Cigna-HealthSpring STAR+PLUS Contact Information

Members

If you have a question about Cigna-HealthSpring STAR+PLUS, or access to covered services and benefits call Member Services at 1-877-653-0327 (TTY 711) Monday to Friday from 8 a.m. to 5 p.m. Central Time. A member service representative can also talk to you about our Service Coordination Program. Cigna-HealthSpring representatives are ready to help in English and Spanish. Cigna-HealthSpring can provide interpreter and translation services in over 170 languages. A message service is used after-hours, weekends and during federal holidays. You may also request any information from this website in audio, larger print, braille or another language.

If you have an emergency or an emergency that poses a threat to the life or property of others, call 9-1-1 or go directly to the nearest emergency room.

 

If you are a provider, you can call our Provider Services Hotline at 1-877-653-0331 (TTY 711) Monday to Friday, 8 a.m. to 5 p.m. Central Time. Providers call this number to check on member benefits, get claim information, authorization requests, etc.

 

For questions about behavioral health and substance abuse, call the behavioral health line at 1-877-725-2539. If you have a mental health crisis, you can get help by calling our mental health crisis hotline at 1-800-959-4941 (TTY 711), 24 hours a day, and 7 days a week. Qualified mental health professionals will be ready to answer your questions, Assess your mental health, and provide and coordinate services as needed. You can speak with someone in English and Spanish. Other language interpreter services are ready upon request. Cigna-HealthSpring can provide interpreter and translation services in over 170 languages.

 

Cigna-HealthSpring gives you access to experienced registered nurses 24 hours a day, 365 days a year. Our nurses offer immediate, reliable information for any health concern. Please call 1-855-418-4552 (TTY 711). Help is ready in English or Spanish. You can also request other languages.

 

  • To find out if you are able to get STAR+PLUS Medicaid, call 2-1-1.
  • To switch to Cigna-HealthSpring STAR+PLUS, call the STAR+PLUS Help Line at 1-800-964-2777, Monday to Friday, 8:00 a.m. to 8:00 p.m. Central Time.

 

Cigna-HealthSpring offers Service Coordination. You and your Service Coordinator will work together to:

  • Assess your health needs
  • Create a care plan
  • Organize all your services
  • Monitor your progress toward your health care goals.

You can call your Cigna-HealthSpring Service Coordinator at 1-877-725-2688. You can also call your Service Coordinator through Member Services at 1-877-653-0327 (TTY 711).

 

If you, as a member of the health plan, disagree with the health plan’s decision, you have the right to ask for a fair hearing. To ask for a fair hearing, you or your representative should either send a letter to the health plan at:

Cigna-HealthSpring Appeals and Complaints Department - Fair Hearing
PO Box 211088
Bedford, TX, 76095

Or call: 1-877-653-0327 (TTY 711), Monday to Friday, 8 a.m. to 5 p.m. Central Time.

 

Members eligible for Medicaid only who are 21 years of age or older can get routine dental care services. STAR+PLUS Waiver Members are also eligible for some dental care. To get covered dental care, call DentaQuest at 1-855-418-1628 (TTY 711).

Members eligible for Medicaid only can get routine eye care services by calling Superior Vision at 1-800-879-6901 (TTY 711). If you need eye care for an illness or injury to your eye, call your main doctor for help first. You do not need a referral for specialty eye care from an ophthalmologist.

Cigna-HealthSpring can help you with questions regarding your Prescription Drug Program benefit. You can call Member Services at 1-877-653-0327 for questions regarding prescription drugs or visit StarPlus.CignaHealthSpring.com

Health Care Professionals

If you have a life‑threatening emergency or an emergency that poses a threat to the life or property of others, call 9-1-1 or go directly to the nearest emergency room. 

Bilingual or Interpreter Services: Cigna‑HealthSpring representatives are ready to help in English and Spanish. Cigna‑HealthSpring can provide interpreter and translation services in over 170 languages. Please call Member Services at 1‑877‑653‑0327 for assistance. 

Appeals

You can call Cigna‑HealthSpring for a Member Advocate to help you file an Appeal.

