Use providers in the PPO network whenever possible.

It is best to locate an in-network doctor, urgent care center, and emergency room near you before you get sick. To find a PPO provider, visit the Cigna website (link below).

1. At the bottom of the page, click on the Provider Directory link: hcpdirectory.cigna.com.
2. From the top right of the screen next to search box, click on Find a Doctor, Dentist, or Facility.
3. Under “How are you Covered,” click on Employer or School.
4. Enter your Address and City, or Zip, then click on address to confirm. Click on Doctor by Type, Doctor by Name, or Locations and make your selection in the drop down.
5. Click Continue as guest.
6. Confirm your address and click Continue.
7. Under “Please Select a Plan,” click “PPO, Choice Fund PPO.”
8. Select a doctor from the list.

Arrive 15 minutes early for your appointment. Bring your insurance ID card with you. Always check with the doctor or medical facility directly to confirm that they accept Cigna PPO before you receive treatment.

The Pharmacy Benefits Manager for this plan is Wellfleet Rx/ESI. Please see the Wellfleet/Express Scripts website (link below) to find a pharmacy near you, or call Member Pharmacy Help at (877) 640-7940.

In the event of either an Injury or a Sickness:

1. Report to a Physician, Hospital or the School’s Student Health Services.
2. Written notice of a claim must be submitted to the address below within thirty (30) days after the date of Injury or commencement
   of Sickness covered by the Policy, or as soon thereafter as is reasonably possible.
3. Send all medical and hospital bills, along with the patient’s name and insured student’s name, address, Social Security number or student ID number and name of the University under which the student is insured, to the address below. A Company claim form is not required for filing a claim.

Cigna
PO Box 188061
Chattanooga, Tennessee 37422-8061
Electronic Payor ID: 62308

For Non-Cigna PPO Providers:
Wellfleet Group, LLC
PO Box 15369
Springfield, Massachusetts 01115-5369
(877) 657-5030, TTY 711
www.wellfleetstudent.com

Bills should be received by the Company within ninety (90) days of service. Keep copies of all the documents you submit. To
check the status of a claim you submitted, call (877) 657-5030, TTY 711 or visit www.wellfleetstudent.com.

Confidential Communication Request

If you would like to have confidential medical information from the claims administrator sent to an address other than the address on file with your school, you can download a Member’s Authorization to Release Information form and send it to the address listed. This form is available below.

Students covered under the student insurance plan are automatically enrolled in Wellfleet Travel Guard. Travel Guard offers many services to help students when traveling away from your school or outside the U.S., including medical emergencies during travel, help with lost luggage, documents, or medications, insightful pre-trip information, and more.

For additional information, see your Plan Summary or visit the Travel Guard website (link below).