Transplant Surgery
The Plan covers autologous bone marrow and stem
cell, heart, lung, heart/lung, kidney, liver and pancreas
transplants. To qualify for In-Network benefits for organ
transplant surgery, it must be performed at a CIGNA
LIFESOURCE Center. Surgery at any other hospital is
considered Out-of-Network and must be approved in
advance by a care coordinator. In addition, if the surgery is
performed anywhere but in a CIGNA LIFESOURCE
Center, the following maximum benefits apply:
- Autologous bone marrow and stem cell: $130,000
- Heart: $150,000
- Heart/lung: $185,000
- Kidney: $80,000
- Liver: $230,000
- Lung or double lung: $185,000
- Pancreas: $50,000
CIGNA LIFESOURCE Centers can
be found by calling CIGNA Member
Services or by checking the CIGNA
website.
Travel Benefits: If the patient lives at least 60
miles from the transplant facility, travel and
lodging expenses for both patient and donor are
covered. If approved in advance, travel expenses
to a transplant facility for pre-transplant evaluation
are covered even if it is decided that the
transplant is not medically appropriate.
Donor Medical Benefits: The Plan also covers
up to $25,000 in medical expenses for the
donor if the transplant surgery is coordinated
and approved by a CIGNA care coordinator
through the National Organ Transplant
Program.
