2025 service area reductions and non-renewed plans

Service area reductions and non-renewed plans will be effective January 1, 2025.

Every year, Cigna Healthcare Medicare evaluates services areas for viability, network adequacy, and provider engagement. If any gaps are identified in these areas that cannot be resolved, it can result in Cigna Healthcare reducing these service areas and/or not renewing plans.

As we near AEP, we want to make you aware of the Cigna Healthcare Medicare Advantage (MA) service area reductions and non-renewals that will be effective January 1, 2025. While there are 36 plans impacted, the majority of them have low membership, and with the exception of four full county exists, we have alternate MA plans available.

Overview of impacted plans and customers:

• Colorado: We will no longer offer PPO plans in La Plata and Montezuma counties in Colorado. The combined impact is less than 500 customers. There will still be HMO plans available in both counties and throughout Colorado.

• Florida: We will no longer offer PPO plans in Florida. The customer impact is approximately 4,000 customers. HMO plans will still be available.

• Illinois: We will no longer offer a PPO plan in DeKalb County, but an HMO option will still be available. We will not have an HMO plan available in Madison, Monroe, and St. Clair counties, but a PPO option will still be available.

• Missouri and North Carolina: We will be exiting Franklin and Clinton counties in Missouri and Caldwell County in North Carolina. The combined customer impact is approximately 125 customers.

• Tennessee and Texas: We will have a PPO service area reduction in Hawkins and Obion counties in Tennessee and Aransas and Walker counties in Texas, but HMO plan options will still be available. Less than 200 combined customers will be affected in these areas.

• Utah: We will no longer offer an HMO plan in Utah County, Utah. There are approximately 570 members impacted. There will still be a PPO option available.

To see a list of ALL impacted service areas and non-renewals please review our FAQ document linked below. Log in to CignaForBrokers and navigate to Producers' University to view the document.

Customers will be notified as follows:

• Customers who are enrolled as of September 1 will be notified via a non-renewal letter mailed to their homes that will arrive by October 2, 2024.

• Customers who enroll after September 1 will receive the enrollment kit via mail (as we are still required to send it for their coverage through the end of the year), and they will also receive a termination letter indicating that their coverage will be terminated effective December 31, 2024.

Agent of Record (AOR) protection:

• If a customer makes a plan change with our internal Cigna Healthcare team, your AOR status will be protected. Review our AOR protection policy here.

We encourage you to reach out to your customers after they receive their non-renewal letters to review their plan options with them. 

Our team is here to help. Please reach out to your local Broker Manager team with any questions or concerns regarding the service area reductions and non-renewals for 2025.

Thank you for your continued partnership!

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