Out of Network services will not be covered except for emergency services
in the event of an emergency.
This network includes Erlanger facilities and their physicians, as well as non-Erlanger physicians
not employed by an excluded healthcare system (Tennova Healthcare Cleveland, Parkridge Hospital,
and CHI Memorial Hospital) or any facility in the state of Georgia and are part of the Cigna Open
Access Plus Network (Cigna OAP) or the Vanderbilt Health Affiliated Network (VHAN).
Facility services must be performed at an Erlanger facility unless prior authorization has been
obtained. This plan does not provide out of network benefits, except in the case of a true emergency.
Tier 1
Erlanger Providers
In order to maximize your healthcare benefits, seek services with Erlanger physicians & facilities.
Services performed at facilities outside of Tier 1 will require prior authorization.
Click
HERE
to view a summary of benefits and learn more on the plan’s structure of benefits.
Tier 2*
VHAN Providers
Vanderbilt Health Affiliated Network (VHAN)
providers
can be utilized with Tier 2 benefits. Services at VHAN
facilities
are only allowed if not available through Erlanger and will
require prior authorization
in order to be covered by the Plan. Click
HERE
to request authorization for services at a Tier 2 facility.
Cigna OAP
Cigna Open Access Plus providers that are not employed by excluded facilities, (Tennova Healthcare Cleveland,
Parkridge Hospital, CHI Memorial Hospital, or any facility in the state of Georgia), can be utilized inside
Tennessee with Tier 2 benefits and outside Tennessee with Tier 3 benefits. Services at Cigna OAP facilities
are only allowed if not available through Erlanger and will
require prior authorization
in order to be covered by the Plan. Click
HERE
to request authorization for services at a Tier 2 or Tier 3 facility.
*Tier 2 benefits will apply for Murphy Medical Plan members
as well as Life Force employees that access Cigna OAP providers, regardless if inside
or outside Tennessee. Excluded providers still apply.
Tier 3*
Cigna OAP
Cigna Open Access Plus
providers that are not employed by excluded
facilities, (Tennova Healthcare Cleveland, Parkridge Hospital, CHI Memorial Hospital, or any facility in the state
of Georgia), can be utilized inside Tennessee with Tier 2 benefits and outside Tennessee with Tier 3 benefits.
Services at Cigna OAP
facilities are only allowed if not available
through Erlanger and will
require prior authorization in order to be covered
by the Plan. Click
HERE
to request authorization for services at a Tier 2 or Tier 3 facility.
*Tier 3 benefits will apply for Murphy Medical Plan members as well as
Life Force employees that access Cigna OAP providers, regardless if inside or outside Tennessee.
Excluded providers still apply.