Additional integrated programs are available to you and your family members, to help you manage your health and to assist you in obtaining good health care when care is needed. These programs reflect a commitment by you and the company to good health and quality care. The Health Management tools and resources available to Cigna participants include a 24 Hour Nurse Line, Medical and Behavioral Health Advocates, Condition Management Programs, Cancer Care Program, Expert Medical Opinion Services, and Centers of Excellence.
Health management tools and resources are available to you at no additional costs. However, health care claims (e.g., doctor's fees or facilities charges) are processed according to the Plan’s provisions.
24-Hour nurse line
Trained, licensed nurses are available by telephone at 1-800-564-9286, 24 hours a day, 7 days a week to answer routine questions about your health, or questions about a specific medical situation, condition or concern. However, these nurses cannot diagnose medical conditions, prescribe medication or give specific medical instruction. Topics discussed during your call may include services and expenses not covered under the Plan. The nurse may refer you to a Health Advocate for a more detailed conversation if you face a health risk or serious medical condition.
Health Advocate Program
The Health Advocate Program provides direct support to you, your family, and your treating physician(s) in the management of specific health care needs. The Health Advocate staff consists of registered nurses, supported by a medical director. Once you begin working with a Health Advocate, the nurse will work personally with you as long as you need support.
Health Advocates will assist you to coordinate a wide array of health care-related support and educational services. As situations require, your Health Advocate will assist you with admission, counseling, inpatient advocacy, discharge planning and home counseling. The nurse will also act as your proactive partner, working directly with you to help you navigate the health care delivery system by assisting with the coordination and management of your health care needs and collaborating with others involved in your treatment. Your Health Advocate could refer you to a Condition Management nurse if you are identified as needing treatment for a condition that is included in the program.
Condition management programs available include coronary artery disease (CAD), heart failure, diabetes –adult and pediatric, asthma –adult and pediatric, chronic obstructive pulmonary disease (COPD), chronic lower back pain, osteoporosis / osteoarthritis and peripheral artery disease.
If you do not see your condition listed, please contact Cigna to check if your chronic condition can be managed by a nurse.
Online Diabetes, Hypertension and Prevention Programs
If you are at risk for diabetes and/or hypertension and meet certain eligibility criteria, you have access to a digital lifestyle change program through Omada, including an interactive online platform that adapts to you, a health coach to keep you on track, a wireless smart scale to monitor your progress, and a small online peer group for real-time support. A Health Advocate nurse may refer you to the program, or you can visit OmadaHealth.com/exxonmobil to confirm your eligibility and enroll online.
Targeted outreach through health advocate nurses, case managers and digital coaching to provide personalized care management. Nurses are licensed, registered with clinical oncology experience. They can provide valuable education and guidance and are available 24 hours a day, seven days a week to help you through your cancer treatment.
Your Oncology Nurse will help set goals for treatment and medication, find in-network doctors and facilities, help with getting a second opinion and educate on diagnosis and treatment plan, what to expect, pain management, online researches and digital engagement tools. In addition, your nurse will look for ways to maximize benefits, barriers to care and offer solutions as well as treatment alternatives (i.e. clinical trials).
Expert Medical Opinion Services
If you or a family member receive a diagnosis or treatment plan requiring complex medical care, you have access to expert medical opinion services through the Cleveland Clinic's Second Opinion program. Specialists who are recognized experts in their field will review medical records related to the diagnosis and provide an opinion on the recommended treatment, including a detailed report you can share with your physician or Health Advocate nurse. Expert opinion consults are available at no additional cost to you and can be accessed through a mobile application, web portal, or phone.
Cleveland Clinic's Second Opinion
800-223-2273 ext. 43223 (7 a.m. – 4 p.m. CT)
MyCigna.com (click the Cleveland Clinic's Second Opinion link)
Musculoskeletal Conditions Support
Way too many of us have pain or problems with our musculoskeletal system — neck, back, shoulder, hip, knee or ankle. Surgery should rarely be the first option, especially for those of us who have chronic issues that are worsening slowly.
Hinge Health offers at no cost to you the right program and care for different joint and muscle pain needs that will help you feel better, reduce pain and learn helpful physical therapy exercises:
- Prevention (at risk): specific exercises and education
- Acute (recent injury): physical therapy video visits for every body part
- Chronic (high risk): exercise, education and behavioral change
- Surgery (pre & post rehab): pre and post rehabilitation continuity of care
Learn more about this program at www.hingehealth.com/exxonmobil or call 855-902-2777
Centers of Excellence
Centers of Excellence ("COE") are nationally recognized facilities for the treatment of certain conditions or the delivery of certain procedures where high-level knowledge and expertise provide better care and more likely positive outcomes.
COEs are not available for all illnesses and all conditions or procedures relevant to a disease state. For instance, at this time there are COEs for pancreatic cancer, but there is insufficient information available to select COEs for lung cancer. Changes to identified COEs may occur in the future. If you would like to learn more about different COE options you will need to contact the 24-hour nurse line who will put you in contact with a Health Advocate who will be able to discuss different options with you.
Participation in a COE program is voluntary, and designed to direct participants to nationally recognized facilities with more positive outcomes. A COE-recommended treatment plan, however, must meet the ExxonMobil Retiree Medical Plan provisions for medically necessary care in order for claims to be eligible for reimbursement.
Whenever clinically appropriate, you will be referred to a local COE. If access to a clinically appropriate COE requires the patient to travel 75 or more miles, the ExxonMobil Retiree Medical Plan will reimburse reasonable transportation costs for you and a caregiver. The ExxonMobil Retiree Medical Plan will also provide a per diem for you and a caregiver to cover lodging and other expenses. If you become hospitalized, only your caregiver will receive the per diem, because food and lodging are already provided as part of the hospital charge. The per diem amounts are established by the Administrator-Benefits.
Please note that a specific cancer diagnosis must occur before you are eligible for travel benefits.
If you decide not to use a COE, you will not incur additional out-of-pocket costs for choosing another hospital in the Cigna network