Filing a Claim

		Health Plan New Employees CIGNA for 2008 Plan Descriptions Find a Network Provider Forms Filing a Claim Prescriptions Lab Work Employee Assistance Program Changing Benefits Pre-Existing Condition Limitation Coordinate with Another Employer's Plan Part-Time Benefits COBRA HIPAA Flexible Benefit Program Plan Documents FAQ

Following are instructions for filing claims. Once your claim has been processed, you will receive an Explanation of Benefits (EOB). It will show you the breakdown of charges and payments, if any. If you have a question regarding a specific claim, please call the phone number on your EOB.
When you file a claim, always keep copies of what you submit.

For 2008 Claims:

Medical Plans

• Deadline: Must be filed within 12 months from the date of service.
• Mail to CIGNA, P.O. Box 182223, Chattanooga, TN, 37422-7223
• CIGNA network doctors will file claims for you.
• 2008 CIGNA Medical Claim Form (178 KB)

Mental Health

• Deadline: Must be filed within 12 months from the date of service.
• You must pre-certify all services through ValueOptions at 1-866-665-6305.
• Mail to ValueOptions, P.O. Box 1920, Latham, NY, 12110
• 2008 ValueOptions Claim Form (787 KB)

Non-Medical Alternate Plan

• Deadline: Must be filed within 12 months from the date of service.
• Mail to CIGNA, Attn: Kim Stovall, P.O. Box 9071, Denison, TX, 75020
• 2008 CIGNA Alternate Plan Claim Form (117 KB)

Dental Plans

• Deadline: Must be filed within 12 months from the date of service.
• CIGNA network dentists will file claims for you.
• Mail to CIGNA Dental, P.O. Box 188037, Chattanooga, TN, 37422-8037
• CIGNA Dental Claim Form (185 KB)

Flexible Spending Accounts

• Deadline: Must be received by CIGNA no later than April 30, 2009.
• Mail to CIGNA Healthcare, P.O. Box 5200, Scranton, PA, 18505-5200
• 2008 Medical Flex Account Claim Form (67 KB)
• 2008 Dependent Care Flex Account Claim Form (157 KB)

Vision Service Plan

• VSP network optometrists will file claims for you.
• If you use a non-VSP optometrist, use your itemized receipt to complete the Out of Network Reimbursement form at www.vsp.com . Print the completed form and mail to Vision Service Plan, Attn: Out-of-Network Provider Claims, P.O. Box 997105, Sacramento, CA, 95899-7105.
• Deadline: Out-of-network claims must be filed within 6 months from the date of service.

Disability Plan

• UNUM Disability Claim Form (531 KB)