Health Risk Assessment

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 Doctor. 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 1 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.

Senior couple using tablet at home

Steps for HRA Form Completion:

Customers living in the Arizona market:

  1. Click link below to open the Arizona HRA
    Arizona English Health Risk Assessment form
    Formulario de evaluación de riesgos para la salud de Arizona
  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 Mountain time
    We are available 7 days a week October 1 - March 31.

Customers living in all other markets:

  1. Click link below to open the HRA
    English Health Risk Assessment form
    Formulario de evaluación de riesgos para la salud
  2. Print the HRA form
  3. Complete and follow instructions on the HRA form
  4. Mail or fax the completed form to:

    Cigna Medicare
    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 Central time

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.