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Home Medicare Member Resources and ServicesMember Resources for Group Medicare Plans

Member Resources for Group Medicare Plans

Find information about your Cigna Group Medicare plan benefits and coverage, as well as useful tools and links.

Cigna Group Medicare Advantage Plans (MA/MAPD)

2023 Cigna Group Medicare Advantage Plans

Cigna True Choice Core Medicare (PPO) 2023 Evidence of Coverage [PDF]

Cigna True Choice Medicare with Rx (PPO) 2023 Evidence of Coverage [PDF]

Cigna Preferred Medicare with Rx (HMO) 2023 Evidence of Coverage [PDF]

Cigna Preferred Medicare with Rx (HMO) 2023 Evidence of Coverage - Arizona Only [PDF]

2023 Transition Policy for Cigna Medicare Advantage Group Plans [PDF]

2023 Transition Policy for Cigna Medicare Advantage Group Plans - Arizona Only [PDF]

Updated 10/01/2022


Group Medicare Advantage Additional Resources

Health Risk Assessment

Chain Pharmacy Listing [PDF]

Part B vs. Part D Coverage [PDF]

Vaccination Coverage [PDF]

Direct Member Reimbursement (DMR) Claim Form [PDF]

Direct Member Reimbursement (DMR) Claim Form - Arizona Only [PDF]

Pharmacy Reimbursement Claim Form [PDF]

Pharmacy Reimbursement Claim Form - Arizona Only [PDF]

Cigna Group Medicare Part D Plans

2023 Cigna Group Medicare Part D Plans

Cigna Rx Medicare (PDP) 2023 Evidence of Coverage [PDF]

2023 Transition Policy for Cigna Medicare Prescription Drug Group Plans [PDF]

Updated 10/01/2022


Group Medicare Part D Additional Resources

Chain Pharmacy Listing [PDF]

Part B vs. Part D Coverage [PDF]

Pharmacy Reimbursement Claim Form (PDP) [PDF]

Vaccination Coverage [PDF]

Cigna Group Medicare Plans Drug List Formulary

2023 Complete Drug List Formulary

Group Medicare Enhanced 2023 Drug List [PDF]

Group Medicare Standard 2023 Drug List [PDF]

Group Medicare Basic 2023 Drug List [PDF]

Group Medicare Basic 2023 Drug List - Arizona Only [PDF]

Updated 05/01/2023

Cigna Medicare Group Policies and Criteria

2023 Prior Authorization Criteria

2023 Group Medicare Prior Authorization Criteria Enhanced [PDF]

2023 Group Medicare Prior Authorization Criteria Standard [PDF]

2023 Group Medicare Prior Authorization Criteria Basic [PDF]

Updated 05/01/2023


2023 Step Therapy Criteria

2023 Group Medicare Step Therapy Criteria Enhanced [PDF]

2023 Group Medicare Step Therapy Criteria Standard [PDF]

2023 Group Medicare Step Therapy Criteria Basic [PDF]

2023 Group Medicare Step Therapy – Part B Drugs [PDF] - Updated 04/01/2023

Updated 05/01/2023

Need assistance?

If you have any questions about your employer-sponsored Cigna group plan, we can help.

For Cigna Group Medicare Advantage Plans:

Call 1 (888) 281-7867 (TTY 711)

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 Cigna Group Medicare Advantage plans - Arizona Only:

Call 1 (800) 627-7534 (TTY 711)

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 1 (800) 558-9562 (TTY 711), 8 am - 8 pm, 7 days a week.

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. 

View Part D Language Assistance Services [PDF]

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Customer Plan Links

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Audiences

Individuals and Families Medicare Employers Brokers Providers About The Cigna Group

Other Cigna Websites

Health Care Providers Pharmacists Pharmacy Residents Group Plans

Medicare Links

Medicare.gov Medicare Ombudsman Medicare Complaint Form

 Cigna. All rights reserved.

Privacy Legal Medicare Supplement State Disclosures Customer Rights Accessibility Notice of Nondiscrimination Language Assistance [PDF] Report Fraud Sitemap

Medicare Advantage and Medicare Part D Policy Disclaimers

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna contracts 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 Cigna depends on contract renewal.

To file a marketing complaint, contact Cigna or call 1-800-MEDICARE ( ), 24 hours a day, 365 days a year, TTY . Please include the agent/broker name if possible.

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 Cigna National Health Insurance Company, Cigna Health and Life Insurance Company, American Retirement Life 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, 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: CNHIC-MS-AA-A-KS, CNHIC-MS-AO-A-KS; Plan F: CNHIC-MS-AA-F-KS, CNHIC-MS-AO-F-KS; Plan G: CNHIC-MS-AA-G-KS, CNHIC-MS-AO-G-KS; Plan N: CNHIC-MS-AA-N-KS, CNHIC-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.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website.

Y0036_23_788405_M | Page last updated 04/06/2023.