2015

For more information, please contact Cigna-HealthSpring Customer Service at 1-800-668-3813 or, for TTY users, 711, 7 days a week, 8 a.m. - 8 p.m., or visit www.cignahealthspring.com. Para ms informacin, favor de ponerse en contacto con el Departamento de servicio al cliente de Cigna-HealthSpring al 1-800-668-3813 o, para usuarios TTY, 711, 7 das de la semana, o bien visite www.cignahealthspring.com. This Provider and Pharmacy Directory was updated on 08/24/2014. Este Directorio de proveedores y farmacias se actualiz el 08/24/2014. 2014 Cigna 15_D_66_ESD_66 Y0036_15_19958aBL_FINAL_23 Approved 08252014

Y0036_15_19958aBL_FINAL_23 Cover Provider Pharmacy TX HMO.indd 2 9/5/14 3:11 PM

PROVIDER AND PHARMACY DIRECTORYDirectorio de farmacias y proveedores

Cigna-HealthSpring El Paso, DFW and San Antonio HMO Provider and Pharmacy Directory / Directorio de farmacias y proveedoresBexar, Collin, Dallas, Denton, El Paso, Hood, Johnson, Parker, Tarrant and / y Wise Counties / Condados, TX

Cigna-HealthSpring

HMO Plan Provider Directory

This directory provides a list of Cigna-HealthSprings network providers. This directory is for Bexar, Collin, Dallas, Denton, El Paso, Hood, Johnson, Parker, Tarrant and Wise Counties, TX. This directory is current as of August 2014. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Cigna-HealthSprings network providers in your area, you can visit www.cignahealthspring.com or call our Customer Service Department at 1-800-668-3813, 7 days a week, 8 a.m. 8 p.m. TTY users should call 711. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Arizona, Inc., HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Tennessee, Inc., HealthSpring of Alabama, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., and Bravo Health Pennsylvania, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring is contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs. Enrollment in Cigna-HealthSpring depends on contract renewal. This information is available for free in other languages. Please call our customer services number at 1-800-668-3813 (TTY 711), 7 days a week, 8 a.m. 8 p.m. Esta informacin est disponible de forma gratuita en otros idiomas. Favor de contactar a nuestro Departamento de servicio al cliente al 1-800-668-3813 (TTY 711), 7 das de la semana, 8 a.m. 8 p.m. This document may be available in other formats such as Braille, large print or other alternate formats. Contact the plan for more information. Y0036_15_19958aBL_FINAL_23 Approved 08252014 15_D_66_ESD_66

Section 1 Introduction This directory provides a list of Cigna-HealthSprings network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Provider (PCP). The term PCP will be used throughout this directory. Generally, you must get your healthcare coverage from your PCP. Your PCP is a physician who is trained to provide general medical care. Your PCP can also coordinate the rest of the covered services you need. The network providers listed in this directory have agreed to provide you with your healthcare, vision, and dental coverage. You may go to any of our network providers listed in this directory; however, some services may require a referral. If you have been going to one network provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-network providers. Even though your PCP is trained to handle the majority of common health needs, there may be a time when you need more specialized treatment. In those situations, you may see a plan specialist. Specialists are doctors who are trained to provide health services for a specific disease or part of the body. For some types of specialists, you will need to obtain a referral from your PCP before you can schedule an appointment with the specialist. Below is a list of provider specialty types that require referrals from your PCP before you can schedule an appointment with them. Please note: Some provider types may have been added or removed from the list after this directory was printed. You should check with your PCP or call Customer Service at the phone number on the cover to see if a referral is required to see a specialist or other provider. Note that a referral is different from prior authorization, which is required before certain services procedures can be performed. Allergy & Immunology Medical Genetics Physical Therapy Anesthesiology Medical Oncology Plastic Surgery Audiology Nephrology Podiatry Cardiovascular Disease Neurosurgery Proctology Cardiovascular Surgery Neurology Prosthodontics Chiropractor Occupational Therapy Pulmonary Disease Colon and Rectal Surgery Ophthalmology Radiology Dermatology Oral Surgery Respiration Therapy Endocrinology Orthopedic Surgery Rheumatology Gastroenterology Otolaryngology Speech Language Pathologist General Surgery Pain Management Speech Therapy Gynecologic Oncology Pediatric Cardiology Sports Medicine Hand Surgery Pediatric Endocrinology Thoracic Surgery Hematology Pediatric Hematology-Oncology Urology Hematology/Oncology Pediatric Rehabilitation Medicine Vascular and Interventional Infectious Disease Pediatric Surgery Vascular Surgery Maxillofacial Surgery Physical Medicine/Rehabilitation In addition, each PCP has certain plan specialists and hospitals they use for referrals. This means that the Cigna-HealthSpring specialists or hospitals you can use may depend on which PCP you select. If there are specialists or hospitals that you want to use, it is important to find out if your chosen PCP refers to them. Cigna-HealthSpring has different types of Primary Care Provider relationships. We have contracts with Independent Physicians, Independent Physician Associations, and Physician Organized Delivery system. The following paragraphs describe the relationship these providers have with Cigna-HealthSpring.

