Yes, Cigna Global has an extensive international doctor and hospital network where direct billing is included. Where possible, Cigna international healthcare services will arrange to pay for your hospital, clinic, or doctor directly. However, if you have chosen a deductible, you must pay this amount yourself. It is always recommended that you contact Cigna Global Customer Care prior to receiving treatment and to arrange for direct billing.  In case direct billing is not covered automatically, contacting Cigna prior to treatment will make future payments and claims reimbursement easier to manage.