impacted, please call the number listed on the back of your insurance card to review your specific in or out-of-network benefits with Cigna.

Which providers are affected by the contract termination?

Phoenix Children’s Hospital, Phoenix Children’s Medical Group, Phoenix Children’s Pediatrics and Phoenix Children’s Urgent Care Centers, will be out-of-network if agreement is not reached with Cigna by January 31, 2023.

Will I have to pay more money out-of-pocket to receive care now that you are an out-of-network provider?

Please call the number listed on the back of your insurance card to discuss your specific in or out-of-network benefits with Cigna. Phoenix Children’s also offers self-pay options, and you are welcome to access our services as a self-pay patient. Call our financial counselors to facilitate an estimate at 602-933-2000.

What action can I take to ensure I continue to have access to in-network services at Phoenix Children’s under Cigna?

To ensure Phoenix Children’s continues to be in-network, talk to Cigna, or your human resources department/employer directly to stress the importance of having in-network access to Phoenix Children’s.

What if I have a doctor’s appointment or elective procedure scheduled after February 1, 2023?

We understand you may already have appointments scheduled on or after February 1, 2023. If this is the case, you may qualify for Continuity of Care or Transition of Care benefits for a short period of time if your child needs ongoing treatment for a specific illness or medical condition only. For any questions about your Cigna Continuity of Care or Transition of Care benefits coverage, call the customer service phone number on the back of your Cigna health insurance card.

You may still access our health care providers and hospitals for health care services if you have out-of-network benefits. In some situations, Cigna may authorize in-network benefits if alternative providers are not available in the service area. Please call the number listed on the back of your insurance card to discuss your specific in or out-of-network benefits with Cigna.

What if I have an emergency?

Emergency care access is not impacted. Patients may continue to receive emergency care at our Emergency Room, regardless of our network status with Cigna.

How long will Phoenix Children’s be an out-of-network provider?

At this time, it is difficult to determine how long we may be out-of-network. We are in ongoing communication with Cigna. We recognize and value our relationship with our patients and remain open to discussions with Cigna to reach an agreement.

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