Independent Physicians The Independent Physicians consists of Primary Care and Specialist Physicians located in and around the Dallas/Fort Worth, El Paso and San Antonio, Texas areas. If you select an Independent Primary Care Physician you should be aware that your PCP will refer you to specialists and hospitals with whom he/she is affiliated and with whom they work closely to coordinate your care. You will receive all of your care, including gynecological and specialty care from the physicians affiliated with your PCP. Gynecological care can be accessed through any Independent Gynecologist. Independent Physicians are participating providers with Cigna-HealthSpring Preferred (HMO), MAPD, and Cigna-HealthSpring TotalCare (HMO SNP), Full/Partial Duals MAPD. For further information, please call Customer Service or speak with your sales representative. You may contact us at the phone number listed at the beginning of this book. El Paso Integral Care, LLC El Paso Integral Care, LLC (EPIC) is an Independent Physicians Association (IPA). EPIC consists of Primary Care and Specialist Physicians located in and around El Paso, Texas. If you select a Primary Care Physician who belongs to an IPA you should be aware that your PCP will refer you to specialists and hospitals affiliated with the same IPA and with whom they work closely to coordinate your care. You will receive all of your care, including gynecological and specialty care from the physicians within the same IPA. Gynecological care can be accessed by any El Paso Integrated Care Gynecologist. El Paso Integral Care, LLC are participating providers with Cigna-HealthSpring Preferred (HMO), MAPD, and Cigna-HealthSpring TotalCare (HMO SNP), Full/Partial Duals MAPD. For Further information, please call Customer Service or speak with your sales representative. You may contact us at the phone number listed at the beginning of this book. Prospect Prospect is a Physician Organized Delivery (POD) System. If you choose a Prospect PCP, you must see a specialist that is part of the Prospect Network. Prospect are participating providers with Cigna-HealthSpring Preferred (HMO), MAPD, and Cigna-HealthSpring TotalCare (HMO SNP), Full/Partial Duals MAPD. For further information, please call Customer Service or speak with your sales representative. You may contact us at the phone number listed at the beginning of this book. WellMed WellMed is a Physician Organized Delivery (POD) System. If you choose a WellMed PCP, you must see a specialist that is a part of the WellMed Network. WellMed are participating providers with Cigna-HealthSpring Preferred (HMO), MAPD, and Cigna-HealthSpring TotalCare (HMO SNP), Full/Partial Duals MAPD. For further information, please call Customer Service or speak with your sales representative. You may contact us at the phone number listed at the beginning of this book. There may also be times when you get a bill from a provider for the full cost of medical care you have received. In many cases, you should contact Customer Service or send this bill to us instead of paying it. We will look at the bill and decide whether the services should be covered. If we decide they should be covered, we will pay the provider directly. (Please note that we cannot pay a provider who has opted out of the Medicare program. Check with your provider before receiving services to confirm that they have not opted out of Medicare.) If we determine that the services are not covered or were not medically necessary, we may deny coverage and you will be responsible for the entire cost. You may get emergency medical care whenever you need it, anywhere in the United States or its territories. Our plan covers ambulance services in situations where getting to the emergency room in any other way could endanger your health. Please refer to your Evidence of Coverage for details. You may get covered emergency medical care whenever you need it, anywhere in the world. If you have an emergency, we will talk with the doctors who are giving you emergency care to help manage and follow up on your care. The doctors who are giving you emergency care will decide when your condition is stable and the medical emergency is over. After the emergency is over you are entitled to follow-up care to be sure your condition continues to be stable.

