Transplant Surgery
The Plan covers heart, lung, heart/lung, kidney, liver, pancreas and autologous bone marrow and stem cell transplants. To qualify for In-Network benefits for organ transplant surgery, it must be performed at a Cigna LifeSource Transplant Network® 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 Transplant Network® Center, the following maximum benefits apply:
- Heart: $150,000;
- Lung or double lung: $185,000;
- Heart/lung: $185,000;
- Kidney: $80,000;
- Liver: $230,000; and
- Pancreas: $50,000.
Note
Cigna LifeSource Transplant Network® Centers can be found by calling the number on the back of your MILA/Cigna ID card 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 the medical expenses for the donor if the transplant surgery is coordinated and approved by a Cigna care coordinator through the National Organ Transplant Program.
