8/11/23, 09:31 ID Cards | myCigna

As of: 11/08/2023
For coverage info:
Customers: Review your coverage on the
myCigna website or mobile app, or call 1 (866)
494-2111.
Coverage effective date: 10/01/2023

Matias Salas R
ID: 109305125 03
Plan: HMO Connect
Account Number: 00881300

RxBIN: 017010
RxPCN: 0518GWH
Pharmacy Plan: Yes

Cigna Vision

You may be asked to present proof of coverage when you get care. This does not guarantee
coverage and is not an ID card. To get your ID card, contact Cigna.
Willful misuse of this card is considered fraud.
Inpatient Admission/Outpatient Procedures: Your health care professional must contact Cigna
to pre-approve these services by calling the toll-free number below or going to CignaforHCP.com.
See the plan documents for pre-approval requirements. Without pre-approval, your plan may not
pay for these services.
In an emergency, get care immediately, then call your PCP as soon as possible for further
assistance or advice on follow-up care within 48 hours. If you do not know if your situation is an
emergency, call your doctor or our 24/7 Health Information Line. We encourage you to use a PCP
as a valuable resource and personal health advocate.
Health Care Professionals:
Visit CignaforHCP.com

Customers and Health Care Professionals: Send Medical Claims to:

1 (866) 494-2111 Cigna
PO Box 188061
For Pharmacists only:
Chattanooga, TN 37422-8061
1 (800) 351-9170
Payer ID: #62308

Send Vision Claims to:

Cigna Vision
PO Box 495918
Cincinnati, OH 45249

https://my.cigna.com/web/secure/consumer/coverage/idcard 1/1