Tag: Cigna Healthcare (MA), Also see HealthSpring (HCSC)
Is CIOX a Pain?
If you are having issues with CIOX, please let POET know.
Cigna MA Plans for 2023
The below list is for Provider use only. Not to be distributed to Patients.
Know your “H” numbers.
HMO Customer Benefit Plans for Our Service Area
PPO Customer Benefit Plans for Our Service Area
Cigna Preferred Medicare HMO, H4513-061
Cigna True Choice Medicare PPO, H7849-038
Cigna Preferred Savings Medicare HMO, H4513-066
Cigna Tru Choice Medicare PPO, H7849-062
Cigna Courage Medicare HMO, H4513-009
Cigna TotalCare HMO D-SNP, H4513-060
Great News for Insulin Dependent Medicare Patients
In August 2022, the Inflation Reduction Act (IRA) was passed. Among other items it will lower prescription Drug Costs for Seniors.
The Inflation Reduction Act (IRA) will help close the gap in access to medication by improving prescription drug coverage and lowering drug prices in Medicare.
The Law:
- Caps the amount that seniors will have to pay for prescription drugs they buy at the pharmacy at $2000 a year.
- Caps the amount that seniors will pay for insulin at $35 for a month’s supply.
- Provides access to a number of additional free vaccines, including the shingles vaccine, for Medicare beneficiaries.
- Will further lower prescription drug costs for seniors by allowing Medicare to negotiate the price of high-cost drugs and requiring drug manufacturers to pay Medicare a rebate when they raise prices faster than inflation.
From CMS.gov/newsroom, People with Medicare drug coverage will pay nothing out-of-pocket for adult vaccines recommended by the Advisory Committee on Immunization Practices (ACIP), including the shingles and Tetanus-Diphtheria-Whooping Cough vaccines, starting in 2023.
2023 Arcadia 360 Is Up and Running
Medicare Advantage
- The 2023 Arcadia 360 is ready and available for providers. There are no form content changes for 2023 at this time. (Providers have already begun submitting 360s through Arcadia for 2023.)
- One known issue: pre-population from 2022 forms into 2023 forms is not currently working. This will be resolved with a new release coming this week. Exact release details and timing will be communicated once tested and confirmed. This applies to the following fields: past medical history, surgical history, allergies, medications, family history.
- The conditions tab and measures tab will populate with data as expected, if applicable.
Cigna Network News 3rd Qtr 2022
Some Highlights:
- Covid Updates
- Virtual Care Services POS 02
- Policy Updates: Preventive Care, Precertification, Reimbursement and more
- Tips for online reconsiderations and appeals
- Advantage Plan Highlights
- And much more.
Heat Relief, Cooling Centers
Do you have Cigna MA Patients, that need relief from this Summer Heat?
Cigna MA is offering it’s customers transportation to “Cooling Centers” or other public locations that provide Air Conditioning (i.e. Library or Senior Center)
Just a Reminder-Cigna MA Plans
The below list is for Provider use only. Not to be distributed to Patients.
HMO Customer Benefit Plans for Our Service Area
PPO Customer Benefit Plans for Our Service Area
Cigna Preferred Medicare HMO, H4513-061
Cigna True Choice Medicare PPO, H7849-038
Cigna Preferred Savings Medicare HMO, H4513-066
Cigna True Choice Plus Medicare PPO, H7849-062
Cigna Fundamental Medicare HMO, H4513-009
Cigna TotalCare HMO D-SNP, H4513-060
Cigna Medicare HSConnect Portal
Cigna MA has reported two known issues with HSConnect.
- Referrals are pending unnecessarily.
- The procedure start and end date are defaulting to the same day.
An expected date for resolution has not been provided.
But there is good news (tongue in cheek) the PHE has been extended. Therefore, referrals are still waived. Those items requiring precertification will continue to need an authorization.
Sick of Chart Review Request?
If you are frequently being ask by Cigna MA for chart reviews, click the button below to find out how to reduce the number of requests you receive.
Close those Gaps
CLOSE THOSE GAPS
Please fax documentation for closing Cigna MA 360 gaps
Attention: Leslie (866) 214-5122
Or
Email to [email protected]
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