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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.

Group Medicare Advantage Plans

2022 Cigna Group Medicare Advantage Plans

Cigna True Choice Core Medicare (PPO) 2022 Evidence of Coverage [PDF]

Cigna True Choice Medicare with Rx (PPO) 2022 Evidence of Coverage [PDF]

Cigna Preferred Medicare with Rx (HMO) 2022 Evidence of Coverage [PDF]

Cigna Preferred Medicare with Rx (HMO) (Arizona) 2022 Evidence of Coverage [PDF]

2022 Transition Policy for Cigna Medicare Advantage Group Plans [PDF]

2022 Transition Policy for Cigna Medicare Advantage Group Plans (Arizona) [PDF]


Group Medicare Advantage Additional Resources

Health Risk Assessment

Direct Member Reimbursement (DMR) Claim Form [PDF]

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

Pharmacy Reimbursement Claim Form [PDF]

Pharmacy Reimbursement Claim Form (Arizona) [PDF]

Group Medicare Part D Plans

2022 Cigna Group Medicare Part D Plans

Cigna Rx Medicare (PDP) 2022 Evidence of Coverage [PDF]

2022 Transition Policy for Cigna Medicare Prescription Drug Group Plans [PDF]


Group Medicare Part D Additional Resources

Pharmacy Reimbursement Claim Form (PDP) [PDF]

Need assistance?

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

Group Medicare Advantage Plans:

Call  (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 Medicare Advantage Language Assistance Services [PDF]

For Medicare Part D plans:

Call  (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]

Policies and Criteria

Prior Authorization Criteria

2022 Prior Authorization Criteria Basic [PDF]

2022 Prior Authorization Criteria Standard [PDF]

2022 Prior Authorization Criteria Enhanced [PDF]

Updated 07/2022


Step Therapy Criteria

2022 Step Therapy Criteria Basic [PDF]

2022 Step Therapy Criteria Standard [PDF]

2022 Step Therapy Criteria Enhanced [PDF]

Updated 07/2022

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Customer Plan Links

Choosing a Medicare Plan Community Resources Disaster Policy Enrollment and Eligibility Filing a Grievance Medicare Appeals Process and Exceptions Medicare Coverage Decisions Medicare Disenrollment Organization Determination Pre-Enrollment Disclaimers

Other Cigna Websites

Leon Medical Centers Health Plans Texas Medicaid STAR+PLUS Texas Medicare-Medicaid Plan

Audiences

Individuals and Families Medicare Employers Brokers Providers About Cigna

Solutions for

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 Non-Discrimination Language Assistance [PDF] Report Fraud Sitemap

Medicare Advantage 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. All clinical products and services of the LivingWell Health Centers are either provided by or through clinicians contracted with HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., and Bravo Health Pennsylvania, Inc. or employees leased by HS Clinical Services, PC, Bravo Advanced Care Center, PC (PA), Bravo Advanced Care Center, PC (MD) and not by Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All pictures are used for illustrative purposes only.

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.

Medicare Supplement Policy Disclaimers

Medicare Supplement website content not approved for use in: Minnesota, Missouri, North Carolina, North Dakota, Oregon, Virginia.

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.

American Retirement Life Insurance Company, Cigna National Health Insurance Company and Loyal American Life Insurance Company do not issue policies in New Mexico.

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_22_101121_M | Page last updated 06/01/2022 .