Cigna Healthcare^® regularly evaluates the quality and cost-efficiency information of in-network providers in 21 specialty types, including primary care. Providers who meet specific criteria may receive the Cigna^® Care Designation (CCD), which denotes a higher-performing provider based on the criteria outlined in the 2026 quality, cost efficiency, and Cigna Care Designation methodology white paper.

CCD information may also be used to help determine a provider’s tier for plans with a tiered benefit design. Customers enrolled in a plan with tiered benefits may pay lower copays or coinsurance for covered services rendered by Tier 1 providers.

2026 results sent to providers in June

In June, communications will be sent to primary care providers and specialists informing them how to obtain their 2026 quality, cost efficiency, and CCD profile directory display results.^* It includes instructions on how to request provider reports, review results, submit inquiries, and submit changes or reconsideration requests.

2026 CCD and Tier 1 provider displays

Beginning in October, providers who received the 2026 Tier 1 status will have a “Tier 1 Provider” indicator display next to their name in our provider directories on Cigna.com and myCigna.com.

Beginning January 1, 2026, the CCD and Tier 1 provider status will become effective. Providers who earned the 2026 CCD will have the CCD symbol () display next to their name. The 2026 quality displays will be viewable on Cigna.com and myCigna.com. The 2026 cost-efficiency displays will be viewable on myCigna.com.

When amended results will appear in online directories

All CCD reconsideration requests received by August 22, 2025, will be reviewed prior to the results becoming effective on January 1, 2026, and the results will be available in our online provider directories in October 2025. If we receive a request after August 22, 2025, and results are amended, the updated results will be available the next time we refresh the online provider directories.

For more information or to request reconsideration

To review additional quality and cost-efficiency information, obtain a full description of the methodology and data that decisions are based on, request correction of inaccuracies, request reconsideration of quality or cost-efficiency results, or provide additional information, submit a request to the Quality Clinical Management team. You can also email PhysicianEvaluationInformationRequest@CignaHealthcare.com, or send a fax to 866.448.5506.

When submitting a request, include your:

• Full name and telephone number.
• Practice name and full address.
• Practice email address or fax number.
• Taxpayer Identification Number.
• Reason for the request.
• Supporting documentation, if applicable.

A Quality Clinical Manager (QCM) will contact you after your request is received to provide additional details and your profile results. If you are not able to utilize one of the contact methods above, please call Cigna Healthcare Provider Service at 800.88Cigna (882.4462) and request a return call from a QCM.

Methodology

A full description of the methodology used to determine 2026 provider quality, cost efficiency, and CCD results is available at Cigna.com/CignaCareDesignation.

*Providers in certain markets receive actual results in compliance with state regulations.