A faithful recreation of the CignaforHCP eligibility & benefits view — every name, ID, and dollar figure is invented sample data.
cignaforhcp.cigna.com/eligibility
REC
Sample data — not a real patient
cignaHEALTHCARE
David Sample
⚑🪪 Patient ID CardCoverage type: Medical
Coverage DetailsEstimate Costs
Network Status
Select a TIN and provider/group to verify the network status for this patient's coverage.
07/12/2026
270293215 / RIVERSIDE HAND
Select provider…
✓ You are In-Network for this patient.
This is not a guarantee of coverage. Any claim submitted is subject to all plan provisions; coverage is determined on the facts existing when services are rendered.
Coverage Status In-Network ▾
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Deductible
Individual: $150.00
Met $150.00 · $0.00 remaining
Family: $250.00
Met $150.00 · $100.00 remaining
Coinsurance: 30% · applies to out-of-pocket max
Benefits
Start Precertification Check
Lookup Procedure Codes
Generate Benefit Reference Number
— OR —
Review General Benefits
Specialist / Consultation: $58 copay
Out-of-Pocket Maximum
Individual: $1,500.00
Met $1,441.81 · $58.19 remaining
Family: $3,000.00
Met $2,072.03 · $927.97 remaining
Referral: not required (PPO)
1
Pick your provider/group
Under Network Status, choose your TIN + provider — Cigna confirms whether you're in-network for this patient.
Built by VeriPhy Health · recreation with invented sample data — no real patient information appears anywhere.