Medicare Blog

what is healthspring medicare advantage network

by Lance Ullrich Published 2 years ago Updated 1 year ago
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HealthSpring are Medicare plans that are administered through Cigna health insurance company. Medicare Part C, also known as Medicare Advantage, Medicare Part D prescription drug plans (PDPs), and Medicare supplement insurance (Medigap) policies are all available through Cigna-HealthSpring.

Full Answer

Why is Medicare Advantage cheaper than Medicare?

The HealthSpring HealthyAdvantage Premiere plan is a HMO-POS plan. The point-of-service aspect of this plan allows you to receive services out-of-network generally at a higher cost. This plan will have the highest premium of any HealthSpring plan. When comparing available plans one big factor is whether or not the network is suitable for you.

Why Choose Medicare Advantage over Original Medicare?

 · HealthSpring Insurance Company is a Medicare Advantage Plan that offers a variety of different options to customers based on personal needs and requirements. HealthSpring works with doctors and hospitals throughout the Southeast to offer members an insurance product that helps them stay healthy with wellness program and help find caregivers …

Is Medicare Advantage better than Medicare?

Cigna-HealthSpring Advantage (HMO) has a network of doctors, hospitals and other providers. If you use the providers that are not in our network, the plan may not pay for these services. • You can see our plan’s . Provider Directory. at our website, www.CignaHealthSpring.com. • Or, call us and we will send you a copy of the . Provider Directory.

Does Medicare Advantage offer much advantage?

 · Term date - an automatic future term date is entered. This is required for this system. Please also verify the status of the plan shows as “ENROLLED”. Please select the link for your state below. HSConnect for Medicare Advantage Health Care Providers in: Alabama. Arkansas. Delaware. District of Columbia.

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Is HealthSpring an Advantage plan?

Member satisfaction: Cigna HealthSpring, a Cigna subsidiary, came in third out of nine Medicare Advantage providers in terms of member satisfaction in J.D. Power's latest Medicare Advantage study. Low-cost options: More than three-quarters (78.6%) of Cigna's Medicare Advantage offerings are $0-premium plans.

What type of insurance is Texas HealthSpring?

Medicare plansHealthSpring are Medicare plans that are administered through Cigna health insurance company.

Is Cigna the same as HealthSpring?

You may have heard the news: On January 31, 2012, Cigna acquired HealthSpring, Inc. and its subsidiaries (“HealthSpring”), including Bravo Health, a HealthSpring company, and HealthSpring of Florida.

Who owns HealthSpring?

CignaConnecticut General CorporationHealthspring, Inc./Parent organizations

What is Cigna-HealthSpring Preferred HMO?

Cigna-HealthSpring Preferred (HMO) has a network of doctors, hospitals, pharmacies and other providers. If you use the providers that are not in our network, the plan may not pay for these services. You must generally use network pharmacies to fill your prescriptions for covered Part D drugs.

Does Cigna-HealthSpring have out of network benefits?

If you need a service that cannot be provided within our network, Cigna-HealthSpring CarePlan will pay for the cost of an out-of-network provider.

Does Cigna-HealthSpring require referrals?

If a customer is in an active course of treatment with a Specialist at the time of enrollment, Cigna-HealthSpring will evaluate requests for continuity of care. A PCP referral is not required, but an authorization must be obtained from Cigna-HealthSpring's Prior Authorization Department.

Does Cigna-HealthSpring require Prior Authorization?

Rendering providers should VERIFY that a Prior Authorization has been granted BEFORE any service requiring a Prior Authorization is rendered. Prior Authorizations may be verified via HealthSpring Connect (HSC) or as otherwise indicated in the Health Services section of the Provider Manual.

What states is Cigna Medicare Advantage in?

Cigna offers Medicare Advantage plans in 18 states, including Alabama, Arkansas, Arizona, Colorado, Delaware, Florida, Georgia, Illinois, Kansas, Missouri, Maryland, Mississippi, New Jersey, North Carolina, Pennsylvania, South Carolina, Tennessee, Texas and the District of Columbia.