Your follow-up care will be covered by our plan. If your emergency care is provided by out-of-network providers, we will try to arrange for network providers to take over your care as soon as your medical condition and the circumstances allow. You must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor Cigna-HealthSpring will be responsible for the costs. Behavioral Healthcare Services Behavioral Health services, including mental health and substance abuse services, for beneficiaries covered by Cigna-HealthSpring are provided through Cigna-HealthSpring Behavioral Healthcare Services. Members and providers may access Cigna-HealthSpring Behavioral Healthcare Services by calling 1-866-780-8546 (TTY 711) to arrange for a referral or inpatient admission authorization. Cigna-HealthSpring Behavioral Healthcare Services is available 24 hours per day, 7 days a week. What is the service area for Cigna-HealthSpring? The counties in our service area are listed below. Bexar, Collin, Dallas, Denton, El Paso, Hood, Johnson, Parker, Tarrant and Wise Counties, TX How do you find Cigna-HealthSpring providers in your area? To choose a PCP from the Provider Directory, turn to the Primary Care Provider section for a listing of primary care providers in your area. You can also call Customer Service at the number listed below for assistance. When you select a PCP, you will find a space on your Enrollment Application to enter the PCPs name. If you choose a PCP after your Enrollment Application has been submitted, call Customer Service and inform them of your PCP selection. Please keep in mind that if you do not select a PCP at the time of enrollment, Cigna-HealthSpring will select one for you based on where you live. If you want to change to another PCP, you may do so at any time by calling Customer Service at the number listed below. The name and office telephone number of your PCP are printed on your membership card. To choose a specialist, hospital, pharmacy or other provider, please turn to the applicable section in the Provider Directory for a listing of providers in your area. For example, to find hospitals in your area, turn to the Hospitals section of the directory. If you have questions about Cigna-HealthSpring or require assistance in selecting a PCP, please call our Customer Service Department at 1-800-668-3813, 7 days a week, 8 a.m. - 8 p.m. TTY users should call 711. Or, visit www.cignahealthspring.com. Again, if you want to use a particular Cigna-HealthSpring specialist or hospital, you should check with your PCP to make sure they can make referrals to that specialist or hospital. Please note: Not all Cigna-HealthSpring plans have vision and dental benefits. Please check your Evidence of Coverage to see if your plan has a vision and / or dental benefit.

Section 2 List of Network Providers This directory is organized to help you find the type of provider you need. Providers are listed in the following sections:

- Independent Physician Association (IPA) o Primary Care Providers (PCP) o Specialists o Hospitals o Skilled Nursing Facilities o Behavioral Health Providers o Ambulatory Surgical Centers/Urgent Care Facilities o Ancillary Providers o Dental Providers o Vision Providers

- Physician Organized Delivery System (POD) o Primary Care Provider (PCP) o Specialist o Hospitals o Skilled Nursing Facilities o Behavioral Health Providers o Ambulatory Surgical Centers/Urgent Care Facilities o Ancillary Providers o Dental Providers o Vision Providers

- Independent Providers o Primary Care Provider (PCP) o Specialists o Hospitals o Psychiatric Hospitals o Skilled Nursing Facilities o Behavioral Health Providers o Ambulatory Surgical Centers/Urgent Care Facilities o Ancillary Providers o Dental Providers o Vision Providers

How to use this directory to choose a Primary Care Provider There are two ways to select a primary care provider:

- You can choose a particular Primary Care Provider by name; or - You can choose your Primary Care Provider by location.

If you are looking for a particular Primary Care Provider by name: 1. Go to the Alphabetical Index, which is the last section of the directory. 2. Find the doctor by last name and the page number(s) on which he or she is listed. 3. Go to that page number for information on the Primary Care Provider.

If you are looking for a Primary Care Provider by location: 1. Go to the Primary Care Provider section. 2. Find the City and/or zip code.

3. Select a Provider. How to use this directory to choose a Specialist Specialist physicians and other primary care providers in this directory are listed by specialty of care, followed by geographic location, and name. How to use this directory to choose a Provider that accepts both Medicare and Medicaid Plan providers that accept both Medicare and Medicaid are located throughout this Provider Directory and are marked by an asterisk (*). For example, this provider would be a Medicare and Medicaid provider: Dr. John Doe* However, this provider would not be a Medicare and Medicaid provider: Dr. Jane Doe How to use this directory to choose other Plan Providers Plan providers in this directory, other than primary care providers and specialists, are listed by geographic location then the name of the provider. Provider Directory Symbol Key In this directory, some providers will have a symbol at the end of their name. Below are the symbols and what they mean:

Symbol Meaning * Accepts Medicare and Medicaid Accepting Existing Patients Only Not Accepting New Patients

