Cigna Global

CIGNA GLOBAL is the brand of the CIGNA group under which it sells and services a numbor of individual medical policies such as :

  • CIGNA GLOBAL Health Options (CGHO)
  • CIGNA Close Care
  • CIGNA Horizon
  • CIGNA ACA Global Health (Affordable Care Act compliant)

The CIGNA GLOBAL brand sales and service is headquatered in Glasgow, Scotland, UK and its products are distributed through sales outlets in various countries such as :

  • Hong Kong
  • Singapore
  • Dubai
  • USA

Leveraging its international footprint, CIGNA offers access to more than 1.5 million health care professionals in 200+ countries and jurisdictions ensuring you have cover wherever you are in the world.

CIGNA Close Care is an essential health plan created for those who need coverage only in their country of residence, and their country of nationality.

Core hospitalisation cover overview

  • Annual benefit limit: $500,000
  • Condition limit: $250,000
  • Inpatient and daypatient
  • Semi-private room
  • Full cancer care

The optional outpatient module provides cover to USD5,000 pa and the optional dental module, USD750 pa.

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Cigna's international plan is called Cigna Global Health Options

This plan comprises of three levels of cover: Silver, Gold and Platinum. Each plan includes International Medical Insurance, which is a hospital only cover. Choose from two areas of coverage, depending on needs and location: Worldwide including USA and Worldwide excluding USA.

If you choose the US option, be aware of the fact that if you are American, Cigna will only cover you in the US for a maximum of 180 days in any policy year. Note: This prohibition is applied to other nationalities who may be spending time in their home country.. the policy wording reads:

This policy is designed for expatriates. Therefore, the policy will only cover the costs of treatment in a beneficiary’s country of nationality in circumstances where the beneficiary is temporarily resident in their country of nationality.

Such circumstances may not exceed one hundred and eighty (180) days in aggregate per period of cover, and the country of nationality must be within the selected area of coverage ...

In addition, you can select optional modules, including: International Outpatient; International Medical Evacuation; International Health and Wellbeing; and International Vision and Dental which enables you the flexibility to create a health insurance plan that suits your unique needs.

As well as this, we offer a wide range of cost share and deductible options on International Medical Insurance and International Outpatient, allowing you to tailor a plan to suit your budget.

One of the most common querstions we are asked about Cigna's Health Options plan concerns the need for referrals for physiotherapy, which needs to be 'medically' necessary and 'restorative' in nature.

In order to give approval Cigna needs a medical report and a treatment plan.

Cigna provides USD2,500 pa physiotherapy for Silver, USD5,000 for Gold and unlimited for Platinum.

Continuation of Previous Medical Underwriting - Available to individuals now insured with other plans, wishing to transfer to a Cigna plan.

If you are already covered by another plan and have been underwritten in the past 5 years, there will be an opportunity to take advantage of what is called 'Continuation of Previous Medical Underwriting' or 'CPME terms.

Speak to us about what is needed here and we will be happy to guide you through the process.

You will need to send us your current insurance schedule where it clearly shows that if any exclusions or loadings currently apply to your cover, you will need to complete the application form below.

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If you have been a member on a Cigna Group plan there will be the option to transfer to an individual Cigna 'Horizon' plan without being underwritten.

Questions? Call Romi Gill, tel: 2530 2530 Email - romi.gill@navigator-insurance.com

Key notes on Horizon plan:

#1 Default benefits include in-patient + out-patient, other modules are Optional
(Optional Modules such as International Medical Evacuation, International Health and Wellbeing - for persons aged 18 or older and International Vision and Dental plans can only be purchased in conjunction with the International Medical Insurance plan.)
#2 Quote is in USD and based on worldwide excluding USA cover
#3 Medical underwriting is waived

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Contact us for more details romi.gill@navigator-insurance.com Tel: +852 2530 2530

