Cigna Companies Benefits Employee Health Benefits MDLIVE Healthcare

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1Member Registration

2Verification

3Create Profile

4Security Settings

5Sign-up Complete

Patient Information

Please enter your First Name, Last Name, Gender, Date of Birth and Cigna Customer ID#.

First Name:

Last Name:

Gender:

Date of Birth:

Cigna Customer ID#

Your ID number can be found on the front of your Cigna Medical ID card.

Check this box if you are covered as a spouse or dependent.

Primary Policy Holder Information

Please enter the primary policy holder's First Name, Last Name, Gender, Date of Birth and Cigna Customer ID#

First Name:

Last Name:

Cigna Customer ID#:

Date of Birth:

Gender:

Relation:

To register a spouse or dependent, you must use the primary member’s first name, last name, gender, date of birth and Cigna Customer ID# Each family member will then create his/her own unique username and passcode.

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Medicare Primary Beneficiaries are not eligible for coverage of MDLIVE services. This service and the MDLIVE website are provided exclusively by MDLIVE and not by Cigna. The providers who participate in the Cigna network and the MDLIVE program are independent practitioners solely responsible for the treatment provided to their patients. They are not agents of Cigna. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.