Total Number of Providers within this Directory: Primary Care Providers: 724Specialists: 4,548Hospitals: 91Skilled Nursing Facilities: 70 Behavioral Health Providers: 341 Ambulatory Surgical Centers / Urgent Care Facilities: 105 Ancillary Providers: 680 Dental Providers: 1 Vision Providers: 1 Pharmacies: 1,657

Directorio de proveedores del Plan HMO de Cigna-HealthSpring

Este directorio incluye una lista de los proveedores de la red de Cigna-HealthSpring. Este directorio es para los Condados de Bexar, Collin, Dallas, Denton, El Paso, Hood, Johnson, Parker, Tarrant y Wise, TX. Este directorio est actualizado a partir de agosto de 2014. Es posible que se hayan agregado o eliminado de la lista algunos proveedores de la red, despus de la impresin de este directorio. No garantizamos que los proveedores estn aceptando miembros nuevos. Para obtener informacin actualizada sobre los proveedores de la red de Cigna-HealthSpring en su rea, visite la pgina www.cignahealthspring.com o bien, llame al Departamento de servicio al cliente al 1-800-668-3813, los 7 das de la semana, de 8 a.m. a 8 p.m. Los usuarios de TTY deben llamar al 711. Todos los productos y servicios de Cigna se brindan exclusivamente por o a travs de subsidiarias operativas de Cigna Corporation, incluyendo Cigna Health and Life Insurance Company, Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Arizona, Inc., HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Tennessee, Inc., HealthSpring of Alabama, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., y Bravo Health Pennsylvania, Inc. El nombre de Cigna, los logotipos, y otras marcas de Cigna son propiedad de Cigna Intellectual Property, Inc. Cigna-HealthSpring tiene contrato con Medicare para planes PDP, y planes HMO y PPO en ciertos estados, y con ciertos programas estatales de Medicaid. La inscripcin en Cigna-HealthSpring depende de la renovacin de contrato. This information is available for free in other languages. Please call our customer services number at 1-800-668-3813 (TTY 711), 7 days a week, 8 a.m. 8 p.m. Esta informacin est disponible de forma gratuita en otros idiomas. Favor de contactar a nuestro Departamento de servicio al cliente llamando al 1-800-668-3813 (TTY 711), 7 das de la semana, 8 a.m. 8 p.m. Este documento est disponible en otros formatos como Braille, impresin grande u otros formatos alternativos. Para ms informacin, pngase en contacto con el plan. Y0036_15_19958aBL_FINAL_23 Approved 08252014

Seccin 1 Introduccin

Este directorio incluye una lista de los proveedores de la red de Cigna-HealthSpring. Para obtener informacin detallada acerca de su cobertura de atencin mdica, por favor consulte su Evidencia de Cobertura.

Deber elegir uno de nuestros proveedores de la red que figuran en este directorio para que sea su Mdico de cabecera (PCP, por sus siglas en ingls). El trmino PCP se usar en todo este directorio. Por lo general, debe recibir su cobertura de atencin mdica de su PCP. Su PCP es un mdico capacitado para brindarle atencin mdica general. Su PCP tambin puede coordinar el resto de los servicios en cobertura que usted necesite.

Los proveedores de la red que figuran en este directorio han aceptado brindarle su cobertura del cuidado de la vista, cuidado dental y de atencin mdica. Usted puede acudir a cualquiera de los proveedores de nuestra red que figuran en este directorio; no obstante, es posible que algunos servicios requieran una referencia. Si usted ha estado acudiendo a un proveedor de la red, no es necesario que contine consultando a dicho proveedor. En algunos casos, puede recibir servicios cubiertos de proveedores que no pertenecen a la red.