How much does Cigna pay HealthSpring?

$3.8 billionCigna Corp. completed its acquisition of HealthSpring, a Nashville-based Medicare Advantage provider that the insurer bought for $3.8 billion in cash.

What is Medicare Supplement Insurance?

The Medicare Supplement Insurance (Medigap) policies it offers help you rein in the supplementary expenses not covered by Original Medicare. Its plans are designed to pay some, most, or all of the expenses not paid by Parts A and B, like hospital copayment and coinsurance amounts, and deductibles.

Does HealthSpring cover prescription drugs?

HealthSpring Prescription Drug Benefits and Plans. Under Medicare Part C, you are provided with the Prescription Drug Plan (PDP) that you would otherwise have to purchase as a standalone benefit. The PDP pays prescription drug benefits not covered by Medicare and helps you afford those medications you need.

Comparing HealthSpring HealthyAdvantage Medicare Plans

Most HealthSpring Medicare Advantage plans for are branded as HealthyAdvantage Medicare plans. HealthyAdvantage Medicare plans are available in select Counties of Alabama, Tennessee, Mississippi, Georgia, Florida, Texas and Illinois.

Finding the best HealthyAdvantage Medicare plan

When comparing Medicare Advantage plans you may be looking for the best plan. The best plan is not necessarily the same for everyone. Differences in monthly premium, level of benefits and whether or not you would like the freedom to go out of network all factor in to which will be the best plan for you.

What is HealthSpring insurance?

By contracting with the Federal Government, HealthSpring Insurance Company offers three different plans to their customers, including a Medicare advantage plan, a special needs plan and a prescription drug plan. The Medicare Advantage plans are offered with or without a prescription drug ...

What is the phone number of HealthSpring?

These regional offices cover the entire 12 state coverage area that HealthSpring serves, including the aforementioned states as well as: The main phone number of the corporate office is 615- 291-7000, and each of the individual regional offices has a separate toll free phone number and email address.

When was HealthSpring founded?

Founded in 2000, HealthSpring was created to focus on the specific needs of the Medicare population while educating and encouraging physicians on the importance and value associated with providing Medicare services. By focusing on prevention, working with physicians, and creating tangible results, HealthSpring continues to offer outstanding service to the growing population of Medicare patients.

Does HealthSpring pay Medicare Part B?

It is important to note that members must utilize a HealthSpring Insurance network pharmacy and continue to pay any Medicare Part B premium that is required in order to maintain coverage. HealthSpring also offers free seminars for individuals interested in learning more about available coverages and the Medicare Advantage Plan and process.

Does HealthSpring work with hospitals?

HealthSpring works with doctors and hospitals throughout the Southeast to offer members an insurance product that helps them stay healthy with wellness program and help find caregivers when they are ill. HealthSpring Insurance Company has a detailed and easy to navigate website that allows both members and potential customers ...

Does HealthSpring have a career path?

HealthSpring has detailed information available on their website regarding career paths, job openings, and available benefits. There is information on the specific career development paths offered by HealthSpring, including how they recognize and reward their employees. Interested applicants are able to create a profile online that can be saved and then used to apply for positions that are posted. In addition, by creating a profile, individuals can receive an email when a position matching their interest and experience is posted.

Is HealthSpring a BBB?

The Better Business Bureau (BBB) has accredited HealthSpring since 2006. In addition, the Better Business Bureau assigns a grade to companies, the best possible rating in these cases is an A+, and the worst is an F. The ratings are based on a variety of factors, including but not limited to length of time in business, the type of business, whether or not the company honored commitments to the Better Business Bureau, background information about the business, and more. There are a total of 16 factors, and based on those, the BBB has assigned HealthSpring a grade of A+. Over the past three years, there was one complaint filed against SecureHealth through the Better Business Bureau, and that complaint was resolved with assistance from the BBB.

When did Cigna buy HealthSpring?

