HEALTH RISK ASSESSMENT

One of our primary goals is to help you stay as healthy as possible. One way we do this is by asking you some questions about your health and lifestyle and using that information to develop personalized care plans with your primary care physician (PCP). We call this series of questions or survey a Health Risk Assessment (or HRA).

By printing, completing, and mailing back this HRA form, you will help us match you to the health and wellness services that fit you best. Completing an HRA every year gets you one step closer to a plan for better health and wellness.

Filling out the HRA is easy, and should take less than 15 minutes to complete.

Steps for HRA Form Completion

Customers living in the Arizona market: Customers living in all other markets:
  1. Click link below to open the Arizona HRA
    Arizona English Health Risk Assessment form
    Arizona Spanish Health Risk Assessment form
  2. Print the HRA form
  3. Complete and follow instructions on the HRA form
  4. Mail the completed form to:

    Cigna
    Attn: Population Health Management
    3003 N. 3rd Street
    Phoenix, AZ 85012 
  5. If you have any questions regarding the form, please call our Customer Service representatives at:
    1-800-627-7534 (TTY 711)
    Monday – Friday, 8:00 am – 8:00 pm MST
    We are available 7 days a week Oct 1 – Feb 14.
  1. Click link below to open the HRA
    English Health Risk Assessment form
    Spanish Health Risk Assessment form
  2. Print the HRA form
  3. Complete and follow instructions on the HRA form
  4. Mail or Fax the completed form to:

    Cigna-HealthSpring
    Attn: HRA Department
    500 Great Circle Road
    Nashville, TN 37228

    HRA Fax: 1-877-440-9340 
  5. If you have any questions or need any help completing the form, please call our Health Risk Assessment representatives at:
    1-800-331-6769 (TTY 711)
    Monday – Friday, 8:00 am – 5:00 pm CST

Your HRA information is completely confidential.

We will not share your HRA form with anyone except your care team. Your care team will use this information and work with you to develop your personalized care plan.