A pesar de que su PCP est capacitado para manejar la mayora de las necesidades comunes de salud, es posible que, en ocasiones, usted necesite un tratamiento ms especializado. En esas situaciones, puede consultar un especialista del plan. Los especialistas son mdicos que estn capacitados para proporcionar servicios mdicos para una enfermedad o parte del cuerpo especficos. Para algunos tipos de especialistas, deber obtener una "referencia" de su PCP antes de que pueda programar una cita con el especialista. A continuacin est una lista de los tipos de proveedores especialistas que requieren referencias de su PCP antes de que pueda programar una cita con ellos. Recuerde: Es posible que se hayan agregado o eliminado de la lista algunos tipos de proveedores, despus de la impresin de este directorio. Usted debe consultar con su PCP o llamar al Departamento de servicio al cliente al telfono que est en la portada para saber si requiere una referencia para visitar un especialista u otro proveedor. Tenga en cuenta una referencia es diferente a un "autorizacin previa", misma que se requiere antes de que se puedan realizar ciertos servicios o procedimientos. Alergia e inmunologa Endocrinologa peditrica Oftalmologa Anestesiologa Enfermedad infecciosa Oncologa Ginecolgica Audiologa Enfermedad pulmonar Oncologa mdica Cardiologa peditrica Enfermedades cardiovasculares Otorrinolaringologa Ciruga cardiovascular Fisioterapia Patlogo del habla y del lenguaje Ciruga de la mano Gastroenterologa Podologa Ciruga General Gentica mdica Proctologa Ciruga maxilofacial Hematologa Prostodoncia Ciruga oral Hematologa-Oncologa peditrica Quiroprctico Ciruga ortopdica Hematologa/Oncologa Radiologa Ciruga peditrica Manejo del dolor Radiologa vascular e Ciruga plstica Medicina de rehabilitacin peditrica intervencionista Ciruga rectal y de colon Medicina del deporte Reumatologa Ciruga torcica Medicina fsica / rehabilitacin Terapia del habla Ciruga vascular Nefrologa Terapia ocupacional Dermatologa Neurociruga Terapia respiratoria Endocrinologa Neurologa Urologa

Adems, cada PCP tiene ciertos especialistas y hospitales del plan que debe usar para las referencias. Esto significa que es posible que los especialistas u hospitales de Cigna-HealthSpring a los que puede acudir dependan de los que su PCP haya seleccionado. En caso de que desee acudir con ciertos especialistas o a ciertos hospitales, es importante que verifique si su PCP lo enviar con los mismos. Cigna-HealthSpring tiene diferentes tipos de relaciones con los mdicos de cabecera. Tenemos contrato con Proveedores Independientes, Asociaciones de mdicos independientes y el Sistema organizado de prestaciones mdicas. Los siguientes prrafos describen la relacin que los proveedores tienen con Cigna-HealthSpring. Mdicos independientes Los Mdicos independientes son Mdicos de cabecera y Especialistas que se encuentran en y alrededor de las reas de Dallas/Fort Worth, El Paso y San Antonio, Texas. Si selecciona un mdico de cabecera independiente, debe considerar que su mdico o PCP lo enviar con especialistas y hospitales con los que l/ella est afiliado y con los que trabajar en conjunto para coordinar su atencin mdica. Recibir toda su atencin mdica, incluyendo atencin ginecolgica y de especialidad de mdicos afiliados con su PCP. Puede tener acceso a la atencin mdica ginecolgica a travs de cualquier gineclogo independiente. Los Mdicos independientes son mdicos participantes con Cigna-HealthSpring Preferred (HMO), MAPD, y Cigna-HealthSpring TotalCare (HMO SNP), Duales completos/parciales, MAPD. Para ms informacin, por favor llame al Departamento de servicio al cliente o hable con su representante de ventas. Puede comunicarse con nosotros al nmero de telfono que aparece al principio de este libro. El Paso Integral Care, LLC El Paso Integral Care, LLC (EPIC) es una Asociacin de mdicos independientes (IPA). EPIC est formada por Mdicos de cabecera y Especialistas que se encuentran en y alrededor de El Paso, Texas. Si selecciona un mdico de cabecera que pertenezca a una IPA, debe considerar que su mdico o PCP lo enviar con especialistas y hospitales afiliados con la misma IPA y con los que trabajar en conjunto para coordinar su atencin mdica. Recibir toda su atencin mdica, incluyendo atencin ginecolgica y de especialidad de los mdicos dentro de la misma IPA. Puede tener acceso a la atencin mdica ginecolgica a travs de cualquier gineclogo de El Paso Integral Care. El Paso Integral Care, LLC son mdicos participantes con Cigna-HealthSpring Preferred (HMO), MAPD, y Cigna-HealthSpring TotalCare (HMO SNP), Duales completos/parciales, MAPD. Para ms informacin, por favor llame al Departamento de servicio al cliente o hable con su representante de ventas. Puede comunicarse con nosotros al nmero de telfono que aparece al principio de este libro. Prospect Prospect es un Sistema organizado de prestaciones mdicas (POD). Si elige a un Mdico de cabecera de Prospect, debe acudir con un especialista que sea parte de la red de Prospect. Prospect son mdicos participantes con Cigna-HealthSpring Preferred (HMO), MAPD, y Cigna-HealthSpring TotalCare (HMO SNP), Duales completos/parciales, MAPD. Para ms informacin, por favor llame al Departamento de servicio al cliente o hable con su representante de ventas. Puede comunicarse con nosotros al nmero de telfono que aparece al principio de este libro. WellMed WellMed es un Sistema organizado de prestaciones mdicas (POD). Si elige a un Mdico de cabecera de WellMed, debe acudir con un especialista que sea parte de la red de WellMed. WellMed son mdicos participantes con Cigna-HealthSpring Preferred (HMO), MAPD, y Cigna-HealthSpring TotalCare (HMO SNP), Duales completos/parciales, MAPD. Para ms informacin, por favor llame al Departamento de servicio al cliente o hable con su representante de ventas. Puede comunicarse con nosotros al nmero de telfono que aparece al principio de este libro.

