Please note: the Health Plan should have the most updated information; therefore, call the Health Plan for accuracy.
The Maximum Out-of-Pocket (MOOP) benefit is now a part of all Cigna-Health Spring benefit plans.
Cigna-Health Spring staff will make sure that unauthorized people do not see or change customer records.
Generally, we will get written permission from the customer (or from someone the customer has given legal authority to make decisions on their behalf) before we can give customer health information to anyone who is not providing the customer’s medical care.
Cigna-Health Spring’s customers have additional rights over their health information.
They have the right to: As a Covered Entity under HIPAA, providers are required to comply with the HIPAA Privacy Rule and other applicable laws in order to protect customer PHI.
Provider shall not bill, charge, collect a deposit from, seek compensation or reimbursement from, or have any recourse against customers or persons, other than Cigna-Health Spring, acting on behalf of customers for Covered Services provided pursuant to the Participating Provider’s Agreement.Customers have a limit on the amount they will be required to pay out-of-pocket each year for medical services which are covered under Medicare Part A and Part B.Once the MOOP expense has been reached, the customer is no longer responsible for any out-of- pocket expenses, including any cost shares, for the remainder of the year for covered Part A and Part B services (excluding the customer’s Medicare Part B premium and Cigna-Health Spring plan premium).To discuss any breaches of the privacy of our customers, please contact our HIPAA Privacy Officer at 1-860-787-6801.Cigna-Health Spring customers have the following rights: The right to be treated with dignity and respect Customers have the right to be treated with dignity, respect, and fairness at all times.We are committed to protecting our customers’ personal information.Cigna-Health Spring does not disclose customer information to anyone without obtaining consent from an authorized person(s), unless we are permitted to do so by law.If customers need help with communication, such as help from a language interpreter, they should be directed to call Customer Service.Customer Service can also help customers file complaints about access to facilities (such as wheel chair access).Cigna-Health Spring keeps customers’ personal health information private as required under these laws.Any personal information that a customer gives Cigna-Health Spring is protected.