Policy and coverage updates

Cigna Healthcare coverage policies can help you to interpret standard health coverage plan provisions. Access the latest updates.

Cigna Healthcare U.S. commercial medical

Preventive care services policy updates
Clinical, reimbursement, and administrative policy updates
- 2025
- 2024
Precertification updates

Cigna Healthcare Medicare Advantage

Medicare Advantage 2024 formulary updates

Pharmacy update: Extension to prescribe alternative medication due to UDENYCA shortage

December 20, 2024

Due to the ongoing manufacturing shortage of UDENYCA®, Cigna HealthcareSM has extended the approval date for prescribing the alternative medication, NYVEPRIA™, through February 19, 2025. […] Read more >

Maryland access to evaluation/treatment requirements

December 18, 2024

The Maryland Insurance Administration requires in-network providers to have policies and procedures in place to ensure that customers can be evaluated and/or treated for urgent* […] Read more >

2025 Clinical, reimbursement, and administrative policy updates

December 13, 2024

To support access to quality, cost-effective care for your patients with a medical plan administered by Cigna Healthcare, we routinely review clinical, reimbursement, and administrative […] Read more >

California HMO provider appointment access and availability

December 11, 2024

When patients receive the right care at the right time, it can result in better health outcomes and an improved care experience. The State of […] Read more >

NALC Health Benefit Plan AMIs to change in January

December 8, 2024

Effective January 1, 2025, the alternate member identifiers (AMIs) for your patients with health care coverage under the National Association of Letter Carriers Health Benefit […] Read more >