cigna supplemental claims addresscigna supplemental claims address

This exclusion does not apply if You applied for and were issued this policy under guaranteed issue status; if on the date of application for this policy You had at least six (6) months of prior Creditable Coverage; or, if this policy is replacing another Medicare Supplement policy and a six (6) month waiting period has already been satisfied. An insurance agent may contact you. Don't want to wait? For the latest in COVID-19 coverage, vaccine, and frequently asked questions, visit our Coronavirus Resource Center. Plans that help pay some out-of-pocket costs that Original Medicare doesn't. . If You had less than six (6) months prior Creditable Coverage, the Preexisting Conditions limitation will be reduced by the aggregate amount of Creditable Coverage. SOURCE: Source If this policy is replacing another Medicare Supplement policy, credit will be given for any portion of the waiting period that has been satisfied. A Pre-existing Condition is one: (a) for which medical advice was given or treatment was recommended by or received from a Physician within 90 days or less before Your Coverage Effective Date; and (b) which would not have caused Us to deny issuing Your policy had it been named on Your application.This provision does not apply if, as of the date of application, You had a Continuous Period of Creditable Coverage or had prior coverage under a Medicare Supplement policy for at least six (6) months. In New Mexico, Idaho and Ohio, insured by Cigna Health and Life Insurance Company. Medicare Supplement Policy Forms:Plan A: CHLIC-MS-AA-A-CA; Plan F: CHLIC-MS-AA-F-CA; Plan HDF: CHLIC-MS-AA-HDF-CA; Plan G: CHLIC-MS-AA-G-CA; Plan N: CHLIC-MS-AA-N-CA. In the last step, youll be able to review and print all the information youve provided. An insurance agent may contact you. View Kansas disclosures, exclusions, and limitations. Download claim form Submit Correspondence Only: U.S Mail: SAMBA 11301 Old Georgetown Road Rockville, MD 20852-2800 Secure E-Mail: https://www.sambaplans.com/members/emailform/ Providers may submit claims electronically to CIGNA Payor 62308 Questions? We are delighted to offer new customers a 10% discount on your international health insurance for the lifetime of the policy if you buy before the end of 2022. The Part B deductible has limited availability for individuals eligible for coverage prior to January 1, 2020. . Loyal American Life Insurance Company was founded in 1955 in Alabama. In Kentucky, Plans A, F, G, HDG, N are available under Cigna National Health Insurance Company, Plans A, F, G, HDF, N are available under Cigna Health and Life Insurance Company and Plans A, B, C, D, F, G, N are available under Loyal American Life Insurance Company. For most services covered under your plan, you are not responsible for submitting a claim. We were unable to load the claim form, please try again later. This exclusion does not apply if You applied for and were issued this policy under guaranteed issue status; if on the date of application for this policy You had at least six (6) months of prior Creditable Coverage; or, if this policy is replacing another Medicare Supplement policy and a six (6) month waiting period has already been satisfied. The combined benefits of this policy and the benefits paid by Medicare may not exceed one-hundred percent (100%) of the Medicare Eligible Expenses incurred. Melanoma usually looks like a flat, brown or black mole that has irregular, uneven borders. Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. Two of the three forms of ultraviolet light, UVA and UVB rays, reach the earth and can damage a person's skin and eyes. Home. Pain relief, symptom management, and support services for the terminally ill. You must meet Medicares requirements, including a doctors certification of terminal illness. A pre-existing condition is a condition for which medical advice was given or treatment was recommended by or received from a physician within six (6) months prior to the policy effective date. First, you will need to fill out the claim form below. | Page last updated A policy will not pay benefits for the following: (1)the Medicare Part B deductible (not applicable for Plans F and C); (2)any expense which you are not legally obligated to pay or services for which no charge is normally made in the absence of insurance; (4)any portion of any expense for which payment is made by Medicare or other government programs (except Medicaid) or for which payment would have been made by Medicare if you were enrolled in Parts