In October of 2011, Cigna purchased HealthSpring Inc. to boost Cigna’s Medicare Advantage presence nationally. This transaction included changing the name from Cigna Medicare to Cigna-HealthSpring Medicare. In 2019, Cigna decided to drop HealthSpring from its name, and will now be known simply as Cigna. With all that said, my purpose in writing ...

What is Cigna coordinated care?

Coordinated care at Cigna is about knowing you, your needs, your goals, your lifestyle and more. CMG’s put that all together to create a health care system that’s coordinated around you.

What is Cigna's best thing?

One of the best aspects of Cigna is their personalized care one can receive at a Cigna Medical Group (CMG) clinic.

What is a C-SNP?

2 Chronic Special Needs Plan (C-SNP): A C-SNP plan is a Medicare Advantage plan with coverage designed especially for Medicare beneficiaries with certain chronic conditions (such as diabetes) or have some other specific need. In Arizona, Cigna’s C-SNP plan is a diabetic specific condition plan. What that means is that you have to be diagnosed ...

What are the benefits of dental insurance?

Some benefits may vary by plan: Dental. A better smile, a healthier you. Depending on your plan, you may receive basic preventative services such as oral exams and cleanings; additional comprehensive coverage, such as fillings and dentures; or an allowance toward your dental care. Vision.

Does Cigna offer Medicare Advantage?

Cigna Medicare Advantage plans give you additional plan benefits not offered by Original Medicare and allow you to focus on your health. Please talk to a licensed Medicare broker to see the plan’s Summary of Benefits for more information. Some benefits may vary by plan: Dental. A better smile, a healthier you.

Does CMG understand Medicare?

If you’re a Cigna customer, CMG’s even understand your Cigna Medicare plan – and everything it offers – so they can help you get started with programs you might not know about.

What states have Medicare Supplement Plans?

The following Medicare Supplement Plans are available to persons eligible for Medicare due to disability: Plan A in Arkansas, Connecticut, Indiana, Maryland, Oklahoma, Texas, and Virginia; Plans A & F in North Carolina; and Plan C & D in New Jersey for individuals aged 50-64.

Is an outline of coverage available?

AN OUTLINE OF COVERAGE IS AVAILABLE UPON REQUEST. We'll provide an outline of coverage to all persons at the time the application is presented.

Does Cigna have Medicare?

Cigna contracts with Medicare to offer Medicare Advantage HMO and PPO plans and Part D Prescription Drug Plans (PDP) in select states, and with select State Medicaid programs. Enrollment in Cigna depends on contract renewal.

Is a Cigna Medicare Advantage plan right for you?

Cigna could be a good option for you, especially if you have these specific needs:

States Cigna serves

Cigna sells Medicare Advantage plans in 26 states (plus Washington DC):

Cigna Medicare Advantage policies

Cigna offers mostly HMO Medicare Advantage plans. However, they also provide quite a few HMO-SNP plans for people who are eligible for both Medicare and Medicaid.

Cigna-HealthSpring Preferred (HMO)

The Cigna-HealthSpring Preferred plan is an HMO, meaning you must receive all your care within Cigna’s network. You will also need referrals from your primary care physician to see specialists or receive other treatments.

Cigna-HealthSpring Preferred (PPO)

In a PPO like the Cigna-HealthSpring Preferred plan, you have access to services in and out of the network. However, it’s generally easier on your wallet to stay in network, both in terms of copayments and minimizing your maximum out-of-pocket cost.

Cigna-HealthSpring Premier (HMO-POS)

In an HMO-POS, people have an HMO network, but they also may go out of the network if they need to. However, services will generally be cheaper in the network. An HMO-POS is very similar to a PPO plan, except that you may have to get a doctor referral for a specialist in an HMO-POS, but not in a PPO.

Cigna-HealthSpring TotalCare (HMO SNP)

An HMO SNP like the CignaHealthSpring TotalCare plan only takes members who are eligible for both Medicare and Medicaid. Once you’re enrolled, the plan covers services within the network. But in a Special Needs Plan (SNP) like this one, costs are drastically reduced compared to a regular HMO.

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