Cigna Prime Benefit Tables

Below is an example of a benefit table commonly used by Groups in Hong Kong

Cigna Prime Benefit Tables
Provider Network Standard Benefit Limit
Plan Annual Maximum
The total benefit payable in any one year of insurance, per employee or dependant for all in-patient, out-patient, international emergency services and where selected, maternity and adult wellness benefits.
Up to USD $500,000 per year of insurance
Deductible
The amount the employee/dependent is responsible for paying directly to the provider when they incur costs for eligible treatment before any amount will be paid by this plan.
None per year of insurance
Maximum Out-of-Pocket
The maximum amount the employee/dependent is required to pay for eligible treatment
Any pre-authorisation penalty and coinsurance in relation to Dental Benefits will not be counted under the maximum out-of-pocket expense.
None per year of insurance
Pre-authorization of Treatment
Employee/dependant must contact Cigna for authorization at least 5 business days prior to undergoing consultations, investigations or treatment of specific types:
- All aspects of in-patient and day case treatment, except emergency treatment. For emergency treatment, please contact Cigna within 48hrs after the emergency treatment occurs.
- Any costs relating to organ transplant treatment and mental health treatment
- High dollar out-patient claims, including but not limited to the following:
• MRI, CT Scan, PET Scan
• Single diagnostic procedure above US$1,000
• Out-patient medication above US$1,000 per visit
• Surgical or medical appliances and durable medical equipment above US$1,000
• Out-patient surgeries
• Therapies for developmental disorders
- Complications of pregnancy or childbirth
- Cancer care
- Home nursing
- Evacuation and Repatriation
- Kidney dialysis
- Hospice and palliative care
NA
In-Patient/Day Case Healthcare Benefits Benefit Limit
Coinsurance
The amount the employee/dependent is responsible for paying towards the cost of each claim
for eligible treatment.
None
Hospital Charges for:
n Nursing and accommodation for in-patient treatment;
n Day case treatment;
n Operating theatre and recovery room;
n Prescribed medicines, drugs and dressings for in-patient or day case patient.
Paid in Full Semi-Private Room
Parental Accommodation
This applies to dependent children under the age of 18. Cigna will pay reasonable costs for
a parent staying in the same hospital with the child for up to 30 days in any one year of insurance.
Paid in Full
Surgeons’ and Anaesthetists’ Fee Paid in Full
Specialist Physician’s Fees
This benefit is paid in full for regular visits by a specialist physician during stays in
hospital including intensive care by a specialist physician for as long as is required by
medical necessity.
Paid in Full
Surgical Procedures Paid in Full
Radiotherapy, Chemotherapy, Oncology Paid in Full
Radiology and Pathology Paid in Full
Physiotherapy
Where required due to medical necessity.
Paid in Full
Home Nursing Charges -This benefit will be paid:
n If recommended by a specialist immediately after hospital treatment for as long
as is required by medical necessity;
n On a full time basis for as long as is required by medical necessity for treatment
which would normally be provided in hospital.
Paid in Full
Hospice/Palliative Care:

Paid in Full

Cigna will pay palliative care benefit for inpatient, day case or outpatient treatment following
the diagnosis that the condition is terminal and treatment can no longer be expected to cure
the condition. Cigna will pay for the patient’s physical care, psychological care as well as
hospital or hospice* accommodation, nursing care and prescription drugs. In all circumstances,
this benefit must be authorised in advance by Cigna’s medical team.
*Hospice care is available when there is a life expectancy of less than six (6) months.
In-Patient Surgical Appliance and/or Medical Appliance - This benefit will be paid in respect of:
n An artificial limb, prosthesis or device which is inserted during surgery; or
nAn artificial prosthesis or device which is a necessary part of the treatment
immediately following surgery for as long as is required by medical necessity; or
n A prosthesis or appliance related to an in-patient procedure which is medically necessary
and is part of the recuperation process for a period of time consistent with the recuperation
time required for the treatment and as prescribed by the treating medical practitioner.
Paid in Full
Organ Transplant