A and B of Medicare; (5)any type of expense not a Medicare Eligible Expense except as provided previously in the policy; (6)any deductible, coinsurance, or copayment not covered by Medicare, unless such coverage is listed as a benefit in the policy; or. Please refer to the policy for the full terms and conditions of coverage. Some plans may also cover urgent care services, as defined in your plan documents. Employers can offer their employees access to our wide network of health care services. View a list of operating insurance entities in this structure. If you do not complete the entire application online, and/or call to have an agent submit your application by phone, you will not qualify to receive the online discount. To send supporting documentation when the claim is submitted, indicate in the PWK (claim supplemental information) segment of Loop 2300 of the electronic claim that the documentation will be sent through another Please enter your user id and password. WebTPA is actively monitoring the COVID-19 situation as it relates to our clients, members, partners and employees. (1)any expense which You are not legally obligated to pay; or services for which no charge is normally made in the absence of insurance; (2)any services that are not medically necessary as determined by Medicare; (3)any portion of any expense for which payment is made by Medicare or other government programs (except Medicaid); or for which payment would have been made by Medicare if You were enrolled in Parts A and B of Medicare; (4)any type of expense not a Medicare Eligible Expense except as provided previously in this policy; (5)any deductible, Coinsurance or Co-payment not covered by Medicare, unless such coverage is listed as a benefit in this policy; or. The Pre-Existing Condition limitation does not apply to individuals seeking coverage during their guaranteed enrollment period. Medicare Supplement website content not approved for use in: Oregon. All fields are required unless marked optional. If this policy is replacing another Medicare Supplement policy, credit will be given for any portion of the waiting period that has been satisfied. We create a seamless, intuitive and personalised health experience that helps customers to stay healthy and well, based on a deep relationship with our customers, and navigate people quickly and easily to care., Arjan Toor, Chief Executive Officer, Cigna Europe. If You had less than six (6) months prior Creditable Coverage, the Preexisting Conditions limitation will be reduced by the aggregate amount of Creditable Coverage. Cigna may not control the content or links of non-Cigna websites. This provision does not apply if You applied for and were issued this policy under guaranteed issue status. Cigna is committed to working with you to help our nation's Medicare and Medicaid beneficiaries live healthier, more active lives through personalized, affordable, and easy-to-use health care solutions. The following Medicare Supplement Plans are available to persons eligible for Medicare due to disability: Plan A in Arkansas, Connecticut, Indiana, Maryland, Oklahoma, Texas, and Virginia; Plans A, F, and G in North Carolina; and Plans C and D in New Jersey for individuals aged 50-64. EDI claims inquiry options Easily track claim status with multiple payers through an EDI vendor Receive a response within seconds Look up a claim using the patient's name, Cigna ID number and date of service or the claim or reference number Obtain claim status for your medical, dental or behavioral claims using the HIPAA standard Administered by Allied. Choosing a Plan. Address:Cigna Health and Life Insurance CompanyPO Box 5700Scranton, PA 18505-5700. Cigna login/register. Page Footer I want to. Enrollment in a Cigna Healthcare product depends on contract renewal. Box 2070 Milwaukee, WI 53201 . Mail paper claims to: Cigna . Please include the agent/broker name if possible. Report a Claim All P&C Claims Contacts HR Human Resources/Careers Medicare Supplement Policy Form Series: Plan A: CNHIC-MS-AA-A-TX; Plan F: CNHIC-MS-AA-F-TX; Plan G: CNHIC-MS-AA-G-TX; Plan HDG: CNHIC-MS-AA-HDG-TX; Plan N: CNHIC-MS-AA-N-TX. Contact Cigna Customer Service at 1 (800) 997-1654 or visit this page to find phone numbers for plan and coverage questions or a claims mailing address. If you had less than three (3) months prior Creditable Coverage, the Pre-Existing Conditions limitation will be reduced by the aggregate amount of Creditable Coverage. claims and payments Call (toll-free in Singapore): 800 186 5047 Call (toll-free in the United States): 800 