InsurersFor Cigna Healthcare members and case managers
Using your Cigna Healthcare cover with a private GP in London
Cigna Healthcare members can see a private GP in London the same day, in Marylebone and Belgravia or where they are staying. Cover for the visit is a matter for the member’s Cigna Healthcare policy, and we can ask Cigna Healthcare about it first.
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If you are a Cigna Healthcare member
Whether a visit is covered depends on your policy. With your agreement we can ask Cigna Healthcare for a guarantee of payment before you are seen. Where direct settlement is not in place, you pay at the visit and we give you an itemised invoice and medical report for your claim.
Cigna Healthcare asks for prior authorisation for inpatient and daypatient care, and a London GP visit is often what decides whether that is needed.
If you manage the case
Four things a Cigna Healthcare case manager can rely on in London.
- Treated in situA Cigna Healthcare member is examined and treated in the room unless a hospital is safer.
- The reportWritten in English the moment the visit ends, for Cigna Healthcare and for the member.
- Invoices that matchNothing billed to Cigna Healthcare that the guarantee does not name, every line itemised.
- FeesOur fee schedule for insured and sponsored care is available to provider teams on request.
Care in our other cities, on one record
Cigna Healthcare members move between countries. With consent the London record goes ahead of them to our partners in 12 other cities.
Refer a member
For Cigna Healthcare case managers and assistance teams. Send the member and the guarantee, and a doctor calls the member.
How Cigna Healthcare works
Each line is read from Cigna Healthcare’s own website, with the date we read it.
Prior authorisation is needed for inpatient and daypatient treatment. Members contact the Customer Service team first.
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As part of prior authorisation Cigna Healthcare usually issues a guarantee of payment to the member or the provider.
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Members who paid the provider send the invoice, a completed claim form and the receipt within 12 months.
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The Customer Care team is available 24 hours a day. The Cigna Wellbeing App gives access to Global Telehealth.
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Questions
Does a GP visit need Cigna prior authorisation?
Cigna Healthcare’s guide asks for prior authorisation for inpatient and daypatient treatment. An outpatient GP visit is usually paid and claimed, within 12 months, with the invoice, the claim form and the receipt.
Can Cigna issue a guarantee of payment to The Wellness?
Cigna Healthcare says it usually issues a guarantee of payment as part of prior authorisation, to the member or the provider. With your agreement we can ask for one before you are seen.
Does the Cigna Healthcare claims team get the report?
Yes, when the Cigna Healthcare member consents. The doctor writes it before leaving, in English, and the member keeps an identical copy.
Can you treat a Cigna Healthcare member at their hotel rather than send them to hospital?
Where it is safe, yes. The doctor examines and treats in the room, prescribes, and arranges blood tests. If the member needs a hospital, the doctor says so and arranges it.
What does the invoice for a Cigna Healthcare case show?
Every fee on its own line against the Cigna Healthcare reference, dated and signed by the treating doctor. Provider teams can ask for our fee schedule for insured and sponsored care.
Our numbers
- Care Quality Commission
- Registered with the Care Quality Commission
- GMC registered doctors
- 5
- A doctor on the clinic’s line
- Monday to Friday eight until eight, Saturday nine until five, Sunday ten until four.
- Every referral and enquiry
- You will hear from us within 24 hours.
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Cigna Healthcare is an independent organisation. The Wellness is not affiliated with Cigna Healthcare unless stated on this page.