Cigna/ASH Partnership Survey
*
1.
Name (For data validation purposes only)
(Required.)
*
2.
Email (For data validation purposes only)
(Required.)
*
3.
License Number (For data validation purposes only)
(Required.)
*
4.
Are you a member of the Maryland Acupuncture Society?
(Required.)
Yes
No
*
5.
Are you a licensed acupuncturist in Maryland?
(Required.)
Yes
No
6.
For Maryland providers, what county do you practice in? (Select all that apply)
Allegany County
Anne Arundel County
Baltimore City
Baltimore County
Calvert County
Caroline County
Carroll County
Cecil County
Charles County
Dorchester County
Frederick County
Garrett County
Harford County
Howard County
Kent County
Montgomery County
Prince George's County
Queen Anne's County
Somerset County
St. Mary's County
Talbot County
Washington County
Wicomico County
Worcester County
7.
Are you a licensed acupuncturist in other states? (Select all that apply)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Washington
*
8.
How long have you been practicing acupuncture?
(Required.)
0-4 years
5-9 years
10-14 years
15-19 years
20-24 years
25-29 years
30+ years
*
9.
Are you currently in-network with Cigna?
(Required.)
Yes
No
10.
If No to Question 9, did you have plans to join Cigna’s network
before
receiving the letter about the partnership with ASH?
Yes
No
*
11.
Have you received a letter from Cigna announcing that all contracts for acupuncture providers will be serviced by ASH starting on June 1, 2021?
(Required.)
Yes
No
12.
If Yes to Question 11, did you contact Cigna to inquire further details?
Yes
No
*
13.
About how many of your patients have Cigna insurance?
(Required.)
0-20%
21-40%
41-60%
61-80%
81-100%
0-20%
21-40%
41-60%
61-80%
81-100%
*
14.
Do you plan to join the ASH network to treat Cigna- insured patients?
(Required.)
Yes
No
*
15.
Please explain your decision for Question 14.
(Required.)
16.
If you are not joining the Cigna/ASH network, will you inform your patients?
Yes
No
If No, please explain why.
17.
If Yes to Question 16, how will you inform them?
Email
Phone Call
Text Messaging
In-writing/ Postal Mail
In-person
Other
*
18.
Have you previously contracted with ASH?
(Required.)
Yes
No
If Yes, please explain why you cancelled or why you continue to work with ASH.
19.
Tell us your thoughts on the Cigna/ASH partnership.
*
20.
Would you like MAS to send you updates/ results regarding this survey?
(Required.)
Yes
No
Current Progress,
0 of 20 answered