To ensure our customers and health care provider partners in California receive necessary support and accommodations while coping with the tragic wildfires, Cigna Healthcare^SM is taking several steps to help providers and their patients access needed care as easily as possible.

Support for providers and their patients

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

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

Accommodations for providers and our customers in the affected counties

For dates of service January 7 through March 8, 2025:

• Prior authorization: We will remove requirements for providers to seek authorization in advance of care.
• Urgent care and emergencies: We will cover out-of-network claims as in network for urgent and emergency care.
• Patient transfers: We will waive the authorization approval requirement for patient transfers. Medical necessity review will still be required but may be obtained post-transfer.
• Medical supplies and equipment: We will replace or repair medical supplies and equipment such as DME, eyeglasses, dentures as necessary.

Additional patient support

In addition to the accommodations listed above, the following resources are available to customers with Cigna Healthcare coverage:

• 24/7 support: If customers have questions, they can call the number on their Cigna Healthcare 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.
• Telephone help line for California residents: California residents with Cigna Healthcare coverage can access our 24/7 telephone help line staffed with qualified clinicians available to speak with them about how to cope with anxiety, stress, or other issues. Customers who do not have health benefits or employee assistance program benefits with Cigna Healthcare or Evernorth^® have access to similar services by calling 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 and provider partners, 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.

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