Evernorth^® Behavioral Health (Evernorth) is pleased to announce that effective March 6, 2026, prior authorization will no longer be required for transcranial magnetic stimulation (TMS) for Evernorth contracted providers whose patients have coverage under Evernorth and Cigna Healthcare^® plans.  TMS with dates of service prior to March 6, 2026, may require prior authorization.

Non-contracted/out-of-network providers must continue to obtain prior authorization for TMS.

Note that for patients with a Cigna Connect Individual & Family Plan (IFP), services rendered outside of their state of residence could be considered out-of-network. Therefore, always verify benefits, eligibility, and prior authorization requirements prior to rendering services. You can easily identify patients with a Cigna Connect IFP by viewing their Cigna Healthcare^® ID card, which will indicate the plan name.

Network exception requests will continue to require prior authorization. Use the Transcranial Magnetic Stimulation (TMS) Request Form (available on the Evernorth Provider website in the Forms Center).

To verify patient benefits, eligibility, and prior authorization requirements:

Continue to use the same process you use today before rendering services.

• Call Provider Services at 800.926.2273 or Registered users may log in to the secure Evernorth Provider portal (Provider.Evernorth.com) (register here). The portal provides 24/7 secure access to patient information such as eligibility and benefits. You can also check prior authorization requirements, view remittance reports, enroll in electronic funds transfer, and make directory profile updates.
• Use the Coverage Confirmation Grid (an Excel spreadsheet) to verify general benefits and eligibility, including a specific provider’s network status, prior authorization requirements, and accumulation information. A completed grid will be returned via secure email within one business day from the date it was received.

Questions?

Please refer to the Frequently asked questions for contracted providers flyer.