Cigna Healthcare Contract Negotiations with Memorial Healthcare System
What You Need to Know
Cigna Healthcare has been negotiating with Memorial Healthcare System to reach agreement on a new contract that will keep healthcare affordable for you and your family. We wanted to make you aware that Memorial Healthcare System facilities listed below will leave the Cigna Healthcare network effective January 1, 2024.
This is not what we want. We have had a positive relationship with Memorial Healthcare System, and we want them to stay in our network.
We remain committed to keeping healthcare affordable for those we serve. This is especially important as you and your family are dealing with inflation and rising costs of care. While our contract negotiations with Memorial Healthcare System continue, we want you to be aware of what this means and actions you may need to take.
Why is this happening?
We recognize that Memorial Healthcare System, like many health care providers across the country, is facing labor shortages and inflation, and that these factors contribute to cost pressures, but we have a responsibility to keep your health care affordable. The Cigna Healthcare team has been working hard to renew our contract with Memorial Healthcare System. Unfortunately, despite our best efforts, we haven’t reached an agreement yet. We have a longstanding relationship with Memorial Healthcare System to provide care to this community and we would like to keep them in our network, but only at fair, affordable rates. The issue is their price. Bottom line, Memorial Healthcare System wants you to pay more than what is normal in the area. Health care already costs too much and Memorial Healthcare System is trying to make it even more expensive.
What does this mean for me?
Consider who pays Memorial Healthcare System’s bills. Almost all of Cigna Healthcare’s business with Memorial Healthcare System is through employer-sponsored plans that are self-funded. That means the actual cost of health care services is directly paid by employers, their employees and their families through payroll deductions. When the underlying cost of care goes up, employers and customers ultimately pay more.
Who will be affected?
If Memorial Healthcare System leaves our network, our OAP, PPO, IFP, LocalPlus and SureFit members will be affected, and any services delivered by these providers would be covered at an out-of-network benefit level (if your plan has out-of-network benefits). Seeking care from out-of-network facilities and providers will lead to higher costs, which is why we encourage you to seek care from in-network providers.
What facilities will be out of network if no agreement is reached?
- Memorial Hospital Regional
- Memorial Regional Hospital South Campus
- Joe DiMaggio Children’s Hospital at Memorial
- Joe DiMaggio Children’s Hospital
- Pediatric Therapy Services and U18
- Joe DiMaggio Children’s Health Specialty Center At Wellington
- Memorial Regional Outpatient Behavioral Health Center
- Memorial Outpatient Center
- Memorial Orthopedic Surgery and Sports Medicine Center
- Memorial Rehabilitation Institute
- Fitness and Rehabilitation Center at Memorial Regional Hospital
- Memorial Rehabilitative Institute
- Inpatient Rehabilitation Services at Memorial Regional Hospital South Campus
- Memorial Cancer Institute at Memorial Regional Hospital
- Breast Cancer Center at Memorial Regional Hospital
- Memorial Hospital West
- Memorial Rehabilitation Institute Fitness and Rehabilitation Center at Memorial Hospital West
- Memorial Cancer Institute at Memorial Hospital West
- Breast Cancer Center at Memorial Hospital West
- Breast Cancer Center – Image Recovery Center
- Memorial Hospital Miramar
- Memorial Rehabilitation Institute Fitness & Rehabilitation Center at Memorial Hospital Miramar
- Memorial Hospital Pembroke
- Memorial 24/7 Care Center
- Memorial Manor
- Memorial Urgent Care Center
Where can I access in-network care if Memorial Healthcare System leaves our network?
- Broward Health Medical Center
- Cleveland Clinic Weston Hospital
- HCA Westside Regional Medical Center
- HCA Florida University Hospital
- Steward Hialeah Hospital
- Steward Florida Medical Center
- HCA Aventura Medical Center
- Broward Health Coral Springs
What if I am receiving ongoing treatment when the contract ends?
You may be eligible for Continuity of Care. This program allows you to continue in-network coverage for certain medical treatment provided by Memorial Healthcare System for a defined period of time even after the hospital leaves your network.
To find out more about Continuity of Care, please contact us at the toll-free number on your Cigna ID card, or use the myCigna® app or website. You’ll find the Continuity of Care brochure and application there:
- Go to myCigna.com.
- Scroll to the bottom of the page and click on Find a Form.
- Select Medical, and then choose Transition of Care/Continuity of Care Form.
If you call us, please let the Customer Service Advocate know you’re in the middle of treatment. They’ll work with you to determine your eligibility for Continuity of Care. They can also help you complete the request form.
I've been approved for services that start after January 1, 2024. What should I do?
Please contact us at the toll-free number on your Cigna ID card. A Customer Service Advocate will help you get approval for treatment at another hospital in your network. They can also work with you to determine if you’re eligible for Continuity of Care.
What if I am admitted before January 1, 2024, but my stay continues past this date?
As long as we have approved your stay, the services you receive will be covered at the in-network benefit level, even if you stay after January 1, 2024.
What about emergency care?
Your emergency care services will be covered at the in-network level under your plan’s emergency room coverage. Additional services you receive as part of your emergency visit may also be covered at the in-network level, including out-of-network services received during an inpatient admission or outpatient observation stay.
How can I get more information?
We can help you find an in-network provider in your area and help with other transitions, like getting new referrals and prescriptions, and Continuity of Care. Cigna Healthcare customer service advocates are available 24/7/365 at the number on your Cigna ID card or 1 (800) 244-6224. You may also visit myCigna.com® or use the myCigna mobile app. For TRS or TTY services, dial 711 when you call.