Frequently Asked Questions

We are actively working in good faith with Cigna to reach a new agreement before our current contract expires on Sunday, March 2. We are doing everything we can to stay in Cigna’s network and maintain your in-network access to the physicians and services you depend on.

In the event our contract expires before an agreement is reached, we may be out of Cigna’s network starting on Monday, March 3, for patients who obtain their health insurance through an employer.

In the event our contract expires before an agreement is reached, we may be out of Cigna’s network starting on Monday, March 3, for patients who obtain their health insurance through an employer.

This could cause you to pay more out of pocket to continue receiving health care from the Mount Sinai providers you trust, or you would need to use out-of-network benefits if available.

Our current contract with Cigna will expire on Sunday, March 2. Neither Cigna nor Mount Sinai is terminating the contract. This expiration date was built into our current agreement. Negotiations like these are a normal part of our business relationships with all insurance companies. We hope to reach an agreement before our contract expires, but we want you to be prepared in case we are unsuccessful.

This will affect patients with Cigna plans who obtain their Cigna health insurance through an employer. A network change could cause you to pay more out of pocket in order to continue receiving health care from the Mount Sinai providers you trust.

In the event our contract expires before an agreement is reached, we may be out of Cigna’s network starting on Monday, March 3, for patients who obtain their Cigna health insurance through their employer.

Yes, but Cigna may not cover it, or you may have to pay more for your care. At Mount Sinai, we believe every patient deserves top-quality health care from the doctors, nurses, and teams they trust. Mount Sinai will continue to care for you regardless of insurance status. However, your Cigna benefit plan may require you to pay for a greater portion of your care out of pocket. Contact Cigna at the number on the back of your ID card to verify what your out-of-pocket responsibility would be.

Please know that if you need emergency care, regardless of your insurance status, you should continue to come to our Emergency Departments no matter what. Emergency care is always covered, no matter our contract status with Cigna.

Yes. All insurance companies are required to process emergency claims as if you were in network, so rest assured that you can always receive emergency care in Mount Sinai’s emergency rooms.

Call Mount Sinai’s dedicated community information line at 833-623-1258.

To protect your right to continue receiving covered care at Mount Sinai:

• Keep all scheduled appointments and procedures with Mount Sinai, and don’t delay routine health screenings, procedures, or tests important to your health.
• Call Cigna at the number on the back of your insurance card and let them know you want to keep insurance coverage for the Mount Sinai providers and services you know and trust.
• Talk to your Human Resources or Benefits Department and urge them to contact Cigna.   
• Go to mountsinai.org/about/insurance to view the list of insurance companies with which Mount Sinai contracts.

It will be up to Cigna to determine what portion of the balance they will cover and what portion they will ask you to pay out of pocket. Cigna will likely choose to cover a smaller portion of the balance once they no longer consider Mount Sinai part of their network.

However, concerning emergency services, under federal law, your out-of-pocket costs must be no different than if you had been treated at an in-network facility.

Medicare Advantage plans are part of a different agreement between Mount Sinai and Cigna. Effective Wednesday, January 1, we will be ending participation in Cigna’s Medicare Advantage network. If you’d like to talk with someone about your care at Mount Sinai, contact Mount Sinai’s community information line at 833-623-1258. You can also visit choosemountsinai.org to learn more.

If you are being treated for certain health conditions, Cigna is required to continue covering treatment for that condition at in-network rates for a period of time through continuity-of-care benefits. These benefits are guaranteed by federal and state law for those who are eligible. If you believe that you may be eligible for continuity-of-care benefits, call Cigna at the number on the back of your insurance ID card to inquire about how to access this extended coverage.

Examples of conditions covered by continuity of care may include:

• Pregnancy
• Newly diagnosed cancer and currently receiving chemotherapy, radiation therapy, or reconstruction
• Relapsed cancer and currently receiving chemotherapy, radiation therapy, or reconstruction
• Transplant candidates or recipients in need of ongoing care due to complications
• Recent major surgeries in the acute phase
• Serious acute conditions in active treatment (e.g., heart attacks or strokes)
• Other serious chronic conditions that require active treatment

For more information about health conditions that may qualify for continuity of care benefits, call Cigna at the number on the back of your insurance ID card.