Great West Health Information

Behavioral health benefits for your patients with a GWH-Cigna ID card are now being managed by Cigna. This change was effective May 1, 2012. Benefits for these patients had previously been managed by Value Options.

Contact Information
If you need to verify eligibility and benefits for your patients with a GWH-Cigna ID card, please contact us at 1.877.299.0656.
If you have questions regarding a claim, please contact us at 1.877.299.0658.

If you need an authorization, need to determine authorization requirements, or need to find a list of health care professionals for a referral, please contact us at 1.866.912.3339.
The claim address for your patients with a GWH-Cigna ID card is:
1000 Great West Dr
Kennett, MO 63857
If you submit claims electronically, the payer ID is 80705.
If you have contracting or credentialing questions, please contact your provider services department at 1.800.926.2273.

Mental Health Parity and the Affordable Healthcare Act

Currently the Mental Health Parity Act that was put in place in 2008 is only law for large group policies-those with 50 or more employees.  So a small group or an individual policy does not have to comply with this law.  In addition usually small groups or individual policies do not have to comply with most state laws concerning mental health.   This will change, in part, in 2014 when the Affordable Care Act requires such plans to cover an essential set of services including mental health and substance abuse.    Mental Health Parity only speaks to the limits that were in force the visit limits and dollar limits.  It does not speak to deductible but it is supposed to speak to out of network benefits.  If out of network benefits are a part of the policy for say Oncology they are not permitted to exclude mental health or substance abuse.   Bottom line is consumers need to pay attention to where they are getting coverage.