Adems, es posible que algunas veces reciba una factura de un proveedor por el costo total de la atencin mdica que haya recibido. En muchos casos, debe comunicarse con el Departamento de servicio al cliente o enviarnos esta factura en lugar de pagarla. Revisaremos la factura y decidiremos si los servicios deberan cubrirse. Si decidimos que deberan estar cubiertos, le pagaremos directamente al proveedor. (Tenga en cuenta que no podemos pagarle a un proveedor que ha decidido retirarse del programa de Medicare. Consulte a su proveedor antes de recibir los servicios para confirmar que no se retir del programa de Medicare). Si determinamos que los servicios no son cubiertos o no fueron mdicamente necesarios, podemos rechazar la cobertura y usted deber pagar el costo total. Puede recibir atencin mdica de emergencia cuando lo necesite, en cualquier lugar de los Estados Unidos o sus territorios. Nuestro plan cubre servicios de ambulancia en situaciones en las que llegar a una sala de urgencias por otro medio podra poner en peligro su salud. Para ms detalles, por favor consulte su Evidencia de cobertura. Puede recibir atencin mdica de emergencia siempre que la necesite, en cualquier parte del mundo. Si tiene una emergencia, nos comunicaremos con los mdicos que le proporcionen la atencin de emergencia para ayudar a manejar su atencin y darle el seguimiento a la misma. Los mdicos que le proporcionen la atencin mdica decidirn cundo su estado es estable y ya no representa una emergencia mdica. Cuando termine la emergencia, usted tendr derecho a recibir atencin de seguimiento para asegurarse de que su estado contina estable. Su atencin de seguimiento estar cubierta por nuestro plan. Si su atencin de emergencia es proporcionada por proveedores fuera de la red, intentaremos organizar para que proveedores de la red se hagan cargo de su atencin inmediatamente cuando su afeccin mdica y las circunstancias lo permitan. Debe acudir con los proveedores del plan excepto en situaciones de emergencia o atencin mdica urgente o para dilisis renal fuera del rea u otros servicios. Si recibe atencin de rutina de proveedores fuera de la red, ni Medicare ni Cigna-HealthSpring sern responsables de los costos. Servicios de atencin de salud del comportamiento Los servicios de atencin de salud del comportamiento, incluyendo los servicios de salud mental y de abuso de sustancias, para los beneficiarios en cobertura de Cigna-HealthSpring se reciben a travs de los Servicios de atencin de salud del comportamiento de Cigna-HealthSpring. Los miembros y los proveedores pueden acceder a los Servicios de atencin de salud del comportamiento de Cigna-HealthSpring llamando al 1-866-780-8546 (TTY 711) para solicitar una referencia o una autorizacin de internamiento. Los Servicios de atencin de salud del comportamiento de Cigna-HealthSpring estn disponibles las 24 horas del da, los 7 das de la semana. Cul es el rea de servicio de Cigna-HealthSpring? A continuacin encontrar los condados que son parte de nuestra rea de servicio. Condados de Bexar, Collin, Dallas, Denton, El Paso, Hood, Johnson, Parker, Tarrant y Wise, TX. Cmo encontrar proveedores de Cigna-HealthSpring en su rea? Para elegir un PCP del Directorio de proveedores, dirjase a la seccin Mdicos de cabecera para consultar la lista de mdicos de cabecera dentro de su rea. Tambin puede llamar al Departamento de servicio al cliente al nmero que aparece ms abajo, donde con gusto le ayudarn. Una vez que haya elegido un PCP, deber ingresar el nombre del PCP en el espacio correspondiente en su Solicitud de inscripcin. Si elige un PCP despus de haber presentado su Solicitud de inscripcin, llame al Departamento de servicio al cliente e infrmeles su eleccin de PCP. Recuerde que si no elige un PCP al momento de la inscripcin, Cigna-HealthSpring elegir uno por usted segn su lugar de residencia. Si desea cambiar por otro PCP, puede hacerlo en cualquier momento llamando al Departamento de servicio al cliente al nmero que figura aparece ms abajo. El nombre y el nmero de telfono del consultorio de su PCP estn impresos en su tarjeta de membresa. Para elegir un especialista, hospital, farmacia u otro proveedor, dirjase a la seccin correspondiente del Directorio de proveedores para ver la lista de proveedores de su rea. Por ejemplo, para encontrar hospitales en su rea, dirjase a la seccin Hospitales del directorio.

