October 2009

GOING GLOBAL: CIEB’s Quarterly Newsletter for Expatriates and Their Families

CIGNA International Expatriate Benefits (CIEB) first launched podcasts for employers and their expatriate employees in 2007 on its secure and public websites. They’re now upping the ante—employer and expatriate podcasts are still available through CIGNAenvoy.com, however they are now also available free to the public through Apple’s iTunes podcast library.

Check out the podcasts on iTunes or through CIGNA Envoy to learn about the resources available to you while on assignment. Podcasts facilitate ease of transition to expatriate life and can prepare expatriates for the obstacles and challenges they may face when accessing health care abroad.

Available podcasts include information about the CIEB Clinical Team and one of our in-house medical directors, Dr. Lyndon Laminack, as well as useful health information such as Deep Vein Thrombosis (DVT), Managing Weight While on Assignment, Pandemic Preparedness, and the Risks of Travel.

A full listing of podcasts is available at CIGNAenvoy.com or on iTunes. Search “CIEB” in the podcast sections of iTunes to locate the podcasts. Check back frequently as the library continues to grow.


You can rest assured that CIEB can provide assistance to you regardless of the seriousness of the health situation you may be facing. In coordination with the eCleveland Clinic, CIEB covers comprehensive expert online medical second opinions through the Cleveland Clinic’s MyConsult program.

Through the Cleveland Clinic second opinion service, expatriates or their covered family members that are facing a life-altering or life-threatening condition diagnosis can request a second opinion from anywhere in the world.

Cleveland Clinic’s expert online medical second opinion program connects patients with the diagnostic expertise of world renowned physicians who will review the covered expatriate or dependent’s medical records and diagnostic tests and render an online medical second opinion that includes treatment

options or alternatives and recommendations regarding future therapeutic considerations.

When an expatriate receives a serious medical diagnosis, he or she may not know where to turn for advice regarding treatment options or how best to comply with treatment recommendations. A second medical opinion is a review of the diagnosis and provides reassurance that the prescribed medical treatment is appropriate and can also safeguard against unwise or unnecessary treatment.

While on assignment, you have access to a secure web environment for submission of medical information through CIGNA Envoy. The second opinion is typically available 10 business days from the time the clinic receives the medical information.

Communicating a food allergy or health condition when eating out or shopping for groceries in an unfamiliar country may be overwhelming. In working with expatriates and their covered family members, CIEB has identified two companies that assist those who need to communicate allergies or specific health conditions. Dietary Card and Select Wisely both offer translation cards to help expatriates communicate when grocery shopping or eating at a restaurant to ensure they do not order a meal that is prepared with a food that may trigger an allergic reaction.

The cards are specific and can communicate the severity of an allergy, whether an allergy is life-threatening or you are simply sensitive to a particular food.

Select Wisely also has translation cards to communicate diabetes, asthma emergencies, celiac disease and for travelers who adhere to a vegetarian or vegan diet.

If you have a food allergy, or any type of allergy, CIEB recommends carrying any prescribed emergency medications including injectable epinephrine (Epi-pen) or inhalers with you at all times. Your CIEB coverage allows you to obtain up to twelve months of prescriptions at a time. If you have severe allergies, it is recommended that you wear a medical alert bracelet.

CIEB encourages you to establish a relationship with a primary care physician in your assignment location, and to know the names and locations of the nearest hospital in case of emergency. You can visit CIGNAenvoy.com for the CIEB Health Care Facility Directory or contact the CIEB International Service Center any time for assistance with locating a doctor or hospital.


CIEB in the News

Senior Nurse Clinician Featured at ExpatWomen.com

ExpatWomen.com recently featured an article on pregnancy and childbirth while on international assignment authored by CIEB’s very own clinician, Mary Werner, RN. Mary is a part of CIEB’s Global Health Solutions Clinical Team. Her article focuses on cultural

differences, considerations that pregnant expatriates should make, and how to manage pregnancy while abroad.

