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CIGNA TERMS 2025 QUESTIONS AND ANSWERS.

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CIGNA TERMS 2025 QUESTIONS AND ANSWERS.

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CIGNA TERMS 2025 QUESTIONS AND
ANSWERS.

1. Employee Status: COBRA - correct answer - Employers must
offer to temporarily prolong coverage after the employees time
with the company ends. Employee will have to pay 100% of the
premiums.




2. Packaging: Products - correct answer - Refers to the network of
physicians and health care providers that have agreements in
place with an insurer.




3. Packaging: Benefits - correct answer - refers to the actual
covered services




4. Packaging: Benefit Design - correct answer - refers to the
copays, deductibles, and out of pocket minimums




5. Packaging: Provider - correct answer - used to describe the
health professionals who provide the services. physicians,
chiropractors.

, Page | 2




6. Packaging: Network - correct answer - refers to a group of
providers or health care facilities that are contracted with Cigna
at various negotiated discounts. "in-network"




7. Claims: Claim occurrence - correct answer - the patient gets a
service from a provider




8. Claims: Claims submission - correct answer - the provider
submits a claim to the insurance company




9. Claims: Claims Processing - correct answer - the insurance
processes the claim according to the insured's plan benefits




10. Claims: EOB communication - correct answer - Explanation
of Benefits. it shows exactly what the insurance company has
paid for the service and what will be paid by the health care
provider.

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