We have detected that your JavaScript is not enabled. This site requires JavaScript to be enabled in order to function properly.
Enter ID to Continue:
Enter the
Participant ID
or
SSN
and
Date of Birth
for the patient on the claim(s) to be submitted
Participant ID or SSN
Date of Birth
Submit
Disney Guest Privilege
Contact Info
Name
Phone
(
)
-
×
Email
Guest Applicant Information
Relationship to employee
Self
Spouse
Child
Other
Guest applicant name
Birth date
Gender
Male
Female
Other
Guest Site
Address
City
State
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
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
Virgin Islands
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Zip code
Requested effective date at guest location
Reason for guesting
To search for providers in the Cigna OAP network that are available outside the Orlando area click
here
. The OAP network can only be accessed upon Guesting approval or case of medical emergency.
Submit
Are you still there?
Due to inactivity, you will be logged out in