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Eligibility & Enrollment
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Eligibility & Enrollment
Member Resources for Group Medicare Plans
Find information about your Cigna Healthcare Group Medicare plan benefits and coverage, as well as useful tools and links.
Group Medicare Resources
Group Medicare Provider Network
Group Medicare Advantage Plans (MA/MAPD)
2025 Group Medicare Advantage Plans
Cigna True Choice Core Medicare (PPO) 2025 Evidence of Coverage [PDF]
Cigna True Choice Medicare with Rx (PPO) 2025 Evidence of Coverage [PDF]
Cigna True Choice Medicare with Rx (PPO) 2025 Evidence of Coverage - Premier Access 5 Tier [PDF]
Cigna Preferred Medicare with Rx (HMO) 2025 Evidence of Coverage [PDF]
Cigna Preferred Medicare with Rx (HMO) 2025 Evidence of Coverage - Arizona Only [PDF]
Updated 10/01/2024
2025 Transition Policy for Cigna HealthcareSM Medicare Advantage Group Plans [PDF]
2025 Transition Policy for Cigna Healthcare Medicare Advantage Group Plans - Arizona Only [PDF]
Updated 10/01/2024
2025 Star Ratings
2025 Star Ratings for Cigna True Choice Medicare (PPO) - H7787 [PDF]
2025 Star Ratings for Cigna Preferred Medicare with Rx (HMO) [PDF]
2025 Star Ratings for Cigna Preferred Medicare with Rx (HMO) - Arizona Only [PDF]
Updated 10/23/2024
2024 Group Medicare Advantage Plans
Cigna True Choice Core Medicare (PPO) 2024 Evidence of Coverage [PDF]
Cigna True Choice Medicare with Rx (PPO) 2024 Evidence of Coverage [PDF]
Cigna True Choice Medicare with Rx (PPO) 2024 Evidence of Coverage - Premier Access 5 Tier [PDF]
Cigna Preferred Medicare with Rx (HMO) 2024 Evidence of Coverage [PDF]
Cigna Preferred Medicare with Rx (HMO) 2024 Evidence of Coverage - Arizona Only [PDF]
Updated 12/01/2023
2024 Transition Policy for Cigna Healthcare Medicare Advantage Group Plans [PDF]
2024 Transition Policy for Cigna Healthcare Medicare Advantage Group Plans - Arizona Only [PDF]
Updated 10/01/2023
2024 Star Ratings
2024 Star Ratings for Cigna True Choice Medicare (PPO) - H7787 [PDF]
2024 Star Ratings for Cigna Preferred Medicare with Rx (HMO) [PDF]
2024 Star Ratings for Cigna Preferred Medicare with Rx (HMO) - Arizona Only [PDF]
Updated 11/13/2023
Group Medicare Advantage Additional Resources
Part B vs. Part D Coverage [PDF]
Direct Member Reimbursement (DMR) Claim Form [PDF]
Direct Member Reimbursement (DMR) Claim Form - Arizona Only
- For claims with a service date in 2023, please fill out the 2023 Member Reimbursement Claim Form – Arizona Only [PDF]
- For claims with a service date in 2024, please fill out the 2024 Member Reimbursement Claim Form – Arizona Only [PDF]
Pharmacy Reimbursement Claim Form [PDF]
Medicare Prescription Payment Plan: Fact Sheet [PDF], calculate estimated monthly payments, or opt-in online
Group Medicare Part D Plans
2025 Group Medicare Part D Plans
Cigna Rx Medicare (PDP) 2025 Evidence of Coverage [PDF]
Updated 10/01/2024
2025 Transition Policy for Cigna Healthcare Medicare Prescription Drug Group Plans [PDF]
Updated 10/01/2024
2025 Star Ratings
2025 Star Ratings for Cigna Rx Medicare (PDP) [PDF]
Updated 10/23/2024
2024 Group Medicare Part D Plans
Cigna Rx Medicare (PDP) 2024 Evidence of Coverage [PDF]
Updated 12/01/2023
2024 Transition Policy for Cigna Healthcare Medicare Prescription Drug Group Plans [PDF]
Updated 10/01/2023
2024 Star Ratings
2024 Star Ratings for Cigna Rx Medicare (PDP) [PDF]
Updated 11/13/2023
Group Medicare Part D Additional Resources
Part B vs. Part D Coverage [PDF]
Pharmacy Reimbursement Claim Form (PDP) [PDF]