835 7677 Call (toll-free in Hong Kong): 2297 5210 . *Terms and conditions apply. When the Plan member is traveling outside of their state of residence, submit all claims to: CIGNA Healthcare PO Box 188004 Chattanooga, TN 37422 CIGNA Payer ID 62308 Mental health and substance misuse disorder Cigna Behavioral Health Claims PO Box 188004 Connecticut, Delaware, Illinois, Iowa, Maine, Nebraska, Ohio, and Virginia. Enjoy competitive premiums without compromising your coverage. Well provide an outline of coverage to all persons at the time the application is presented. This only adds to the deep product line that Cigna already has developed. It provides a brief description of the important features of the policy. A claim cannot be submitted without the required fields completed. Discount percentage varies by state. American Retirement Life Insurance Company is not available to residents of Kansas and Kentucky. This policy will not pay benefits for the following: any expense which you are not legally obligated to pay or services for which no charge is normally made in the absence of insurance, any portion of any expense for which payment is made by Medicare or other government programs or for which payment would have been made by Medicare if you were enrolled in Parts A and B of Medicare, any type of expense not a Medicare eligible expense except as provided previously in this policy, any deductible, coinsurance or co-payment not covered by Medicare, unless such coverage is listed as a benefit in this policy, confinement that begins or expenses incurred while your policy is not in force or, Recommended Reading: Best Supplements For Good Skin. The combined benefits of this policy and the benefits paid by Medicare may not exceed one-hundred percent of the Medicare eligible expenses incurred. Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. Shop Insurance. AN OUTLINE OF COVERAGE IS AVAILABLE UPON REQUEST. Payer Information Cigna Medicare Supplemental Insurance Payer ID: 13193 This insurance is also known as: Central Reserve Life Ins Co Medicare Supplement Continental General Ins Co Continental General Ins Co Medicare Supplement Great American Life Ins Co Great American Life Ins Co Medicare Supplement Loyal American Life Ins Co Access Your Digital ID Cards Use the following general plan information to help decide if you need to submit a claim. Premium DiscountState variations apply. Since 1940, Great American has been a provider of Medicare Supplement Insurance plans, Medicare Prescription Drug Plans, Senior Vision, Senior Hearing, and Senior Dental plans. Provider Services at : 800.230.6138 . This exclusion does not apply if You applied for and were issued this policy under guaranteed issue status; if on the date of application for this policy You had at least six (6) months of prior Creditable Coverage; or, if this policy is replacing another Medicare Supplement policy and a six (6) month waiting period has already been satisfied. Information provided by our Medicare Supplement Representatives. If you had less than six (6) months prior creditable coverage, the pre-existing conditions limitation will be reduced by the aggregate amount of creditable coverage. Tennessee Medicare Supplement Policy Forms. Call toll free: (TTY 711) from 8:00 am - 8:00 pm ET, Monday - Friday . Kansas Disclosures, Exclusions and Limitations, Medicare Supplement Policy Forms: Plan A: CNHIC-MS-AA-A-KS, CNHIC-MS-AO-A-KS; Plan F: CNHIC-MS-AA-F-KS, CNHIC-MS-AO-F-KS; Plan G: CNHIC-MS-AA-G-KS, CNHIC-MS-AO-G-KS; Plan N: CNHIC-MS-AA-N-KS, CNHIC-MS-AO-N-KS. Medicare Advantage and Medicare Part D Policy Disclaimers. If You had less than six (6) months prior Creditable Coverage, the Pre-existing Conditions limitation will be reduced by the aggregate amount of Creditable Coverage. If this policy is replacing another Medicare Supplement policy, credit will be given for any portion of the waiting period that has been satisfied. Evidence of prior coverage or replacement must have been disclosed on the application for this policy. A pre-existing condition is a condition for which medical advice was given or treatment was recommended by or received from a Physician within six (6) months prior to the policy effective date. Customers are required to pay the entire discounted charge for any discounted products or services available through these programs. Please include the agent/broker name if possible. Y0036_23_788405_M AN OUTLINE OF COVERAGE IS AVAILABLE UPON REQUEST. UVA and UVB rays are reaching the earth at greater intensities because of the thinning of the ozone layer. (7) Pre-Existing Conditions: We will not pay for any expenses incurred for care or treatment of a Pre-Existing Condition for the first six (6) months from the effective date of coverage. 