The links below direct you to outside Web sites that allow you to search for network health care providers. To maximize your AFTRA Health Plan benefits and minimize your out-of-pocket costs, choose health care providers in these networks.
|Type of health |
|How to search for |
network health care providers
Physicians, clinics, hospitals* or other medical care providers
|Search Cigna's Open Access Plus (OAP) network or call the Cigna/CareAllies 24-hour Health Information Line at (800) 768-4695. |
Important: After opening the page linked above, click "Select a Plan for your search (Required)" and then choose "Open Access Plus (OAP)" to begin your search.
Reminder: The AFTRA Health Plan transitioned to the Cigna Open Access Plus (OAP) network effective Jan. 1, 2015. The Cigna OAP network is effective only for dates of service on or after this effective date. To verify the network status of providers for claims with dates of service before this effective date, search the Cigna HealthCare PPO network.
Learn more about the new Cigna OAP network: Visit this page to learn more about the new Cigna OAP network, including a new option to choose a primary care physician.
Locate Motion Picture Television Fund (MPTF) Health Centers and physicians in Southern California. MPTF providers participate in Cigna's PPO network, but because MPTF providers are exclusive to members of the entertainment industry, MPTF providers are listed separately from Cigna’s online provider directory.
Nominate a provider for Cigna: If a health care provider is not currently in the Cigna network, you may nominate the provider by submitting a completed Cigna Provider Nomination Form. However, please note that the submission of a provider nomination form does not guarantee that the health care provider will be added to the Cigna network.
|Pharmacies ||Register or log in to search for Express Scripts network pharmacies. |
Call Express Scripts at (800) 903-8343.
Mail claim forms for non-network pharmacy claims to:
P.O. Box 2872
Clinton, Iowa 52733
|Dentists ||Search for Guardian network dental care providers — Select "PPO" in the "Select Your Dental Plan" menu, and then "DentalGuard Preferred" in the "Select Your Dental Network" menu. Call Guardian at (800) 765-6405. |
Mental health and chemical dependency treatment
|Search ValueOptions' provider network ("Find Services" | "Referral Connect") or call ValueOptions at (800) 704-1421. |
Important: All inpatient mental health and chemical dependency services must be pre-authorized by ValueOptions. Call ValueOptions at (800) 704-1421 for inpatient pre-authorization.
New claims submission procedure. Effective Jan. 1, 2015, please submit all of your mental health and chemical dependency benefits claims for service dates effective Jan. 1, 2015 and later directly to ValueOptions at:
P.O. Box 1290
Latham, NY 12110
All mental health and chemical dependency benefits claims for service dates effective prior to Jan. 1, 2015 should be sent to:
AFTRA Fund Claims Department
261 Madison Avenue, 8th Floor
New York, NY 10016-2312
|Private duty nursing, case management and hospital pre-authorization ||Call the Cigna/CareAllies 24-hour Health Information Line at (800) 768-4695. |
* Important note: All hospital stays and private duty nursing care must be pre-authorized through Cigna.
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