As a result, Cigna Commercial and Cigna Medicare Advantage plan to make the following changes on May 12, 2023:
Month: April 2023
THE END IS NEAR
What’s Next for Telehealth?
Big Changes, End of PHE
Cigna CoVid Coverage Changes
Changes in coverage effective May 12, 2023
The White House has announced their intent to end both the CoVid-19 National Emergency and Public Health Emergency (PHE) on May 11, 2023.
- Authorizations for facility-to-facility transfers will again be required.
- Patient cost-share will apply to COVID-19 lab tests as well as antiviral and therapeutics approved by the U.S Food & Drug Administration (FDA).
- For most benefit plans, COVID-19 vaccines will be covered at 100 percent under the preventive benefit (same as the flu shot) when customers go to an in-network provider.
- Over-the-counter COVID-19 tests will no longer be covered.
Cigna Coverage Changes
UHC April Monthly Overview
For Texas:
Starting June 1, 2023, Optum will manage prior authorization and step therapy requests for prescription medications for Texas residents with pharmacy coverage.
UHC Updates
Medicare vs Inflation
As part of a broader push for Medicare payment reform, the Texas Medical Association, along with the American Medical Association and 133 national specialty and state medical associations, recently called on Congress to index Medicare physician payments to inflation.
POET Says Farewell
As of March 31st, Leslie Anders is no longer with Cigna MA.
Please direct Cigna MA issues and questions to:
Jim Denman
(936) 635-0612
Please be patient, Jim will be filling both positions until Cigna finds a replacement.
Farewell
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