All Cigna-HealthSpring CarePlan members will be offered a comprehensive medication review (CMR) by a pharmacist at least annually, which will include a review of all medications including prescription, Over-the-counter (OTC) medications, herbal therapies, and dietary supplements. The service will be offered as an interactive person-to-person consultation with one of our Cigna clinical pharmacists. Following the medication review, an individualized letter will be mailed to the member, which will include the personal medication record of all medications discussed and a medication action plan, if applicable. Letters will also be sent to providers as necessary after the CMR is completed to offer interventions to resolve medication-related problems or other opportunities to optimize medication use. In addition, a quarterly targeted medication review will be done automatically for all eligible members and interventions will be sent to the prescriber in a mailed letter.
Participation in the medication therapy management program is not a benefit, but a complimentary service offered to eligible members. All members will automatically be enrolled in the program unless they choose to not participate. Members will receive a welcome letter at the beginning of the year when they are identified as eligible. The letter will include the contact number to setup an appointment for a complimentary medication counseling session with a Cigna clinical pharmacist. The individualized medication review takes approximately 15 – 30 minutes.
If you have questions or need additional information, please call the Cigna MTM program directly toll-free at 1 (866) 442-7503 (Medicaid-specific) (TTY: 7-1-1). Appointments are available Monday through Friday 8 am to 5 pm CST. If you have any specific questions concerning health plan benefits, coverage issues, or claims, please call Member Services at 1 (877) 653-0327 (TTY 7-1-1) 7 days a week, from 8 am to 8 pm CST. Hearing impaired members may call 711 for assistance.