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Cigna Providers & Facilities
Effective August 1, 2022, Kaiser Permanente (KP) members with HMO (health maintenance organization) or participating EPO (exclusive provider organization) plans began to have access to emergency and urgent care services at Cigna negotiated rates via Cigna’s PPO (preferred provider organization) Network* of providers when traveling outside Kaiser Permanente states (outside of California, Colorado, District of Columbia, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington) and if applicable, no payments are required from eligible** members until after the claim is priced by Cigna and paid by Kaiser Permanente.
Similarly, effective October 1, 2022, Kaiser Permanente members with POS (Point of Service) 2-Tier plans began to have access to emergency and urgent care services at Cigna negotiated rates via Cigna’s PPO Network* of providers when traveling outside Kaiser Permanente states and if applicable, no payments are required from eligible** members until after the claim is priced by Cigna and paid by Kaiser Permanente.
Additionally, effective January 1, 2023, Kaiser Permanente Insurance Company (KPIC)*** PPO and Kaiser Permanente’s POS 3-Tier members began to have access to the Cigna PPO Network* for most covered services including, but not limited to outpatient and inpatient services, emergency and urgent care services at Cigna negotiated rates via Cigna’s national PPO network of physicians, hospitals, and urgent care clinics while outside of a Kaiser Permanente states (outside of California, Colorado, District of Columbia, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington).
Through this new collaboration, Cigna PPO Network providers outside of Kaiser Permanente States will be reimbursed for qualifying services they provide to eligible** Kaiser Permanente (HMO, EPO, POS 2-Tier, POS 3-Tier) or KPIC (PPO) members. However, Cigna PPO Network providers outside of Kaiser Permanente States should only collect appliable cost share (once their eligibility and benefits are determined) from eligible Kaiser Permanente POS 3-Tier or KPIC PPO members at the time of service.
Eligible** members may present a Cigna-branded Travel Card, or co-branded Physical or Digital Membership Card, indicating plan participation.
Note: For providers that are NOT a Cigna PPO Network Provider Outside a KP State or if the member is ineligible (on a Medicare or Medicaid product), please follow existing processes on the regional/national pages by navigating to them in the footer below.
*The Cigna PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration. Cigna is an independent company and not affiliated with Kaiser Foundation Health Plan, Inc., and its subsidiary health plans. Access to the Cigna PPO Network is available through Cigna’s contractual relationship with the Kaiser Permanente health plans. All Cigna products are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
**Eligibility Exceptions: The Cigna PPO Network* enhanced experience for our members is not available to:
- HMO, EPO, PPO, & POS members enrolled in coverage issued by Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc.
- PPO and POS 3-Tier members enrolled in coverage issued by Kaiser Foundation Health Plan of Northwest.
- Medicare members
- Medicaid members (Medi-Cal in California)
***Kaiser Permanente Insurance Company (KPIC) is a subsidiary of Kaiser Foundation Health Plan, Inc. (KFHP).