Cigna appears on the payer list for our Colorado clinics and for our Arizona clinics, so our clinics bill Cigna directly. The plan behind the card is what decides the rest. Cigna administers employer plans, marketplace plans and Medicare products, and two people holding cards with the same logo can have very different benefits for the same appointment.
The check takes a few minutes and it happens before you are seen. Call with your card, or request an appointment online, and our team will tell you whether Chiropractic, Physical Therapy, Acupuncture or Pain Management is covered under your plan, where your deductible stands and what the visit is likely to cost.
Cigna is also one of the payers most likely to route musculoskeletal benefits through a separate utilization management arrangement. In practice that means the decision about how many visits are approved may sit with a review vendor rather than with Cigna directly, and that the approval can come in blocks rather than all at once.
Referrals. We do not require one for any service line. Cigna’s open-access products generally do not either. Where a plan does want a referral on file, it is a plan rule rather than a clinic rule, and our team finds that out when they verify your benefits.
Visits approved in blocks. Where a musculoskeletal review applies, approval often arrives as a first set of visits with more available on evidence of progress. That is a reason to measure at the evaluation and to measure again, because objective change is what the next block is granted on. It is also a reason not to spend early visits on things that will not show up in a measurement.
Prior authorization. Interventional procedures and advanced imaging are where this normally applies. Our team submits it, tracks it, and tells you what is outstanding.
Two cards, one patient. If Cigna is secondary to another plan, say so when you call. Coordination of benefits decided in advance is the difference between a clean statement and a surprise one.
Bring the card, a photo ID and any imaging you already have with the report attached to it. If a musculoskeletal review is going to apply to your plan, the report matters more than the images do, because it is the written findings a reviewer reads.
The benefit check happens before your first visit. Call with the card and our team will tell you what your plan covers, where your deductible stands, whether a review vendor sits between you and the authorization, and how many visits are likely to come in the first block. Request an appointment online at any hour and we will call you back and do the same.
Colorado (16 clinics) — Academy in Colorado Springs, Arapahoe, Central Park, Downtown Denver, Greeley, Harmony in Fort Collins, Highlands Ranch, Interquest in north Colorado Springs, Lafayette, Lakewood, Lone Tree, Lowry, Northglenn, Southlands, Tenderfoot in south Colorado Springs, Wadsworth.
Arizona (6 clinics) — Chandler, Deer Valley, Dunlap in north Phoenix, Mesa, Peoria, Westgate in Glendale.
Every clinic page lists the address, the hours and what a first visit involves. Plans differ by state even under the same name, so if you are moving between Colorado and Arizona it is worth a second check.
Yes. Cigna is on the accepted payer list for our Colorado clinics and our Arizona clinics. What your particular Cigna plan covers is a separate question, and our team verifies it before your first visit.
Our Colorado clinics bill Cigna directly and Chiropractic is offered at every one of them. Whether your plan carries chiropractic benefits, and how many visits it allows in a year, is set by the plan, so we check it before you are seen.
Our Arizona clinics bill Cigna directly. Acupuncture coverage varies more between plans than any other service line we offer, so it is genuinely worth calling with the card rather than assuming either way.
Where musculoskeletal benefits are managed, approval commonly comes in blocks, with further visits granted on evidence of progress. It is not a judgment about your problem. It is why measurements are taken at the evaluation and repeated.
Not from us. Some plans want one on file for the claim to pay. Our team checks which kind yours is when they verify your benefits, before you come in.
Usually, for interventional procedures and for advanced imaging. Our team submits and tracks it, and you should be told what is outstanding rather than having to chase it.
Yes, and it is worth telling us when you call so coordination of benefits is settled in advance rather than after a statement arrives.
It depends on your deductible, your copay and what you have already used this year. Call with your card and our team will give you the number before the visit rather than after it.
Day or night, seven days a week — and we’ll text you back to get you scheduled. No referral is needed, and our goal is to see you within the same week. Colorado scheduling runs through one number for every Colorado clinic: (720) 749-5599.
