Eligibility

Cigna Healthcare PPO Network Providers should check eligibility and benefits to determine covered services, send claims, and submit precertification requests as instructed on the ID card.

Cigna Healthcare PPO Network Providers for urgent or (Outside of California, Colorado, District of Columbia, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington) should contact Kaiser Permanente as soon as possible for Cigna precertification questions, eligibility verification, and benefits verification at Kaiser Permanente's dedicated phone line for Cigna Healthcare PPO providers: 888.831.0761.

Cigna Healthcare PPO Network Providers should check eligibility and benefits to determine covered services, send claims, and submit precertification requests as instructed on the ID card.

Cigna Healthcare PPO Network Providers outside of Kaiser Permanente states (Outside of California, Colorado, District of Columbia, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington) should contact Kaiser Permanente as soon as possible for Cigna precertification questions, eligibility verification, and benefits verification at Kaiser Permanente's dedicated phone line for Cigna Healthcare PPO providers: 888.831.0761.

KP Online Affiliate is available 24 hours a day, seven days a week. With access to Online Affiliate, you can quickly check KP member eligibility and benefits without making a phone call.

Click the appropriate KP region below corresponding to the patient's Active coverage area to learn more about Online Affiliate and register for access.

*The Cigna Healthcare PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration. Cigna Healthcare is an independent company and not affiliated with Kaiser Foundation Health Plan, Inc., and its subsidiary health plans. Access to the Cigna Healthcare PPO Network is available through Cigna Healthcare’s contractual relationship with the Kaiser Permanente health plans. The Cigna Healthcare PPO Network is provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Intellectual Property, Inc.

**Eligibility Exceptions: The Cigna Healthcare PPO Network* enhanced experience for our members is not available to:

HMO, EPO, PPO, & POS members enrolled in coverage issued by Kaiser Foundation Health Plan of Washington and Kaiser Foundation HealthPlan of Washington Options, Inc.
PPO and POS 3-Tier members enrolled in coverage issued by Kaiser Foundation Health Plan of Northwest.
Medicare members
Medicaid members (Medi-Cal in California)

***Kaiser Permanente Insurance Company (KPIC) is a subsidiary of Kaiser Foundation Health Plan, Inc. (KFHP).