Phone: 1-877-653-0327
TTY: 711
Hours: 8am-5pm (CST), M-F

 

Behavioral Health Substance Abuse Services

Phone: 1-877-725-2539
Hours: 8am-5pm (CST), M-F

 

Behavioral Health Crisis Hotline

Phone: 1-800-959-4941
Hours: 24 hours, 7 days a week

 

Claims Status Request

Phone: 1-877-653-0331
Hours: 8am-5pm (CST), M-F

 

Compliance Hotline

Phone: 1-877-653-0331

 

Cigna-HealthSpring Automated Eligibility Verification Line

Phone: 1-866-467-3126
Hours: 24 hours, 7 days a week

 

Member Services Department

Phone: 1-877-653-0327
TTY: 711
Hours: 8am-8pm (CST), M-F

 

Cigna-HealthSpring Pharmacy

Phone: 1-877-653-0331
Hours: 8am-5pm (CST), M-F

 

Provider Services Department

Phone: 1-877-653-0331
TTY*: 711
Hours: 8am-5pm (CST), M-F

*This number requires special telephone equipment and is only for people who have difficulties with hearing or speaking. Calls to this number are free.

 

Provider Relations

Phone: 1-877-653-0331
TTY*: 711
Hours: 8am-5pm (CST), M-F
Email: ProviderRelationsCentral@healthspring.com

*This number requires special telephone equipment and is only for people who have difficulties with hearing or speaking. Calls to this number are free.

 

State Fair Hearing

Call to ask for a fair hearing regarding the health plan's appeal decision.

Phone: 1-877-653-0327 (Fair Hearing)
Fax: 1 877 809 0783 (Medical)
Fax: 1 866 593 4482 (Drug)
Hours: 8am-8pm (CST), M-F

 

Utilization Management Service Coordination

Phone: 1-877-725-2688
Hours: 8am-5pm (CST), M-F

 

Utilization Management Concurrent Review and Skilled Nursing Facility

Phone: 1-877-725-2688
Hours: 8am-5pm (CST), M-F

 

Utilization Management Home Health

Phone: 1-877-725-2688
Hours: 8am-5pm (CST), M-F

 

Utilization Management Inpatient Intake

Phone: 1-877-725-2688
Hours: 8am-5pm (CST), M-F

 

Utilization Management Prior Authorization

Phone: 1-877-725-2688
Hours: 8am-5pm (CST), M-F

24-Hour Nurse Advice Line

Call for immediate, reliable information for any health concern.

Phone: 1-855-418-4552
TTY: 711
Hours: 24 hours, 7 days a week

 

Automated Inquiry System (AIS), Eligibility Verification

Phone: 1-800-925-9126
Hours: 24 hours, 7 days a week

 

Comprehensive Care Program (CCP)

Phone: 1-800-846-7470
Hours: 7am-7pm CST
Website: http://www.tmhp.com

 

Dental (DentaQuest)

Phone: 1-888-308-9345

Phone: 1-855-418-1628 (Members)
Hours: 8am – 8pm CST, M-F
Website: http://www.dentaquest.com

 

Change HealthCare

Phone: 1-800-845-6592
Website: http://changehealthcare.com

 

MAXIMUS (Medicaid Managed Care Helpline)

Phone: 1-800-964-2777
Hours: 8am-5pm CST, M-F
Website: http://www.maximus.com/medicaid

 

Medicaid Managed Care Helpline

Phone: 1-866-566-8989
Website: http://www.hhsc.state.tx.us/ombudsman

 

Medicaid Managed Care Helpline TDD

Phone: 1-866-222-4306
Website: http://www.hhsc.state.tx.us/ombudsman

 

Medical Transportation Program (MTP)

Phone: 1-877-633-8747
Website: https://www.dshs.texas.gov/cshcn/mtp.shtm

 

Texas Department of Family & Protective Services (TDFPS)

Phone: 1-800-252-5400
Website: https://www.dfps.state.tx.us/

 

Prescription Benefits Manager (PBM) OptumRx

Phone: 1-800-613-3591
Hours: 8am-5pm (CST)
Website: http://www.optum.com

 

Texas Health Steps

Phone: 1-877-THSTEPS (1-877-847-8377)
Website: http://www.txhealthsteps.com

 

Vision (Superior Vision)

Phone: 1-800-879-6901
Hours: 8am – 8pm CST, M-F
Website: https://www.superiorvision.com/