Medicare Prescription Payment Plan: Fact Sheet [PDF], calculate estimated monthly payments, or opt-in online
Group Medicare Plans Drug List Formulary
2025 Complete Drug List Formulary
Group Medicare Premier Access 5 Tier 2025 Drug List [PDF]
Group Medicare Premier Access 4 Tier 2025 Drug List [PDF]
Group Medicare Premier Access 3 Tier 2025 Drug List [PDF]
Group Medicare Enhanced 2025 Drug List [PDF]
Group Medicare Standard 2025 Drug List [PDF]
Group Medicare Basic 2025 Drug List [PDF]
Group Medicare Basic 2025 Drug List - Arizona Only [PDF]
Updated 10/25/2024
2024 Complete Drug List Formulary
Group Medicare Premier Access 5 Tier 2024 Drug List [PDF]
Group Medicare Premier Access 4 Tier 2024 Drug List [PDF]
Group Medicare Premier Access 3 Tier 2024 Drug List [PDF]
Group Medicare Enhanced 2024 Drug List [PDF]
Group Medicare Standard 2024 Drug List [PDF]
Group Medicare Basic 2024 Drug List [PDF]
Group Medicare Basic 2024 Drug List - Arizona Only [PDF]
Updated 12/01/2024
Medicare Group Policies and Criteria
2025 Prior Authorization Criteria
2025 Group Medicare Prior Authorization Criteria Premier Access [PDF]
2025 Group Medicare Prior Authorization Criteria Enhanced [PDF]
2025 Group Medicare Prior Authorization Criteria Standard [PDF]
2025 Group Medicare Prior Authorization Criteria Basic [PDF]
Updated 10/11/2024
2024 Prior Authorization Criteria
2024 Group Medicare Prior Authorization Criteria Premier Access [PDF]
2024 Group Medicare Prior Authorization Criteria Enhanced [PDF]
2024 Group Medicare Prior Authorization Criteria Standard [PDF]
2024 Group Medicare Prior Authorization Criteria Basic [PDF]
Updated 12/01/2024
2025 Step Therapy Criteria
2025 Group Medicare Step Therapy Criteria Premier Access [PDF]
2025 Group Medicare Step Therapy Criteria Enhanced [PDF]
2025 Group Medicare Step Therapy Criteria Standard [PDF]
2025 Group Medicare Step Therapy Criteria Basic [PDF]
2025 Group Medicare Step Therapy – Part B Drugs [PDF] - Effective 01/01/2025
Updated 10/11/2024
2024 Step Therapy Criteria
2024 Group Medicare Step Therapy Criteria Premier Access [PDF]
2024 Group Medicare Step Therapy Criteria Enhanced [PDF]
2024 Group Medicare Step Therapy Criteria Standard [PDF]
2024 Group Medicare Step Therapy Criteria Basic [PDF]
2024 Group Medicare Step Therapy - Part B Drugs [PDF] - Effective 10/01/2024
Updated 12/01/2024
Need assistance?
If you have any questions about your employer-sponsored Cigna Healthcare group plan, we can help.
For Group Medicare Advantage Plans:
Call
October 1 – March 31: 8 am – 8 pm, 7 days a week.
April 1 – September 30: Monday – Friday, 8 am – 8 pm. Our automated phone system may answer your call during weekends, holidays, and after hours.
ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you.
View Medicare Advantage Language Assistance Services [PDF]
For Group Medicare Advantage plans - Arizona Only:
Call
October 1 – March 31: 8 am – 8 pm, 7 days a week.
April 1 – September 30: Monday – Friday, 8 am – 8 pm. Our automated phone system may answer your call during weekends, holidays, and after hours.
ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you.
For Medicare Part D plans:
Call
Our automated phone system may answer your call during weekends from April 1 - September 30.
ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you.
24/7 Access to Your Plan
myCigna gives you one-stop access to your coverage, premium payments, ID cards, and more. Help and support is available 24/7/365.
24/7 Access to Your Plan
myCigna gives you one-stop access to your coverage, premium payments, ID cards, and more. Help and support is available 24/7/365.
