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Cigna Providers & Facilities

Eligibility

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Eligibility Details for an HMO, EPO, POS 2-Tier Member:

Cigna Healthcare PPO Network Providers should check eligibility and benefits to determine covered services, send claims, and submit precertification requests as instructed on the ID card.

Cigna Healthcare PPO Network Providers for urgent or emergency care outside of Kaiser Permanente's service state (Outside of California, Colorado, District of Columbia, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington) should contact Kaiser Permanente as soon as possible for Cigna precertification questions, eligibility verification, and benefits verification at Kaiser Permanente's dedicated phone line for Cigna Healthcare PPO providers: 888.831.0761.

Eligibility Details for a PPO & 3-Tier POS Member:

Cigna Healthcare PPO Network Providers should check eligibility and benefits to determine covered services, send claims, and submit precertification requests as instructed on the ID card.

Cigna Healthcare PPO Network Providers outside of Kaiser Permanente states (Outside of California, Colorado, District of Columbia, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington) should contact Kaiser Permanente as soon as possible for Cigna precertification questions, eligibility verification, and benefits verification at Kaiser Permanente's dedicated phone line for Cigna Healthcare PPO providers: 888.831.0761.

Online check of KP member eligibility and benefits

KP Online Affiliate is available 24 hours a day, seven days a week. With access to Online Affiliate, you can quickly check KP member eligibility and benefits without making a phone call.

Click the appropriate KP region below corresponding to the patient's Active coverage area to learn more about Online Affiliate and register for access.

California – Northern
California – Southern
Colorado
Georgia
Hawaii
Mid-Atlantic States
Northwest