Tacodeli - 2025 Benefit Guide (English)

Tacodeli

Supplemental Health Benefits

CIGNA CLAIMS ASSISTANCE If you’re enrolled in a Cigna medical plan, and also enroll in Accident Insurance, Critical Illness Insurance or Hospital Care Insurance, you will have access to Cigna’s claims assistance program. This service, included at no additional cost, is designed to help make sure you get the benefits for which you’re eligible – and get them easier. Here’s how Cigna’s claims assistance does the heavy lifting for you:

Example of how Cigna Claims Assistance works

Matt injured his wrist and knee playing softball, which required a trip to the ER, starting a medical claim

REVIEW: Cigna will review your eligible medical claims

Cigna identified the medical claim as a potential accident claim, and saw that Matt may be eligible for an Accident benefit claim

NOTIFY: If any of your medical claims appear to qualify for a benefit payment from your supplemental health plan, you will receive a letter notifying you of the potential claim and including filing instructions ASSIST: Cigna will provide support to answer questions and help the member through the claim process AUTO-PAY WELLNESS: Cigna will automatically send benefit payment to covered members who complete wellness exams covered under any Accident or Critical Illness plan

Cigna conducted outreach to Matt to notify him of the potential claim and provide instructions on how to submit the claim

Cigna assisted Matt through the claims process, helping ensure he received benefits to offset his medical expenses

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