CIGNA HealthCare


7501 Boulders View Drive, Suite 500
Richmond, VA 23225
Telephone: (804) 267-5100
Fax: (804) 267-5111
Member services: (800) 832-3211
Provider services: (800) 882-4462

Web site: www.cigna.com

Key Staff
General Manager – Thomas Martel
Medical Director – Z. Colette Edwards, MD
Director of Provider Relations – John Crowley and Rob Smart
Government Relations – Jeffrey Tindall

Other Contacts
General Company Information – Lamonte Thomas
Grievance / Appeals Procedure (800) 832-3211
Quality Improvement – Alice Counts & Judy French
Pharmacy Benefits – Nadia Assadi

Specialized Health Care Services
Service In-House Contracted
Mental Health X
Pharmacy Benefit Mgmt. X
Vision Care X
Dental Care X
Disease Mgmt. X
Utilization Mgmt. X

 

Market Segment
Market Segment HMO/POS PPO
Individual
Small Group (2-49 Employees) X
Large Group (50+ Employees) X X
Administrative Services Only (ASO) X X

 

Network Providers Under Contract (numbers are combined HMO/PPO)
Network Providers HMO PPO PAR
PCPs 4127 4540
Physician Specialists 7324 8197
Hospitals 86 104
OB/GYNs 701 749

 

Enrollment (as of January 31, 2007)
Standard HMO 173251
Point-of-Service (POS) * included in HMO
PPO 165443

 

Virginia HMO Service Area:
Counties
Albemarle, Amelia, Amherst, Augusta, Bedford, Botetourt, Buckingham, Campbell, Caroline, Charles City, Chesterfield, Clarke, Culpeper, Cumberland, Dinwiddie, Fairfax, Fauquier, Floyd, Fluvanna, Franklin, Frederick, Giles, Gloucester,
Goochland, Greene, Hanover, Henrico, Henry, Isle Of Wight, James City, King And Queen, King George, King William, Loudoun, Louisa, Madison, Mathews, Middlesex, Montgomery, Nelson, New Kent, Nottoway, Orange, Page, Patrick, Pittsylvania, Powhatan, Prince George, Prince William, Pulaski, Roanoke, Rockingham, Shenandoah, Spotsylvania, Stafford, Surry, Sussex, Warren, York

Cities
Alexandria, Arlington, Bedford, Charlottesville, Chesapeake, Colonial Heights, Danville, Fairfax, Falls Church, Hampton, Harrisonburg, Hopewell, Lynchburg, Manassas, Manassas Park, Martinsville, Newport News, Norfolk, Petersburg, Poquoson, Portsmouth, Radford, Richmond, Roanoke, Salem, Staunton, Suffolk, Virginia Beach, Waynesboro, Williamsburg, Winchester