Customer Plan Links
Audiences
Other Cigna Healthcare Websites
Medicare Links
Medicare Advantage and Medicare Part D Policy Disclaimers
Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group. The Cigna Healthcare names, logos, and marks, including THE CIGNA GROUP and CIGNA HEALTHCARE are owned by The Cigna Group Intellectual Property, Inc. Subsidiaries of The Cigna Group contract with Medicare to offer Medicare Advantage HMO and PPO plans and Part D Prescription Drug Plans (PDP) in select states, and with select State Medicaid programs. Enrollment in a Cigna Healthcare product depends on contract renewal.
To file a marketing complaint, contact Cigna Healthcare or call 1-800-MEDICARE (
Medicare Supplement Policy Disclaimers
Medicare Supplement website content not approved for use in: Oregon.
AN OUTLINE OF COVERAGE IS AVAILABLE UPON REQUEST. We'll provide an outline of coverage to all persons at the time the application is presented.
Our company and agents are not connected with or endorsed by the U.S. Government or the federal Medicare program. This is a solicitation for insurance. An insurance agent may contact you. Premium and benefits vary by plan selected. Plan availability varies by state. Medicare Supplement policies are underwritten by American Retirement Life Insurance Company, Cigna Health and Life Insurance Company, Cigna Insurance Company, Cigna National Health Insurance Company or Loyal American Life Insurance Company. Each insurer has sole responsibility for its own products.
The following Medicare Supplement Plans are available to persons eligible for Medicare due to disability: Plan A in Arkansas, Connecticut, Indiana, Maryland, Oklahoma, Rhode Island, Texas, and Virginia; Plans A, F, and G in North Carolina; and Plans C and D in New Jersey for individuals aged 50-64. Medicare Supplement policies contain exclusions, limitations, and terms under which the policies may be continued in force or discontinued. For costs and complete details of coverage, contact the company.
This website is designed as a marketing aid and is not to be construed as a contract for insurance. It provides a brief description of the important features of the policy. Please refer to the policy for the full terms and conditions of coverage.
In Kentucky, Plans A, F, G, HDG, N are available under Cigna National Health Insurance Company, Plans A, F, G, HDF, N are available under Cigna Health and Life Insurance Company and Plans A, B, C, D, F, G, N are available under Loyal American Life Insurance Company.
Kansas Disclosures, Exclusions and Limitations
Medicare Supplement Policy Forms: Plan A: CIC-MS-AA-A-KS, CIC-MS-AO-A-KS; Plan F: CIC-MS-AA-F-KS, CIC-MS-AO-F-KS; Plan G: CIC-MS-AA-G-KS, CIC-MS-AO-G-KS; Plan HDG: CIC-MS-AA-HDG-KS, CIC-MS-AO-HDG-KS; Plan N: CIC-MS-AA-N-KS, CIC-MS-AO-N-KS
Exclusions and Limitations:
The benefits of this policy will not duplicate any benefits paid by Medicare. The combined benefits of this policy and the benefits paid by Medicare may not exceed one hundred percent (100%) of the Medicare Eligible Expenses incurred. This policy will not pay benefits for the following:
(1) the Medicare Part B Deductible;
(2) any expense which You are not legally obligated to pay; or services for which no charge is normally made in the absence of insurance;
(3) any services that are not medically necessary as determined by Medicare;
(4) any portion of any expense for which payment is made by Medicare or other government programs (except Medicaid); or for which payment would have been made by Medicare if You were enrolled in Parts A and B of Medicare;
(5) any type of expense not a Medicare Eligible Expense except as provided previously in this policy;
(6) any deductible, Coinsurance or Co-payment not covered by Medicare, unless such coverage is listed as a benefit in this policy; or
(7) Preexisting Conditions: We will not pay for any expenses incurred for care or treatment of a Preexisting Condition for the first six (6) months from the effective date of coverage. This exclusion does not apply if You applied for and were issued this policy under guaranteed issue status; if on the date of application for this policy You had at least six (6) months of prior Creditable Coverage; or, if this policy is replacing another Medicare Supplement policy and a six (6) month waiting period has already been satisfied. Evidence of prior coverage or replacement must have been disclosed on the application for this policy. If You had less than six (6) months prior Creditable Coverage, the Preexisting Conditions limitation will be reduced by the aggregate amount of Creditable Coverage. If this policy is replacing another Medicare Supplement policy, credit will be given for any portion of the waiting period that has been satisfied.