Proof of Coverage
Members enrolled in Cigna Medicare Rx (PDP) may begin using network pharmacies to fill their prescriptions. On occasion, a Cigna Medicare Rx (PDP) member will need access to the pharmacy, but may not yet have received their ID Card.
When a member has not yet received their Cigna Medicare Rx (PDP) ID Card, they may use this CMS approved letter for proof of insurance coverage until they receive their ID card.
If a Cigna Medicare Rx (PDP) member requests a prescription fill and does not have an ID card or letter, please contact Cigna Medicare Rx (PDP) Customer Service 1 (800) 222-6700 to confirm insurance coverage.
Download the Sample Enrollment Acknowledgement Letter [PDF]
Notice of Coverage Rights
CMS requires that all pharmacies provide Medicare members with the Notice of Coverage Rights upon the following NCPDP notifications:
NCPDP Approval Code 018
NCPDP Reject Code 569
Conflict of Interest Disclosure
Members may have conflicts of interest if they are Connecticut General Life Insurance Company Directors or Officers with Involvement in the Cigna Medicare Part D Prescription Drug Program, or employees of any Cigna Company with managerial responsibilities Related to the Cigna Medicare Part D Prescription Drug Program.
In these cases, members must complete a Conflict of Interest Disclosure and submit it to their compliance officer. They may mail it to the address below, or use Internal Routing Code: B4SRS.
___________, Compliance Officer
Medicare Part D
900 Cottage Grove Road, Wilde Bldg., B4SRS
Hartford, CT 06152
Medicare Part D Pharmacy Manual
Learn more about the Preferred Cost Share Participating Pharmacy Program requirements for Medicare Part D.