As a result of committed efforts on both sides, Tower Health and Cigna have reached an agreement that will allow Cigna members to resume their in-network access to Tower Health services, effective May 1, 2024.
Tower Health and Cigna are focused on patient care and access and are pleased that Cigna members will be able to continue their care within Tower Health’s system of high-quality hospitals, doctor’s offices, and ambulatory services. Tower Health has reached a three-year agreement with Cigna commercial plans in all of its markets. Tower Health has reached an agreement to participate with Cigna’s Medicare Advantage plan in Chester and Montgomery counties through December 2025.
“Our top priority throughout these discussions was to make sure our patients have access to the clinical services, sites, and medical professionals they know and trust,” said P. Sue Perrotty, Chief Executive Officer, Tower Health. “This agreement accomplishes that goal. It also helps Tower Health establish effective partnerships with payers that support patient needs, now and well into the future.”
Tower Health is in the process of notifying Cigna patients about the new, multi-year agreements via electronic notifications and mailed letters. Cigna patients with questions can contact Tower Health at 1-833-348-6937.
Frequently Asked Questions – CIGNA Medicare Advantage
- When can patients with a Cigna Medicare Advantage health plan begin to see providers at Tower Health facilities in Chester and Montgomery Counties?
Effective May 1, 2024, Tower Health providers and facilities in Chester and Montgomery Counties will again be participating providers in Cigna Medicare Advantage health plans.
- How long will the agreement last?
The Cigna Medicare Advantage agreement with Tower Health runs through December 2025.
- Does this change apply to Cigna Medigap or Supplemental Plans?
Traditional Medicare enrollees with a Medicare Supplemental (“Medigap”) plan have no network restrictions and can always receive care from any Tower Health provider at their plan’s maximum benefit level.
- Does this apply to all Tower Health locations?
No. Cigna Medicare Advantage members will not be able to access services from Tower Health providers or locations in Berks County at in-network benefits.
- What happens between now and the May 1, 2024, effective date?
You may continue to use Tower Health providers on an out-of-network basis prior to May 1.
- Are Cigna members being notified?
Tower Health is sending messages to all active patients who indicated Cigna Medicare Advantage as their primary health insurer as of December 2023. Messages are being sent via MyTowerHealth, text, email, and US mail, depending upon the patient information available.
- I currently am under an ongoing treatment plan with a Tower Health provider. How will this impact me?
Subject to prior approval by Cigna, you will be able to continue to see your Tower Health provider at your plan’s maximum benefit level.
- I have more questions. Is there someone I can talk to?
Yes. You can call Tower Health at 1-833-348-6937 Monday to Friday from 8 a.m. to 5 p.m. for more information. You may also contact Cigna directly by calling the customer service number on the back of your Cigna insurance card.
Frequently Asked Questions – CIGNA Commercial Plans
- When can patients with Cigna commercial health plans begin to see providers at Tower Health facilities?
Effective May 1, 2024, Tower Health will again be a participating provider in Cigna Health Plans.
- Does this apply to all commercial Cigna Health Plans?
Cigna commercial health plan members will be able to receive care from Tower Health providers at their plan’s in-network maximum benefit level for medical or behavioral health, subject to any employer exclusions.
- Does this apply to all Tower Health locations?
Yes. Cigna commercial health plan members will be able to access in-network services from any Tower Health provider or location, including St. Christopher’s Hospital for Children.
- Will all my physicians be back in network by May 1, 2024?
Yes. All Tower Health providers will be credentialed with Cigna by May 1.
- What happens between now and the May 1, 2024 effective date?
You may continue to use Tower Health providers on an out-of-network basis prior to May 1.
- Are Cigna members being notified?
Tower Health is sending messages to all active patients who indicated Cigna as their primary health insurer as of December 2023. Messages are being sent via MyTowerHealth, text, email, and US mail, depending upon the patient information available. It is our understanding that Cigna has notified its employer groups of the upcoming changes.
- I currently am under an ongoing treatment plan with a Tower Health provider. How will this impact me?
Subject to prior approval by Cigna, you will be able to continue to see your Tower Health provider at your plan’s maximum benefit level.
- I have more questions. Is there someone I can talk to?
Yes. You can call Tower Health at 1-833-348-6937 Monday to Friday from 8 a.m. to 5 p.m. for more information. You may also contact Cigna directly by calling the customer service number on the back of your Cigna insurance card.