Cigna-HealthSpring CarePlan is a Medicare-Medicaid Plan. A Medicare-Medicaid plan is an organization made up of doctors, hospitals, pharmacies, providers of long-term services and supports, and other providers. It also has service coordinators and service coordination teams to help you manage all your providers and services. They all work together to provide the care you need.

Read a copy of the Member Handbook, which includes Evidence of Coverage.

Find a doctor using our PDF format or online search options.

Cigna-HealthSpring CarePlan service coordination program can help you get the medical services you need.

Read about our benefits transportation assistance, over the counter allowances and much more.

Visit our online referral network.

Download important forms in English and Spanish.

View other helpful and important documents and resources such as

  • Lost or Stolen ID Card
  • Member Rights & Responsibilities
  • Notice of Privacy Practice
  • Member Advisory Group Overview
  • Fair Hearing Process

Get the latest HHSC updates.

Prior Authorization

Cigna MMP uses Medicare coverage guidelines called Local Coverage Determinations (LCD) and National Coverage Determinations (NCD). If there is not an appropriate LCD/NCD, the clinical staff will use an evidence-based criteria. This criteria is often a standard for managed care organizations and other insurance companies in the industry. All criteria is used to assist the clinical staff in establishing medical necessity for services, hospital stays, Durable Medical Equipment (DME), home health therapies, and more. The staff reads the clinical information sent to Cigna and determines if the information sent supports the medical necessity criteria. If it does not, then the authorization request is sent to a medical director (a doctor on staff with Cigna). In addition to the LCD, NCD, and evidence-based criteria, Cigna MMP may use the Texas Medicaid Provider Procedures Manual and/or an approved policy when services requested are not coverable under Medicare.

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Virtual Care Anywhere

With MDLIVE, Members can talk with a doctor 24/7 for non-emergency medical help.

You have the right to file a complaint:

If you receive benefits through Medicaid’s STAR, STAR+PLUS, STAR Health or STAR Kids program, call your medical or dental plan first. Call Member Services at 1 (877) 653-0327, TTY: 711. If you don’t get the help you need there, you should do one of the following:

Learn more about the process