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src="https://providernewsroom.com/wp-content/themes/Provider%20Communications%20Digital%20Newsroom/assets/images/TCGlogo.png" id="tcglogo" style="max-width: 50%; margin: 25px;"> <p style="font-family: Verdana, sans-serif;margin: 25px;">We are a global health company, focused on improving the health and vitality of those we serve. Through our two divisions, Cigna Healthcare<sup>SM</sup> and Evernorth Health Services<sup>®</sup>, we are committed to enhancing the lives of our clients, customers, and patients. In order to fulfill this goal, we continually challenge ourselves to strengthen and evolve our capabilities.</p> <a href="https://www.thecignagroup.com/" class="leaf-u-link--action leaf-u-link--no-underline leaf-u-margin-top-24" target="_blank">Learn more</a></div> <img src="https://providernewsroom.com/wp-content/themes/Provider%20Communications%20Digital%20Newsroom/assets/images/AboutUs.png"> </div> </div> </div> </div><style> .evernorth .hero .date { margin-bottom: 0px; color: #3EFFC0; } .evernorth .hero h1 { color: white; } .related h4 { margin-bottom: 0px; margin-top: 35px; } </style> <div class="hero"> <div class="container-xxl"> <div class="row"> <div class="col-8"> <h1>Cigna Healthcare Medicare Advantage – Enhanced benefits for 2025</h1> <p class="date">October 7, 2024</p> </div> </div> </div> </div> <div class="article"> <div class="container-xxl"> <div class="row"> <div class="col-md-7"> <img src="https://providernewsroom.com/wp-content/uploads/2024/01/EN-DGTH-04-walking.jpg" class="feature"> <p></p> <p><strong>Cigna Healthcare Medicare Advantage – Enhanced benefits for 2025</strong></p> <p>In 2025, Cigna Healthcare<sup>℠</sup> Medicare Advantage will offer strong medically-focused plans with competitive cost-sharing benefits to support preventive health, chronic condition management, and reduce health disparities.<sup>*</sup></p> <p><strong>Plan features for 2025</strong></p> <ul class="wp-block-list"> <li><strong>Insulin coverage. </strong>All Cigna Healthcare Medicare Advantage Prescription Drug (MAPD) plans will offer select Tier 3 insulins at a copayment of up to $35 per month at preferred and standard pharmacies.</li> <li><strong>Dental care.</strong> All medical plans will include dental care — preventive, or preventive and comprehensive — through a dental allowance or a traditional dental Health Maintenance Organization (HMO) plan. You’ll be able to identify patients with dental plans by the tooth icon on the front of their customer ID card.</li> <li><strong>Vision care.</strong> All plans will offer supplemental vision benefits, including routine eye exams that include refraction, flexible lenses, frames or contacts, and after-cataract surgery glasses (lenses and frames or contacts) from participating providers.</li> <li><strong>Hearing coverage.</strong> All plans will include hearing benefits to provide easy access to routine exams and evaluations, fittings, and hearing aid devices.</li> <li><strong>Fitness benefit.</strong> All plans will offer a supplemental fitness benefit that includes premium fitness locations and experiences, one-on-one telephonic coaching, a variety of home fitness kits, and a free fitness tracker.</li> <li><strong>Home-delivered meals.</strong> All plans will offer a meal supplement. High-quality, nutritious frozen meals will be delivered to customers in inpatient or skilled nursing facilities, or to those with end-stage renal disease.</li> <li><strong>Advance directives.</strong> All plans will include access to advance directive services through Koda Health (currently only offered to dual-eligible special needs plans (D-SNP) customers.</li> <li><strong>In-home non-emergency urgent medical care.</strong> All plans in select markets will offer Dispatch Health in-home medical services for nonemergency care when the customer’s provider office is closed.</li> <li><strong>Lower out-of-pocket threshold for prescriptions. </strong>100 percent of plans will have a $0 prescription deductible, 100-day refills for Tier 1 and 2 drugs, and will change exception drug tier from tier 4 to 5 (applies to non-D-SNP only).