Eligibility and Medicare Enrollment Information
To enroll in a Cigna-HealthSpring plan you must:
- Live in the service area for the plan
- Be entitled to Medicare Part A, and/or enrolled in Medicare Part B.
- Continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.
You may be able to get Extra Help to pay for your prescription drug premiums and costs as well as get help with other Medicare costs.
People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If you qualify, Medicare could pay for up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles, and coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don't even know it.
To see if you qualify for getting Extra Help, call:
- 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7days a week
- The Social Security Office at 1-800-772-1213 between 7 am and 7 pm, Monday through Friday. TTY/TDD users should call 1-800-325-0778
- Your State Medical Assistance (Medicaid) Office.
Cigna-HealthSpring has formed a network of pharmacies, including pharmacies with preferred cost-sharing. You must use a network pharmacy to access your prescription drug benefits, except under non-routine circumstances, and quantity limitations, and restrictions may apply. If you get drugs from an out-of-network pharmacy, you may pay more than you pay at an in-network pharmacy. You will pay the copay or percent of the cost, plus the difference between the out-of-network pharmacy billed charge and our typical Standard Retail pharmacy billed costs. The pharmacies in our network can change at any time.
Please keep in mind that benefits, formulary (drug list), pharmacy network, premium and/or copays/coinsurance may change on January 1. Limitations, copays and restrictions may apply.
Please contact our Customer Service for additional information. Hours are 8 am - 8 pm, local time, 7 days a week. Customer Service has free language interpreter services available for non-English speakers.
Additional information for Cigna-HealthSpring Preferred, Cigna-HealthSpring Preferred Plus and Cigna-HealthSpring Achieve Plus (Arizona) plans:
To enroll in one of the above plans you must live in our service area of Maricopa County or Apache Junction (zip codes 85117, 85118, 85119, 85120, 85178) or Queen Creek (zip codes 85118, 85140, 85143) Arizona.
To enroll in the Cigna-HealthSpring Achieve Plus plan, you must also be clinically diagnosed with diabetes and/or congestive heart failure.
As an Arizona Cigna-HealthSpring customer, you'll receive all primary and most specialty care through the Cigna Medical Group network and select network physicians in the community. You must use plan providers except in emergent or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers, neither Medicare nor Cigna will be responsible for the costs. You may be enrolled in only one Medicare Advantage Plan at a time and while you are in a Cigna plan, you must receive your prescription drug benefit through Cigna. Limitations, copayments and restrictions may apply.