For the full two-part article, please visit ExpatWomen.com.

Macau and China Network Expansion

CIEB added general practitioners and hospitals in China and Macau to the CIGNALinks® health care facility network in July. Most notably, expatriates can now visit United Family Hospital (UFH) in Beijing and Shanghai and receive network discounts.

Utilization at UFH was already high among expatriates, so CIEB is happy to have arranged discounts on behalf of covered expatriates.

As always, you are free to visit any doctor or hospital worldwide; however, CIEB encourages you to visit prescreened doctors and hospitals that participate in the International Health Care Facility Network. Call CIEB at 1.800.446.2998 or visit CIGNA Envoy for the directory listing.

For more information regarding network expansion in Macau and China, see the CIGNA Newsroom article.

CIGNA Envoy Open to Select Health Care Facilities

One of the more challenging aspects of supporting expatriates spread across every part of the globe is working with the health care facilities that serve them. CIEB now offers access to CIGNA Envoy to doctors and hospitals that are part of CIGNALinks® networks in East Asia and will continue to expand access to network health care facilities using a phased approach.

CIGNA Envoy access will ultimately allow doctors and hospitals to serve you better. Health care facilities with access will be able to

view your benefits using your ID number to provide you with quick service and more information at the time of service, including the amount of payment. While utilization of the program is still limited at this time, CIEB expects to phase in access to several new health care facilities each quarter.

For more information regarding access to CIGNA Envoy for health care facilities, view the CIGNA Newsroom article.


Privacy Notice

CIGNA International Expatriate Benefits (CIEB) is committed to maintaining and protecting the confidentiality of our members’ personal and sensitive information. This is an important reminder of where you can access the Notice of Privacy Practices.

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) protects the privacy of your personal health information.  CIGNA International Expatriate Benefits is sending you this reminder as required by federal regulations governing the privacy of your personal health information.  CIGNA International Expatriate Benefits issued to you a Notice of Privacy Practices, which explains how CIGNA International

Expatriate Benefits uses and discloses your personal health information; your individual privacy rights related to your personal health information; and how we protect your personal health information.  To obtain a copy of this Notice of Privacy Practices, you can call the number on your ID card and we will mail one to you, or go online to www.CIGNAenvoy.com.

    Website:

    www.CIGNAenvoy.com
    (Ability to submit claims and securely communicate with the International Service Center.)

    Telephone numbers:

    1.800.441.2668 or 001.302.797.3100
    Use the AT&T USADirect® access number for the country from which you are calling.

    Fax or Send Claims:

    1.800.243.6998 or 001.302.797.3150

    CIGNA International Expatriate Benefits
    P.O. Box 15050
    Wilmington, DE 19850-5050


DISCLAIMER: “CIGNA” refers to CIGNA Corporation and/or its subsidiaries and affiliates. CIGNA International and CIGNA International Expatriate Benefits (“CIEB”) refer to these subsidiaries and affiliates. Products and services are provided by these subsidiaries, affiliates and other contracted companies and not by CIGNA Corporation. “CIGNA” is a registered service mark.

This is not a contract. The information provided herein is believed accurate as of the date of publication, and is subject to change. Products and services do not apply to all insured customers and may not be available in all jurisdictions.

References to non-partnered organizations or companies, and/or their products, processes or services, do not necessarily constitute an endorsement or warranty thereof.

CIEB’s web-based tools, such as CIGNA Envoy®, are available for informational purposes only. CIEB’s web tools are not intended to be a substitute for proper medical care provided by a physician.

This material is provided for informational purposes only. It is believed accurate as of the date of publication and is subject to change. Such material should not be relied upon as legal, medical, or tax advice. As always, we recommend that you consult with your independent legal, medical, and/or tax advisors. Products and services may not be available in all jurisdictions and are expressly excluded where prohibited by applicable law.

Copyright 2009 CIGNA Corporation.