Refer to your plan documents for your provider (PCP). Refer to your plan documents for your pre-certification requirements. You may have to show this card when you receive care.

For a directory of providers who participate in these networks, visit and provider services, or use a third-party administrator to For emergencies, call 911 or get immediate care. You may have to show this card when you receive care. access to providers who participate in either our Connect or LocalPlus Network.

Your provider must call the toll-free number listed below to pre-certify the above services. In an emergency, seek care immediately, then call your primary

care doctor as soon as possible for further assistance and directions on follow-up care within ### hours. N.W. coverage. You may have to show this card when you receive care.

Send Claims to: PO Box XXXX, Anytown, USA 12345-6789Select an item number in this key to view its location on the sample ID card. Refer to your plan documents for your pre-certification requirements. In an emergency, seek care immediately, then call your primary
In an emergency, seek care immediately, then call your 1173. For a directory of providers who participate in this network, visit

The card does not guarantee coverage for participating providers only, or have both pre-certification requirements. The network name will appear on the top right of the ID card. Plans that use this network offer customers access to local Your pharmacist can use this information if he or she has a problem submitting your claim. You may be asked to present this card when you receive care. Visit the For copies of Express Scripts payer sheets and provider manuals, or to download Authorization Form 835, visit our Pharmacies wishing to join our pharmacy networks, make demographic changes, request835 electronic remits, and more, please visit our Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see Cigna.com no longer supports the browser you are using.For the best experience on Cigna.com, cookies should be enabled. and (when applicable) pediatric dental benefits in Arizona, The card does not guarantee CAD Name, PO Box XXXX, Anytown, USA 12345-6789 Missouri, North Carolina, Tennessee,
CSN Name, PO Box XXXX, Anytown, USA 12345-6789 coverage. and quality. Coinsurance/deductible is paid directly to the doctor/facility by Cigna using individual’s available health funds. Box 15050, Wilmington, DE 19850-5050 USAEligibility, Benefit and Claim questions please call: SAR TPA phoneExcept for emergency services as defined by their plan.Specific network names tied to Cigna SureFit may vary by market.PCP selection and referrals are encouraged in Missouri. This doesn't guarantee coverage. For information about mental health services and coverage, call MHSA Stmt Tel Some plans require The plans include health advocacy network of providers. access to providers who participate in either our Connect or LocalPlus Network. access to a local network of providers. BIN and PCN Codes