844-GAIG NOW ( 844-424-4669 ) Option 1: new claims Option 2: existing claims Please call during our regular business hours of 8:00 a.m.-5:00 p.m. Eastern. Online Enrollment DiscountState variations apply. This policy will not pay benefits for the following: (2)any expense which You are not legally obligated to pay and no other services or organization has a legal obligation to provide or pay for; (3) any services that are not medically necessary as determined by Medicare; (4) any portion of any expense for which payment is made by Medicare; or for which payment would have been made by Medicare if You were enrolled in Parts A and B of Medicare; (5) any type of expense not a Medicare Eligible Expense except as provided previously in this policy; (6) any deductible, Coinsurance or Co-payment not covered by Medicare, unless such coverage is listed as a benefit in this policy; (7)or Preexisting Conditions: We will not pay for any expenses incurred for care or treatment of a Preexisting Condition for the first six (6) months from the effective date of coverage. This policy will not pay benefits for the following: (2) any expense which You are not legally obligated to pay; or services for which no charge is normally made in the absence of insurance; (3) any services that are not medically necessary as determined by Medicare; (4) any portion of any expense for which payment is made by Medicare or other government programs (except Medicaid); or for which payment would have been made by Medicare if You were enrolled in Parts A and B of Medicare; (5) any type of expense not a Medicare Eligible Expense except as provided previously in this policy; (6) any deductible, Coinsurance or Co-payment not covered by Medicare, unless such coverage is listed as a benefit in this policy; or. International health insurance that meets your every need: 24/7 access to multi-lingual service centers. 2In some cases, a referral is required by Medicare. This website is designed as a marketing aid and is not to be construed as a contract for insurance. If this policy is replacing another Medicare Supplement policy, credit will be given for any portion of the waiting period that has been satisfied. The benefits of this policy will not duplicate any benefits paid by Medicare. In New Mexico and Idaho, insured by Cigna Health and Life Insurance Company. A policy will not pay benefits for the following: Address:Cigna Health and Life Insurance CompanyPO Box 5700, Also Check: How To Increase Iron Levels Quickly Supplements, Address:Loyal American Life Insurance CompanyPO Box 5700. 1Insured by Cigna Health and Life Insurance Company, American Retirement Life Insurance Company, Loyal American Life Insurance Company or Cigna National Health Insurance Company. The Pre-Existing Condition limitation does not apply to individuals seeking coverage during their guaranteed enrollment period. pended claims as a registered user of CignaforHCP.com. We'll provide an outline of coverage to all persons at the time the application is presented. If you had less than six (6) months prior creditable coverage, the pre-existing conditions limitation will be reduced by the aggregate amount of creditable coverage. The benefits of this policy will not duplicate any benefits paid by Medicare. Individuals & Families . Call us directly. In some states premium discounts** of up to 25% may be available for some applicants. Read Also: Federal Supplemental Educational Opportunity Grants Fseog, When Original Medicare is the primary payer, Medicare processes your claim first. We are continuing to operate under normal business hours and are here to assist. At dayofdifference.org.au you will find all the information about Cigna Medical Insurance Claims Address. Plan availability varies by state. The benefits of this policy will not duplicate any benefits paid by Medicare. Plan A: CNHIC-MS-AA-A-TN; Plan F: CNHIC-MS-AA-F-TN; Plan G: CNHIC-MS-AA-G-TN; Plan N: CNHIC-MS-AA-N-TN. Medicare Supplement Policy Disclaimers. Programs are provided through third party vendors who are solely responsible for their products and services. Learn more **Benefits from the High-Deductible Coverage Plan will not begin until out-of-pocket expenses exceed $2,700. Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna Audiences Individuals and Families Medicare Employers Brokers Providers For costs and details of coverage, review your plan documents or contact a Cigna representative. Franklin, TN 37067-7285. (1)the Medicare Part B Deductible (not applicable in Plans F & HDF); Medicare Supplement Policy Form Series: Plan A: CHLIC-MS-CR-A.v2-ID; Plan F: CHLIC-MS-CR-F.v2-ID; Plan High Deductible F (HDF): CHLIC-MS-CR-HDF.v2-ID; Plan G: CHLIC-MS-CR-G.v2-ID and Plan N: CHLIC-MS-CR-N.v2-ID, (1)the Medicare Part B Deductible;(Not Applicable in Plans F & HDF). Financial Strength View . (1)any expense which you are not legally obligated to pay; or services for which no charge is normally made in the absence of insurance; (3)any portion of any expense for which payment is made by Medicare or other government programs (except Medicaid); or for which payment would have been made by Medicare if you were enrolled in Parts A and B of Medicare; (4)any type of expense not a Medicare eligible expense except as provided previously in this policy; (5)any deductible, coinsurance or co-payment not covered by Medicare, unless such coverage is listed as an additional benefit in this policy; or. 04/20/2023. (7)Pre-existing Conditions: We will not pay for any expenses incurred for care or treatment of a pre-existing condition for the first six (6) months from the effective date of coverage. During this time you cannot be turned down for coverage. Discount not available in HI, ID, MN, and VT. For residents of WA, the discount is referred to as Spousal Premium Discount, and only applies to spouses. Evidence of prior coverage or replacement must have been disclosed on the application for this policy. Plans that help pay deductibles, copays, and coinsurance. Learn more Plan G Extensive coverage, competitive premiums You pay the Medicare Part B annual deductible Good fit if you prefer a lower premium and can pay the Part B deductible Our company and agents are not connected with or endorsed by the U.S. Government or the federal Medicare program. Medicare Supplement Policy Forms: Plan A:CHLIC-MS-IA-A-FL, CHLIC-MS-DI-A-FL;Plan F:CHLIC-MS-IA-F-FL, CHLIC-MS-DI-F-FL;Plan HDF:CHLIC-MS-IA-HDF-FL, CHLIC-MS-DI-HDF-FL;Plan G:CHLIC-MS-IA-G-FL, CHLIC-MS-DI-G-FL;Plan N:CHLIC-MS-IA-N-FL, CHLIC-MS-DI-N-FL. a listing of the legal entities Medical claims or correspondence mailed after December 31, 2010 to a Scranton address listed in the table of the November 2010 issue of Network News are being redirected by the United States Postal Service to the Chattanooga location. Medicare Supplement Policy Forms:Plan A: CHLIC-MS-AA-A.v2-WV; Plan F: CHLIC-MS-AA-F.v2-WV; Plan HDF: CHLIC-MS-AA-HDF.v2-WV; Plan G: CHLIC-MS-AA-G.v2-WV; Plan N: CHLIC-MS-AA-N.v2-WV, Medicare Supplement Policy Forms: Plan A: CHLIC-MS-AA-A.v2-WY; Plan F: CHLIC-MS-AA-F.v2-WY; Plan G: CHLIC-MS-AA-G.v2-WY; Plan High Deductible G: CHLIC-MS-AA-HDG-WY; Plan N: CHLIC-MS-AA-N.v2-WY. New Tool Simplifies Verification of Insurance Eligibility and Medicare Supplements Benefits (4) any portion of any expense for which payment is made by Medicare or other government programs (except Medicaid); or for which payment would have been made by Medicare if You were enrolled in Parts A and B of Medicare; (5) any type of expense not a Medicare Eligible Expense except as provided previously in this policy; (6) any deductible, Coinsurance or Co-payment not covered by Medicare, unless such coverage is listed as a benefit in this policy; or. In Kentucky, Plans A, F, G, HDG, N are available under Cigna National Health Insurance Company, Plans A, F, G, HDF, N are available under Cigna Health and Life Insurance Company and Plans A, B, C, D, F, G, N are available under Loyal American Life Insurance Company. Chattanooga, TN 37422-8037 . Menu ; Close . If this policy is replacing another Medicare Supplement policy, credit will be given for any portion of the waiting period that has been satisfied. To report potential fraud, waste, or abuse please contact Cigna Medicare Advantage's Special Investigations Unit By mail: Cigna Medicare Advantage Attn: Special Investigations Unit PO Box 20002, Nashville, TN 37202 By email: SpecialInvestigations@Cigna.com Attn: Cigna Medicare Operations By phone: 1-800-667-7145 Pharmacy PHARMACY - PART D Cigna and Cigna Local Plus. It is a good idea to compare your medical bill and EOB before paying a bill to make sure that you have been charged the correct amount. Paper Claims: Cigna Medicare Advantage, PO Box 981706, El Paso, TX 79998 Discount not available in HI, ID, MN, and VT. For residents of WA, the discount is referred to as Spousal Premium Discount, and only applies to spouses. We have collected a lot of medical