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My employer's health insurance plan is through CIGNA. We've recently received notices from UNC Health System and CIGNA that they have been unable to reach agreement for 2010 and therefore UNC (and its network fo physicians) may no longer participate with CIGNA. We heard the same thing from the Harris Teeter pharmacist. And I also hear that Rex may be in the same situation.
Does anyone have any insights into what's going on? I hate to think that we may be forced to switch doctors that we've used for many years.
We have CIgna and we are getting the letters about Rex. We got a letter from Rex Healthcare telling us Cigna was the bad guy and we got letters from Rex blaming it on Cigna.
Cigna has a long history of non-payment to doctors/hospitals, so many no longer accept Cigna.
I had Cigna 3 years ago and had a heck of a time finding in-network providers.
I was "dropped" by a doctor because Cigna did not pay in a timely manner, i.e within a year.
Save ALL documentation. Cigna frequently tried to bill me for tests and procedures that I never had. I have had several insurance providers and never experienced the multitude of issues I had while with Cigna.
We had Cigna when I had my first child and it took them a solid year to fully pay everything. I'd never seen anything so slow. So I'd be inclined to believe Rex/UNC on this one, but the "who is at fault" probably doesn't really matter to you!
It sounds very similar to what happened with United Healthcare a couple of years back. In that case, United did get dropped from Wake Med for a while but ultimately it got resolved. WakeMed, UnitedHealthcare Sign New Contract :: WRAL.com
My bet is that they both will spend a lot of money trying to be hard negotiators, but ultimately this one will get resolved too.
Cigna is the worst of all the major insurers from the doctors' end. You have to jump through hoops to get everything preauthorized. Even if you do get granted the preauthorization, for some reason, they can still deny the claim. My husband no longer sees Cigna patients because they require so much extra time from the office and because they are the the most common non-payers.
We have Cigna and think it's by far the worst we've ever head. It's really a crap shoot as to what they will cover. Mental health...forget about it...plan to pay out of pocket. The rest...well, you won't know til you get the EOB. I've had simple office visits (in network) kicked back over and over, but then they paid a CT scan without hesitation. It's maddening. I never know if my bill will be $600 or $10, but I do know it will take at least 2 phone calls for them to even acknowledge they received a claim. If the hospitals don't want to deal with them, I can certainly see why!
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If the hospitals don't want to deal with them, I can certainly see why!