Paid in Full Refund up to USD $100000 Per Year of insurance

The benefit requires pre-approval
HIV/AIDS

Paid in Full

Treatment or tests in connection with Human Immunodeficiency Virus (HIV) related
illness including Acquired Immune Deficiency Syndrome (AIDS)
Psychiatric and Psychological Care

Paid in Full

This benefit will be paid in respect of psychiatric conditions, other mental health disorders
or addictive conditions for a maximum of 180 days in any one year of insurance.
Private Ambulance
This benefit is payable for transport to or from a hospital when ordered for medical reasons.
Paid in Full
International Emergency Services
n Emergency Medical Evacuation
n Medical Repatriation
n Repatriation of Mortal Remains
This benefit requires pre-approval.
Paid in Full
Note: Cigna will consider charges made for or in connection with approved organ transplant services, including immunosuppressive medications, organ procurement costs, and donor’s medical costs. The amount payable for donor’s medical costs is reduced by the amount payable for those costs from any other plan or source. Certain transplants will not be covered based on general limitations (i.e. experimental procedures). The employee/dependent must contact Cigna before incurring costs relating to organ donation.
Out-Patient Healthcare Benefits Benefit Limit
Coinsurance
The amount the employee/dependent is responsible for paying towards the cost of each claim for eligible treatment.
None
Out-Patient Annual Maximum
The total benefit payable in any one year of insurance, per employee or dependent for all out-patient benefits.
Paid in Full
Pre and Post Hospitalization Charges for:
The relevant medical expenses incurred 30 days before and 90 days after the hospitalization period for the same covered illness/injury, including consultation, diagnostic/laboratory services, prescribed drugs and other treatments which are medically necessary.

(Costs for this benefit will not count towards the Out-patient Annual Maximum limit, if one is applicable.)

Please submit your pre hospitalization and post hospitalization claims (if applicable) accompanied with the Discharge Summary.
Paid in Full
Consultations with Medical Practitioners Paid in Full
Consultations with Medical Specialists Paid in Full
Diagnostic Scans, X-rays, Lab Tests and Advanced Radiological Imaging Paid in Full
Out-Patient Surgical Appliance and/or Medical Appliance
This benefit will be paid in respect of: prescribed external prosthesis or appliance unrelated to any in-patient procedure which is medically necessary and is part of the recuperation process for a period of time consistent with the recuperation time required for the treatment and as prescribed by the treating medical practitioner. At Cigna’s discretion, pre-authorisation may be required from Cigna’s medical team. For avoidance of doubt, out-patient medical equipment/appliance which do not serve recuperation purpose are not covered.
Paid in Full
Physiotherapy
Where required due to medical necessity
Paid in Full
Alternative Therapies
This benefit relates only to: acupuncture, chiropody, homeopathy, and appropriate treatment received from a registered Chinese Medicine Practitioner, where required due to medical necessity and considered a reasonable alternative for the condition being treated. There must be sufficient medical evidence the given treatment is proven to alleviate symptoms, and the treatment must be orthodox and adhere to the commonly accepted traditional practice of medicine.
Paid in Full
Chiropractic and Osteopathy Services Paid in Full
Cancer Treatment - This benefit includes: oncology, chemotherapy and radiotherapy and other out-patient treatment and prescribed drugs directly associated with a cancer condition.