</li> </ul> <p><strong>Continued plan features from 2024</strong></p> <p>In addition to new and enhanced benefits, customers will continue to have access to many current plan features:<sup>*</sup></p> <ul class="wp-block-list"> <li><strong>Provider of choice. </strong>Customers can generally see the provider of their choice, thanks to our extensive provider network. Additionally, those with preferred provider organization (PPO)</li> <li>plan coverage can go to any participating or nonparticipating Medicare provider without a referral (required for some HMO plans).</li> <li><strong>$0 copayment for diabetes supplies. </strong>Customers have a $0 copayment for select brand diabetes supplies. Customers are eligible for one glucose monitor and one continuous glucose monitoring device every two years, and 200 glucose test strips or three sensors per 30-day period (depending on the monitor).</li> <li><strong>Part B rebate plans. </strong>Customers who pay their own Part B premiums are eligible for a rebate.</li> <li><strong>Caregiver support system. </strong>Customers and their caregivers have access to our support system with no copayment.</li> </ul> <ul class="wp-block-list"> <li><strong>In-home support.</strong> Customers have access to a variety of services, including social check-ins, cultural programming, virtual games, help coordinating transportation and meal/grocery delivery. Support is available virtually via telephone, smartphone, or computer seven days a week.</li> <li><strong>Telehealth services</strong>. Customers can access nonemergency medical care, behavioral health care, physical therapy, and speech therapy virtually or by telephone.</li> <li><strong>Behavioral health visits and physical and speech therapy visits are covered at 100 percent at -participating providers.</strong></li> <li><strong>Transportation benefit.</strong> Customers have access to no-cost, nonemergency health-related transportation within 70 miles via van, taxi, wheelchair-equipped vehicle, or rideshare services.</li> </ul> <p>* Benefits may vary according to plan and location.</p> <p><strong>Cigna Healthcare Medicare Advantage — 2025 market areas</strong></p> <figure class="wp-block-image size-large"><img fetchpriority="high" decoding="async" width="1024" height="475" src="https://providernewsroom.com/wp-content/uploads/2024/10/image-3-1024x475.png" alt="" class="wp-image-1035" srcset="https://providernewsroom.com/wp-content/uploads/2024/10/image-3-1024x475.png 1024w, https://providernewsroom.com/wp-content/uploads/2024/10/image-3-580x269.png 580w, https://providernewsroom.com/wp-content/uploads/2024/10/image-3-200x93.png 200w, https://providernewsroom.com/wp-content/uploads/2024/10/image-3-768x357.png 768w, https://providernewsroom.com/wp-content/uploads/2024/10/image-3.png 1036w" sizes="(max-width: 1024px) 100vw, 1024px" /></figure> </div> <div class="col-md-4 offset-1"> <div class="related"> <h3>Related articles</h3> <div> <a class="no-decoration" href="/medicare-network-insider/the-value-of-the-providers-recommendation-in-flu-vaccination"><h4>The value of the provider’s recommendation in flu vaccination</h4></a> <p class="date">November 27, 2024</p> <p>Flu season is here, with cases tending to spike in November, December, and January. As you know, vaccinations early in the season are encouraged, particularly […] <a class="read_more" href="https://providernewsroom.com/cigna-healthcare/the-value-of-the-providers-recommendation-in-flu-vaccination/?brand=medicare-network-insider"> Read more > </a></p> </div> <div> <a class="no-decoration" href="/medicare-network-insider/change-healthcare-latest-updates-on-eft-era-and-835-files"><h4>Change Healthcare – latest updates</h4></a> <p class="date">November 25, 2024</p> <p>As you know, the Change Healthcare cyber incident continues to affect Cigna Healthcare, third party vendors we work with, and health care providers – as […] <a class="read_more" href="https://providernewsroom.com/medicare-network-insider/change-healthcare-latest-updates-on-eft-era-and-835-files/?brand=medicare-network-insider"> Read more > </a></p> </div> <div> <a