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Case Management 

Get info on what case management is, how you qualify, and how to access these programs.

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Case Management services are available as part of our Cigna Medicare Advantage plans.

What is Case Management? 

Do you have a chronic health condition like diabetes, lupus, or epilepsy? Could you use extra support to manage a health issue? If the answer is yes, the Case Management program may be right for you. 

The Case Management team is made of nurses, health coaches, pharmacists, and other staff who work behind the scenes to help customers, like you, manage their health conditions. 

These services are available at no cost to you, and anyone can apply. Participation is voluntary, and you can end at any time without affecting your health care benefits in any way.

What do Case Managers do?

Make clear your health issue and how to spot and treat symptoms. Help you join programs to improve your health, such as preventive care and healthy living, or giving support for hard end-of-life issues. Review your medicines, make sure you know how to take them, and discuss possible side effects. Arrange care between your doctor(s) and specialists, and support their efforts to keep you healthy. Help you set goals and aid you as you work toward them. Support you and your family with changes of care between health care settings, such as from home to hospital or hospital to skilled nursing facility.

Who qualifies for Case Management?

Anyone can apply for assistance from Case Management. It is most helpful for customers who:

  • Have more serious health concerns like diabetes with uncontrolled blood sugar
  • Find it hard to pay for their medications
  • Go many times to the Emergency Room

How can I access Cigna Case Management?

Provider Referral

One of your doctors may suggest you. A Case Manager will call or mail you to review your needs.

Health Plan Referral

Cigna may name you as a good choice for case management. If so, we will give you a call.

Caregiver Referral or Personal Request

You, a family member, or a caregiver can also talk to us at one of the numbers below.

  • Alabama, Northern Florida, Georgia (Atlanta), Southern Mississippi, North Carolina, South Carolina:  (TTY 711), 8 am – 5 pm, CT, Monday - Friday
  • Eastern Arkansas, Georgia (except Atlanta), Tennessee: (TTY 711), 8 am – 5 pm, CT, Monday - Friday
  • Illinois:  Option 4 (TTY 711), 8 am – 5 pm, CT, Monday - Friday
  • Arkansas, Texas: (TTY 711), 8 am – 5 pm, CT, Monday - Friday
  • Delaware, Maryland, Pennsylvania, Washington DC: (TTY 711), 8 am – 5 pm, ET, Monday - Friday

AUDIO

What is Care Management?

Listen in as Cigna’s own Cindy McCoy takes us through how care management is a unique and personalized service that’s part of your Cigna Medicare Advantage plan. (Length: 00:09:06)

Programs and Services

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Get solutions for issues like depression and anxiety and help finding a provider.
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If you take multiple medications for a chronic condition, get help from a pharmacist.
Provider and Pharmacy Directories
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Discover more about Medicare Advantage

Learn More About Medicare

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Find out how Original Medicare (Part A and Part B) works.
View more Medicare articles

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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.

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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.

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.

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Y0036_23_788405_M | Page last updated 10/01/2022.