Does Cigna Cover PET scan?

Cigna’s Informed Choice program* helps you find the diagnostic test that may be right for your health – and your finances. MRIs, CTs and PET scans can cost much less at some facilities. If you decide to save money by going to a more cost-effective facility, Cigna can help.

Does Cigna cover CT scans?

Under Cigna’s policy, MRIs and CT scans administered in a hospital will only be covered as medically necessary for patients who are less than 10 years old, need obstetrical observation, require perinatology services, have imaging related to a transplant procedure or have an allergy to the contrast used in the imaging.

What are the rules for a PET scan?

48 Hours Before Your Appointment. Do not do any strenuous exercise or deep-tissue massage.

Does Cigna require prior authorization for CT scan?

Cigna will no longer require prior authorization for some CT scans of the heart, according to an updated precertification list. The change removes preauthorization rules for CPT code 75574 in all of Cigna’s markets except Hawaii, Puerto Rico and Guam.

Does Cigna own eviCore?

eviCore healthcare (eviCore) is an independent specialty medical benefits management company that provides utilization management services for Cigna Healthcare.

How long does it take for Cigna to approve CT scan?

1 to 2 days
Complete results usually are ready for your doctor in 1 to 2 days.

How long does it take Cigna to approve a CT scan?

Do you have to take your clothes off for a PET scan?

If you have any questions or concerns about an upcoming PET/CT scan, your care team can answer any questions or concerns. To produce accurate results, patients need to prepare for a PET/CT scan: Do not wear clothing with snaps, zippers, buckles, or any other large pieces of metal, and do not wear jewelry.

What are the disadvantages of a PET scan?

Limitations of a PET Scan A PET scan is less accurate in certain situations: Slow-growing, less active tumors may not absorb much tracer. Small tumors (less than 7mm) may not be detectable. High levels of blood sugar can cause the cells to absorb this normal sugar rather than the radioactive, injected kind.

How long does prior authorization take Cigna?

Our standard response time for prescription drug coverage requests is 5 business days. If your request is urgent, it is important that you call us to expedite the request.

Does Cigna allow retro authorization?

As you know, we have a policy in place that we do not honor retrospective referrals and authorizations although we have sometimes done so in the past. With this in mind, Cigna-HealthSpring will retrospectively review any medically necessary services provided to customers after hours, on holidays or during weekends.

What are the medical coverage policies for Cigna?

The following coverage policy applies to health benefit plans administered by Cigna. Coverage policies are intended to provide guidance in interpreting certain standard Cigna benefit plans and are used by medical directors and other health care professionals in making medical necessity and other coverage determinations.

Do you have to go to the hospital for a PET scan?

You can also visit the myCigna ® website to review average prices for scans at various facilities. Do I have to go to a hospital to receive an MRI, CT, or PET scan? No. Other facilities outside the hospital typically offer the same scan services that hospitals offer.

Can you save money on a PET scan?

MRIs, CTs and PET scans can cost much less at some facilities. You can save by making a more informed choice about where you get your services. If you decide to save money by going to a more cost-effective facility, Cigna can help.

How to find out if you have CIGNA insurance?

Doctors and individuals should contact their Cigna representative for specific coverage information. Some coverage policies require that services be pre-approved by Cigna – learn more about our prior authorization procedures.