class="no-decoration" href="/medicare-network-insider/cigna-healthcare-medicare-advantage-updated-facility-fee-reimbursement-information"><h4>Cigna Healthcare Medicare Advantage – updated facility fee reimbursement information</h4></a> <p class="date">November 21, 2024</p> <p>Please be aware of an important change to the Cigna HealthcareSM Medicare Advantage provider manual to include information on facility fee reimbursement. Cigna Healthcare will […] <a class="read_more" href="https://providernewsroom.com/medicare-network-insider/cigna-healthcare-medicare-advantage-updated-facility-fee-reimbursement-information/?brand=medicare-network-insider"> Read more > </a></p> </div> <div> <a class="no-decoration" href="/medicare-network-insider/new-rejection-codes-for-medicare-advantage-claims"><h4>New rejection codes for Medicare Advantage claims</h4></a> <p class="date">November 19, 2024</p> <p>On December 5, our claim processing system for Cigna HealthcareSM Medicare Advantage plans will be updated to include new rejection codes. 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The enhancements include an indicator that will assist in selecting the […] <a class="read_more" href="https://providernewsroom.com/medicare-network-insider/provider-data-enhancements-to-the-hsconnect-provider-portal/?brand=medicare-network-insider"> Read more > </a></p> </div> </div> </div> </div> </div> </div> <div class="contact-us"> <div class="container-xxl"> <div class="row"> <div class="col-md-3"></div> <div class="col-md-6 text-center"> <h2>How are we doing?</h2> <p>Please let us know what you think of the Provider Newsroom information and news.</p> <a href="/contact" class="btn"> Contact Us </a> </div> </div> </div> </div> <footer> <div class="container-xxl"> <div class="row"> <div class="col-md-8"> <div class="footer-info"> <div class="policies healthcare"> <ul class="policies"> <li class="menu-item"><a href="https://www.cigna.com/legal/members/" target="_blank">Legal Notice</a></li> <li class="menu-item"><a href="https://www.cigna.com/legal/compliance/" target="_blank">Privacy Policy</a></li> </ul> </div> <p>All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group.</p> <p>© 2024 Cigna Healthcare</p> </div> </div> <div class="col"> <h4>Resources</h4> <div class="resources healthcare"> <ul class="navbar-nav mr-auto"> <a class="button" href="https://medicareproviders.cigna.com/" target="_blank">medicareproviders.cigna.com</a> <a class="button" href="https://www.hsconnectonline.com/login.aspx" target="_blank">HSConnect Provider Portal</a> <a class="button" href="https://medicareproviders.cigna.com/static/medicareproviders-cigna-com/docs/medicare-provider-manual.pdf" target="_blank">Provider Manual</a> <a class="button" href="https://medicareproviders.cigna.com/quick-reference-guide" target="_blank">Reference Guide</a> <a class="button" href="https://medicareproviders.cigna.com/forms" target="_blank">Precertification</a> <a class="button" href="https://medicareproviders.cigna.com/forms" target="_blank">Forms</a> <a class="button" href="https://hcpdirectory.cigna.com/web/public/consumer/directory/search?consumerCode=HDC056&language=en-us" target="_blank">Provider directory</a> <a class="button" href="https://static.cigna.com/assets/chcp/resourceLibrary/medicalResourcesList/medicalDoingBusinessWithCigna/medicalDBwCCredentialRecredential.html" target="_blank">Join the Network</a> <a class="button" href="https://medicareproviders.cigna.com/ch-newsletter" target="_blank">Network Insider Archives</a> </ul> </div> </div> </div> </div> </footer> <script type="text/javascript" src="https://cdn.jsdelivr.net/npm/bootstrap@5.3.2/dist/js/bootstrap.bundle.min.js?ver=6.6.1" id="theme-script-js"></script> <script type="text/javascript" src="//cdn.jsdelivr.net/npm/slick-carousel@1.8.1/slick/slick.min.js?ver=6.6.1" id="slider-script-js"></script> <script type="text/javascript" src="https://providernewsroom.com/wp-content/themes/Provider%20Communications%20Digital%20Newsroom/assets/js/main.js?ver=6.6.1" id="main-js-js"></script> </body> </html>

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