(Costs for this benefit will not count towards the Out-patient Annual Maximum limit, if one is applicable.)
Paid in Full
HIV/AIDS
Treatment or tests in connection with Human Immunodeficiency Virus (HIV) related illness including Acquired Immune Deficiency Syndrome (AIDS).
Paid in Full
Hormone Replacement Therapy Paid in Full
Non-Surgical and Minor Surgical Procedures and Treatment Paid in Full
Prescribed Medicines, Drugs and Dressings
Each claim of prescription drugs is limited to 90-day prescription drugs supply. If any
prescription drugs for the same medical condition prescribed by the medical practitioner
exceeds 90-day supply, the balance of the first 90-day prescription drugs supply shall be
submitted in separate claim(s) of 90-day prescription drugs supply each after the preceding
90-day supply ends.
Paid in Full
Travel Vaccinations
This benefit will be payable for vaccinations related to travel as specified below:
- Tetanus(every 10 years), Hepatitis A, Hepatitis B, HPV (from age 9-26), Influenza,
Meningitis, Rabies, Cholera, Yellow fever, Japanese encephalitis, Polio booster, Typhoid
and Malaria-tablet form (daily or weekly).
Paid in Full
Emergency Dental Treatment
This benefit will be payable for treatment received within 24 hours of a dental emergency*.
Benefit does not include repair of dentures.
Paid in Full
Psychiatric and Psychological Care
This benefit will be paid in respect of psychiatric conditions, other mental health disorders
or addictive conditions.
Paid in Full Per Year of insurance
Well Child Tests
For the purpose of preventive care, up to a maximum of 13 visits per lifetime per dependent child under the age of 7, with annual immunisations payable for dependent children under the age of 19.

List of immunizations specifed below:
DPT, MMR, HIB, Polio, Influenza, Hepatitis A, Hepatitis B, Meningitis, HPV (from age 9-26), Meningococcal, Pneumococcal(PCV), Varicella(chickenpox), Poliovirus Vaccines, Typhoid, Japanese Encephalitis, Rabies, Tuberculosis(PPD), BCG, Yellow Fever, Meningitis, Cholera, Rotavirus, Pertussis and Hand-foot-mouth disease vaccine.
Paid in Full
Child Annual Eye and Hearing Tests
One eye test and one hearing test for children under the age of 15.
Paid in Full
Note:
*Dental emergency - where severe pain that is not relieved by painkillers, a dental accident occurs, or facial swelling or uncontrollable bleeding after an extraction, is being suffered and it is either outside the business hours of the employee or dependent’s usual dentist or the employee or dependent is staying at a place which is away from the dental practice they usually visit. The treatment covered in such an instance is to purely stabilise the problem and relieve severe pain.
Adult Wellness Benefits Benefit Limit
Routine Adult Physical Exams - This benefit will be paid for, or in connection with, routine
physical examinations that are evidence-based for employees/dependents age 18 years old
and above.

Cigna does not cover any services and supplies which are not considered orthodox.

Paid in Full, Up to a combined limit of USD $250 per year of insurance

Pap Smear - Cigna will pay charges for an annual Papanicolaou screening.
Prostate Cancer Screening - Cigna will pay charges for an annual prostate cancer screening for eligible males over 40 years old.
Mammograms for Breast Cancer Screening - This benefit will be paid in respect of:
none baseline mammogram for asymptomatic women aged 35 to under 40 years of age;
na mammogram for asymptomatic women aged 40 to under 50 years of age every two
years;
na mammogram every year for women aged 50 and over.
Dental Benefits Benefit Limit
Plan Annual Maximum
The total benefit payable in any one year of insurance, per employee or dependent for all
dental benefits.
Up to USD $1,500 per year of insurance
Class One - Investigative and Preventative Treatment.
Benefits include: X-rays, Scale and Polish.
Paid in Full
Class Two - Basic Restorative Treatment, Periodontal Treatment and Treatment of Dental Injury.
Benefits include: Root canal treatment, extractions, surgical procedures, occasional treatment, anaesthetics relating to basic restorative treatment, periodontal treatment or treatment of
dental injury.
80% Refund
Class Three - Major Restorative Treatment.
Benefits include: Dentures – acrylic/synthetic, metal and metal/acrylic, crowns, inlays,
mouthguard or occlusal splint
50% Refund
Orthodontic Treatment – maximum benefit for dependent children under the age of 18. 50% Refund Up to USD $900 per year of insurance
Notes
1. Examinations and Scale and Polish will both be limited to 2 visits per year of insurance.
2. Full case assessment will be limited to one per year of insurance.
3. X-rays will be limited to four Bitewings and six Intra Oral per year of insurance and OPG every
3 years.
4. Prolonged periodontal treatment limit of one course per year of insurance.

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