Statement to Yale Medicine Patients with Cigna Health Insurance
Yale Medicine’s current contract to provide medical care to patients whose health care coverage is provided by Cigna ends at midnight on March 31, 2021.
To maintain the level of quality and specialized care the community has come to depend upon, Yale Medicine is simply seeking reasonable rate adjustments, especially in light of the significant revenue reductions incurred in 2020 due to the pandemic. Our COVID response has shifted how we care for patients now and into the future. The pandemic required Yale Medicine to absorb historic reductions to revenue while investing heavily in PPE, infrastructure to set up and deliver telemedicine services, and in equipment to ensure proper safety protocols are in place.
Yet Cigna’s response fails to acknowledge this new reality: the current proposal for a multiyear agreement allows for nominal year-over-year rate adjustments.
We continue to engage with Cigna in good-faith negotiations with the goal of reaching an agreement that preserves Cigna members’ access to Yale Medicine providers. However, due to the lack of progress, we are preparing to be out of Cigna’s network effective April 1st, 2021.
There is no question that this is creating anxiety for Cigna-insured patients who rely on and trust Yale Medicine for their healthcare services. In anticipation of your questions and concerns, we have prepared the following informational resource, with answers to frequently asked questions and a list of Cigna contacts, where you can seek further information.
Frequently Asked Questions
What is the Contract termination date?
The contract officially ends at midnight, March 31, 2021. As of April 1, the contract is no longer valid.
What does this mean for me or my family?
Your insurance carrier, Cigna, will no longer be considered to be “participating” with Yale Medicine. This means that Yale Medicine physicians will not be included in the Cigna “in-network” providers.
Why is Yale Medicine terminating their contract with Cigna?
Though we have continued to negotiate with Cigna, we have not yet reached an agreement. If you want more information, we encourage you to call Cigna for those details; see the Cigna contact information below.
Can I still see my Yale Medicine provider on or after April 1?
Yes, but on or after April 1, all services (and all providers under the Yale Medicine umbrella) are regarded as out-of-network. Because Yale Medicine will no longer be considered a “participating provider,” this may mean that you could incur additional costs. If you have ongoing treatment at Yale Medicine, please contact Cigna with your continuity of care questions.
What will the cost be to see a Yale Medicine provider be on or after April 1st ?
This will depend on the service. You will need to contact Cigna directly for exact clarification of your benefits; see the Cigna contact information below.
Can I cancel my membership with Cigna?
If your plan with Cigna is currently in the “open enrollment” status, you may have options to change your insurance plan. You would need to discuss that with your employer/Cigna directly. See the Cigna contact information below.
Contact Numbers per Cigna’s Website:
Customer Service: 1(800) 997-1654
24 hours a day, 365 days a year
TTY/TDD Service (For callers who are deaf or hard of hearing)
Dial 711 and follow the prompts
24 hours a day, 365 days a year