- STAR+PLUS Member Handbook
- STAR+PLUS Member Handbook – Nursing Facility
You can request a free hard copy of the Member Handbook by calling Member Services toll-free at 1‑877‑653‑0327 (TTY: 7-1-1) Monday to Friday, 8 a.m. to 5 p.m. Central Time.
Cigna-HealthSpring works with many Primary Care Providers (PCP), specialists and hospitals to meet your health care needs. With this tool, you can find health care providers in your area.
- How do I pick my main doctor?
When you join Cigna‑HealthSpring, you need to pick your main doctor from the Provider Directory. If you need help picking a main doctor, please call Member Services toll-free at 1‑877‑653‑0327 (TTY: 7-1-1) Monday to Friday, 8 a.m. to 5 p.m. Central Time.
Learn More about Primary Care Providers
- What is a referral?
Cigna-HealthSpring does not require referrals from your PCP to a specialty care provider or ancillary provider.
- What services do not need a referral?
You should always call your main doctor to find out if the services you need require a referral. You don’t need a referral for:
- Behavioral health
- Family planning
- Lost or Stolen ID Card?
If you lose your Member ID Card, please call Member Services at 1-877-653-0327 (TTY: 7-1-1), Monday to Friday from 8 a.m. to 5 p.m. Central Time. We will send you a replacement card.
- Member Rights and Responsibilities
You have the right to respect, dignity, privacy, confidentiality, and nondiscrimination.
Learn more about your Member Rights and Responsibilities: Visit Member Rights and Responsibilities | View Member Handbook
- Texas Health Steps
Texas Health Steps offers regular medical, dental, and vision checkups. It also offers vaccines to infants, children, teens, and young adults aged 0‑20. For more information call Cigna‑HealthSpring at 1‑877‑653‑0327 (TTY: 7-1-1) or Texas Health Steps 1‑877‑847‑8377 (1‑877‑THSTEPS) (toll‑free), Monday to Friday, 8 a.m. to 8 p.m.
Learn more about Texas Health Steps: Visit Texas Health Steps | View Member Handbook
- Notice of Privacy Practice
Learn more about our Notice of Privacy Practice
- Member Advisory Group
Cigna–HealthSpring invites you to join our Member Advisory Group meetings. We meet with our members every quarter to learn what they like about their Cigna-HealthSpring STAR+PLUS health plan and what we can do to make it better. We review your benefits, answer your questions and bring in speakers who talk about ways to live a healthier lifestyle.
If you want to join our Member Advisory Group meeting or attend other member events, please call toll-free at 1-866-913-0943 (TTY: 7-1-1) and leave your name and a telephone. Or you can email us at: TXMemberAdvocates@healthspring.com. We will get back to you to tell you about our next Member Advisory Group meeting. Please join us.
- Medicaid Appeals Process
You or your authorized representative can file an appeal with Cigna‑HealthSpring.
How to File an Appeal: English | En Español
Learn More about the Appeals Process: Visit Appeals & Complaints | View Member Handbook
- Fair Hearing Process
You or your authorized representative can ask for a State Fair Hearing at any time during the Appeals process or after the decision on your Appeal.
Learn More about the Fair Hearing Process: Visit Appeals & Complaints | View Member Handbook
- Medicaid Complaint Process
If you have a complaint, please call us toll‑free at 1‑877‑653‑0327 (TTY: 7-1-1) to tell us about your problem.
If you receive benefits through Medicaid’s STAR, STAR+PLUS, STAR Health, or STAR Kids program, call your medical or dental plan first. If you don’t get the help you need there, you should do one of the following:
- Call Medicaid Managed Care Helpline at 1-866-566-8989 (TTY: 7-1-1) (toll-free).
- Online: Online Submission Form (only works in Internet Explorer)
- Mail: Texas Health and Human Services Commission
Office of the Ombudsman, MC H-700
PO Box 13247
Austin, TX 78711-3247
- Fax: 1-888-780-8099 (toll-free)
Learn more about the Complaint Process: Visit Appeals & Complaints | View Member Handbook
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