As of January 1, 2025, GEHA and Cigna will no longer allow the communication of Cigna’s fee schedules. This change could significantly impact how you serve your GEHA patients, especially if you’re not part of other lease agreements that facilitate communication with GEHA plans.
Why does this matter?
If your practice relies on Cigna’s fee schedule for GEHA patients, this shift could cause disruptions in claims processing and reimbursement. But don’t worry—there are other lease communication options available to help ensure your office continues to support these patients seamlessly.
Lease Communication Options:
GEHA (Direct only available in certain states)
Connection
Careington
Before you make any decisions, it’s crucial to understand the full scope of how these networks communicate, particularly with different plan types, including Federal Plans. Not all lease agreements cover every plan, so understanding which networks and plans are supported is vital.
What You Need to Do:
Evaluate Your Patient Base: Are you currently seeing GEHA patients? It’s important to know which plans your practice supports and how these changes may affect them.
Research Network Options: When considering joining new lease communications, take the time to fully understand how each network communicates with GEHA plans and additional networks.
Request Payor Lists: Contact each network to request payor lists and other relevant information to help your office make the best decision. This ensures that you can continue to offer the high-quality care your GEHA patients rely on.
Don’t Leave Your Patients—and Your Practice—at Risk!
As these changes approach, it’s more important than ever to stay informed and make proactive decisions about your practice’s lease agreements. Don’t navigate this transition alone! Reach out to PPO Advisors for expert advice tailored to your unique needs. We’ll guide you through the complexities of network communication options, ensuring you can continue to serve your GEHA patients without interruption.
Contact PPO Advisors today for a personalized consultation and to ensure your practice is ready for the changes ahead.