Cigna Healthcare Medicare Advantage – Enhanced benefits for 2025

In 2025, Cigna Healthcare^℠ Medicare Advantage will offer strong medically-focused plans with competitive cost-sharing benefits to support preventive health, chronic condition management, and reduce health disparities.^*

Plan features for 2025

• Insulin coverage. 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.
• Dental care. 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.
• Vision care. 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.
• Hearing coverage. All plans will include hearing benefits to provide easy access to routine exams and evaluations, fittings, and hearing aid devices.
• Fitness benefit. 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.
• Home-delivered meals. 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.
• Advance directives. All plans will include access to advance directive services through Koda Health (currently only offered to dual-eligible special needs plans (D-SNP) customers.
• In-home non-emergency urgent medical care. All plans in select markets will offer Dispatch Health in-home medical services for nonemergency care when the customer’s provider office is closed.
• Lower out-of-pocket threshold for prescriptions. 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).

Continued plan features from 2024

In addition to new and enhanced benefits, customers will continue to have access to many current plan features:^*

• Provider of choice. Customers can generally see the provider of their choice, thanks to our extensive provider network. Additionally, those with preferred provider organization (PPO)
• plan coverage can go to any participating or nonparticipating Medicare provider without a referral (required for some HMO plans).
• $0 copayment for diabetes supplies. 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).
• Part B rebate plans. Customers who pay their own Part B premiums are eligible for a rebate.
• Caregiver support system. Customers and their caregivers have access to our support system with no copayment.

• In-home support. 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.
• Telehealth services. Customers can access nonemergency medical care, behavioral health care, physical therapy, and speech therapy virtually or by telephone.
• Behavioral health visits and physical and speech therapy visits are covered at 100 percent at -participating providers.
• Transportation benefit. Customers have access to no-cost, nonemergency health-related transportation within 70 miles via van, taxi, wheelchair-equipped vehicle, or rideshare services.

* Benefits may vary according to plan and location.

Cigna Healthcare Medicare Advantage — 2025 market areas