Si tiene alguna pregunta sobre Cigna-HealthSpring o necesita ayuda para seleccionar un PCP, por favor llame al Departamento de servicio al cliente al 1-800-668-3813, los 7 das de la semana, 8 a.m. - 8 p.m. Los usuarios de TTY deben llamar al 711. O bien, visite www.cignahealthspring.com. Nuevamente, si desea acudir con ciertos especialistas o a ciertos hospitales de Cigna-HealthSpring, es importante que verifique si su PCP lo enviar a ese especialista u hospital. Por favor recuerde: No todos los planes de Cigna-HealthSpring cuentan con beneficios dentales y del cuidado de la vista. Por favor revise su Evidencia de cobertura para ver si su plan cuenta con los beneficios dentales y/o del cuidado de la vista.

Seccin 2 Lista de proveedores de la red Este directorio est organizado para ayudarlo a encontrar el tipo de proveedor que necesita. Los proveedores figuran en las siguientes secciones:

- Asociacin de Mdicos Independientes (IPA) o Mdico de cabecera (PCP) o Especialistas o Hospitales o Centros de enfermera especializada o Proveedores de atencin de salud del comportamiento o Centros de ciruga ambulatoria/Centros de atencin de emergencia o Proveedores auxiliares o Proveedores de atencin dental o Proveedores del cuidado de la vista

- Sistemas organizado de prestaciones mdicas (POD) o Mdico de cabecera (PCP) o Especialista o Hospitales o Centros de enfermera especializada o Proveedores de atencin de salud del comportamiento o Centros de ciruga ambulatoria/Centros de atencin de emergencia o Proveedores auxiliares o Proveedores de atencin dental o Proveedores del cuidado de la vista

- Proveedores independientes o Mdico de cabecera (PCP) o Especialistas o Hospitales o Hospitales Psiquitricos o Centros de enfermera especializada o Proveedores de atencin la salud del comportamiento o Centros de ciruga ambulatoria/Centros de atencin de emergencia o Proveedores auxiliares o Proveedores de atencin dental o Proveedores del cuidado de la vista

Cmo usar este directorio para elegir un Mdico de cabecera? Hay dos maneras de elegir un Mdico de cabecera:

- Puede elegir un Mdico de cabecera particular por nombre; o - Puede elegir un Mdico de cabecera por ubicacin.

Si busca un Mdico de cabecera en particular por nombre: 1. Consulte el ndice alfabtico, que se encuentra en la ltima seccin del directorio. 2. Encuentre el mdico por apellido y el(los) nmero(s) de pgina en los que figura.

3. Vaya a ese nmero de pgina para obtener informacin acerca del Mdico de cabecera. Si busca un Mdico de cabecera por ubicacin:

1. Vaya a la seccin Mdico de cabecera. 2. Busque la ciudad y/o el cdigo postal. 3. Seleccione un proveedor.

Cmo usar este directorio para elegir un especialista? Los mdicos especialistas y otros mdicos de cabecera de este directorio se encuentran por especialidad de atencin, seguidos de la ubicacin geogrfica y el nombre. Cmo usar este directorio para elegir un proveedor que acepte tanto Medicare como Medicaid? Los proveedores del plan que aceptan tanto Medicare como Medicaid se encuentran en todo este Directorio de proveedores y estn marcados con un asterisco (*). Por ejemplo, este proveedor sera un proveedor de Medicare y de Medicaid: Dr. John Doe* No obstante, este proveedor no sera un proveedor de Medicare y de Medicaid: Dr. Jane Doe Cmo usar este directorio para elegir otros proveedores del plan? Los proveedores del plan de este directorio, que no sean mdicos de cabecera y especialistas, figuran por ubicacin geogrfica seguida por el nombre del proveedor. Clave del smbolo del Directorio de proveedores En este directorio, algunos proveedores tendrn un smbolo al final de su nombre. A continuacin estn los smbolos y lo que significan:

