To ensure our customers and provider partners in California receive the support they may need while coping with the tragic wildfires, Evernorth® Behavioral Health and Cigna Healthcare^SM are taking several steps to help you and your patients access the care they need as easily as possible.

Support for providers and their patients

We are easing some health benefit plan and prescription requirements for you and your patients with Evernorth and/or Cigna Healthcare coverage in Los Angeles and Ventura counties. This applies to all lines of business across medical, dental, and behavioral services.

Accommodations for you and our customers in the affected counties for dates of service January 7 through at least March 8, 2025, unless noted:

• Prior authorization: We will remove prior authorization requirements for all levels of care.
• Urgent care and emergencies: We will cover out-of-network claims as in network for urgent and emergency care.
• Medical supplies and equipment: We will replace or repair medical supplies and equipment such as DME, eyeglasses, dentures, etc. as necessary.
• Pharmacy accommodations: The following pharmacy requirements are lifted from January 7 through at least April 7, 2025:
  • R71 (prescriber not covered)
  • R73 (refills not allowed)
  • R79 (refill too soon)
  • R75 (Prior Authorization required)
  • R75/76 (D/Q) Applies to clinical 75 rejects and 76 rejects for any situation for dose duration and quantity duration and excessive dosing, etc.*
  • R75 (step) Clinical step therapy override and Prior authorization CPM SVC 069 and CPM SVC 065; drug coverage 75 is excluded

* Does not apply to Maximum Daily Dose High Dose rejects.

Additional support

In addition to the accommodations listed above, the following resources are available:

• 24/7 support: If customers have questions or are seeking support from a qualified clinician, they can call the number on their ID card or contact Cigna Healthcare Customer Service at 800.88Cigna (800.244.6224). Smartphone users may access their ID card and other personal health benefits information through the myCigna^® app.
• Disaster Resource Center: Our Disaster Resource Center provides a list of online resources for physical and mental self-care during challenging times. Resources are available in English and Spanish.
• 24/7 telephone help line for all California residents: We want to ensure all residents in California have support to help with anxiety, stress, or other issues. People who do not have health benefits or employee assistance program benefits with Evernorth or Cigna Healthcare can call 866.912.1687 toll-free.
• Cigna Healthcare^SM Medicare plans – please refer to the Emergency Notifications page on the Cigna Medicare provider website for additional information.

Additional information

We will continue to monitor the situation and take additional steps to help our customers, as needed, in concert with emergency or disaster declarations by local, state, and federal authorities. We encourage you to check back here often for the latest news and information.  Thank you for your commitment and dedication during this difficult time.