information. If You had less than six (6) months prior Creditable Coverage, the Preexisting Conditions limitation will be reduced by the aggregate amount of Creditable Coverage. Discount percentage varies by state. Medicare Supplement Policy Forms:Plan A: CNHIC-MS-AA-A-OK; Plan F: CNHIC-MS-AA-F-OK; Plan G: CNHIC-MS-AA-G-OK; Plan High Deductible G: CNHIC-MS-AA-HDG-OK; Plan N: CNHIC-MS-AA-N-OK. 1) any expense which You are not legally obligated to pay; or services for which no charge is normally made in the absence of insurance; 2) any services that are not medically necessary as determined by Medicare; 3) any portion of any expense for which payment is made by Medicare or other government programs (except Medicaid); or for which payment would have been made by Medicare if You were enrolled in Parts A and B of Medicare; 4) any type of expense not a Medicare Eligible Expense except as provided previously in this policy; 5) any deductible, Coinsurance or Co-payment not covered by Medicare, unless such coverage is listed as a benefit in this policy; or, Medicare Supplement Policy Forms: Plan A:CNHIC-MS-AO-A-PA; Plan B: CNHIC-MS-AO-B-PA; Plan F: CNHIC-MS-AO-F-PA; Plan G: CNHIC-MS-AO-G-PA; Plan N: CNHIC-MS-AO-N-PA, Medicare Supplement Policy Forms:Plan A: CNHIC-MS-AA-A-SC; Plan F: CNHIC-MS-AA-F-SC; Plan G: CNHIC-MS-AA-G-SC; Plan N: CNHIC-MS-AA-N-SC. (8)Pre-existing Conditions: These policies will not pay for any expenses incurred for care or treatment of a Pre-existing Condition for the first six (6) months from the effective date of coverage. 4Your policy cannot be terminated for any reason other than non-payment of premium or material misrepresentation in the application for insurance. If this policy is replacing another Medicare Supplement policy, credit will be given for any portion of the waiting period that has been satisfied. Whether you are an expat working or living abroad, someone who has retired to a different country or a student perhaps, our global medical insurance plans provide you with the protection and services simple travel insurance cannot. When submitting a claim, you can mail it to Cigna Dental PO Box 188037 Chattanooga, TN, 37422 or fax it to 859-550-2662. Medicare Supplement Policy Forms:Plan A: CNHIC-MS-AA-A-IN; Plan F: CNHIC-MS-AA-F-IN; Plan G: CNHIC-MS-AA-G-IN; Plan N: CNHIC-MS-AA-N-IN. Learn more. Cigna Medicare Supplement Insurance Cigna Health and Life Insurance Company. If at any time you have questions or need assistance, please call 1 (800) 754-3207. This is a solicitation for insurance. Medicare Supplement Policy Forms:Plan A: CNHIC-MS-AA-A-MI; Plan F: CNHIC-MS-AA-F-MI; Plan G: CNHIC-MS-AA-G-MI; Plan N: CNHIC-MS-AA-N-MI. Premium and benefits vary by plan selected. Medicare Supplement policies are underwritten by Cigna National Health Insurance Company, Cigna Health and Life Insurance Company, American Retirement Life Insurance Company or Loyal American Life Insurance Company. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. . They continue to separate themselves from their competition with competitive rates and exceptional benefits. Or you have qualified for Medicare due to disability before January 1, 2020. View Claims See a list of your most recent claims, their status, and reimbursements. The combined benefits of a policy and the benefits paid by Medicare may not exceed one hundred percent (100%) of the Medicare Eligible Expenses incurred. If Medicare is primary, and your MSN does not show this message, submit a paper claim, including the MSN, to: NALC Health Benefit Plan Ashburn VA 20149. Address:Cigna National Health Insurance CompanyPO Box 5700Scranton, PA 18505-5700. Save up to 25%: 20% in premiums, plus 5% if you apply online. Notice for persons eligible for Medicare because of disability: In the following states, all Medicare Supplement plans are available to persons eligible for Medicare because of disability: California, Colorado, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Kansas, Kentucky, Louisiana, Maine, Minnesota, Mississippi, Missouri, Montana, New Hampshire, Oregon, Pennsylvania, South Dakota, Tennessee, Vermont, and Wisconsin. Details. Medicare Supplement Policy Forms:Plan A: CHLIC-MS-CR-A-VT; Plan F: CHLIC-MS-CR-F-VT; Plan HDF: CHLIC-MS-CR-HDF-VT; Plan G: CHLIC-MS-CR-G-VT; Plan N: CHLIC-MS-CR-N-VT, Medicare Supplement Policy Forms:Plan A: CHLIC-MS-CR-A-WA, CHLIC-MS-CR-AO-A-WA; Plan F: CHLIC-MS-CR-F-WA, CHLIC-MS-CR-AO-F-WA; Plan HDF: CHLIC-MS-CR-HDF-WA, CHLIC-MS-CR-AO-HDF-WA; Plan G: CHLIC-MS-CR-G-WA, CHLIC-MS-CR-AO-G-WA; Plan N: CHLIC-MS-CR-N-WA, CHLIC-MS-CR-AO-N-WA.