Smbolo Significado * Acepta Medicare y Medicaid Slo acepta pacientes existentes No acepta pacientes nuevos

Nmero total de proveedores dentro de este directorio: Mdicos de cabecera (PCP): 724 Especialistas: 4,548Hospitales: 91Centros de enfermera especializada: 70 Proveedores de atencin de salud del comportamiento: 341 Centros de ciruga ambulatoria/Centros de atencin de emergencia: 105 Proveedores auxiliares: 680 Proveedores de atencin dental: 1 Proveedores del cuidado de la vista: 1 Farmacias: 1,657

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Table of Contents / tabla de contenidos

Provider Directory / Directorio de proveedoresEl Paso Integral Care

El Paso Integral CarePrimary Care Providers / Mdico de cabecera..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................1Specialists / Especialistas..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................3

WellMed - El PasoWellMed - El Paso

Primary Care Providers / Mdico de cabecera..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................6Specialists / Especialistas..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................8Hospitals / Hospitales...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................23Skilled Nursing Facilities / Centros de Enfermeria Especializada....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................24Ambulatory Surgical Centers / Urgent Care Facilities / Centros de ciruga ambulatoria/Centros de atencinde emergencia..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................25Ancillary Providers / Proveedores Auxiliarios............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................26

El Paso IndependentEl Paso Independent

Primary Care Providers / Mdico de cabecera....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................27Specialists / Especialistas.....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................29Hospitals / Hospitales...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................35Skilled Nursing Facilities / Centros de Enfermeria Especializada....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................36Ambulatory Surgical Centers / Urgent Care Facilities / Centros de ciruga ambulatoria/Centros de atencinde emergencia..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................37Behavioral Health Providers / Proveedores de atencin de la salud emocional.........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................38Ancillary Providers / Proveedores Auxiliarios............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................40

North Texas IndependentNorth Texas Independent

Primary Care Providers / Mdico de cabecera....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................42Specialists / Especialistas.....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................55Hospitals / Hospitales......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................112Skilled Nursing Facilities / Centros de Enfermeria Especializada..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................114Ambulatory Surgical Centers / Urgent Care Facilities / Centros de ciruga ambulatoria/Centros deatencin de emergencia.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................115Behavioral Health Providers / Proveedores de atencin de la salud emocional....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................117Ancillary Providers / Proveedores Auxiliarios......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................122

WellMed - San AntonioWellMed - San Antonio

Primary Care Providers / Mdico de cabecera...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................134Specialists / Especialistas...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................140Hospitals / Hospitales......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................169Skilled Nursing Facilities / Centros de Enfermeria Especializada..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................170Ambulatory Surgical Centers / Urgent Care Facilities / Centros de ciruga ambulatoria/Centros deatencin de emergencia.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................171Behavioral Health Providers / Proveedores de atencin de la salud emocional....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................172Ancillary Providers / Proveedores Auxiliarios......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................173

Table of Contents / tabla de contenidos

Prospect - San AntonioProspect - San Antonio

Primary Care Providers / Mdico de cabecera...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................175Specialists / Especialistas...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................176Skilled Nursing Facilities / Centros de Enfermeria Especializada..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................184Ambulatory Surgical Centers / Urgent Care Facilities / Centros de ciruga ambulatoria/Centros deatencin de emergencia.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................185

San Antonio IndependentSan Antonio Independent

Primary Care Providers / Mdico de cabecera...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................186Hospitals / Hospitales......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................187Skilled Nursing Facilities / Centros de Enfermeria Especializada..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................188Ambulatory Surgical Centers / Urgent Care Facilities / Centros de ciruga ambulatoria/Centros deatencin de emergencia.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................189Behavioral Health Providers / Proveedores de atencin de la salud emocional....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................190Ancillary Providers / Proveedores Auxiliarios......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................193

Dental Providers / Proveedores odontolgicos.................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................196Vision Providers / Proveedores del cuidado de la vista.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................197Cigna-HealthSprings Network Pharmacies / Farmacias de la red de Cigna-HealthSpring

Retail Pharmacies, including Chain Pharmacies / Farmacias de venta al menudeo, incluyendo Farmacias de cadena........................................................................200Mail Order Pharmacies / Farmacias de orden por correo......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................218Home Infusion Pharmacies / Farmacias de infusin en el hogar........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................219Long-Term Care Pharmacies / Farmacias de atencin a largo plazo...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................221

Last Name Index / ndice de Apellidos..................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................224IPA/POD Index / IPA/POD ndice.................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................