Medicare Blog

what is the goal of cigna medicare advantage incentives

by Cullen Mosciski Published 2 years ago Updated 1 year ago

Medicare Advantage Plans offered through Cigna provide comprehensive medical coverage as an alternative option to Original Medicare. They are part of the U.S. government’s Medicare program offering affordable health care coverage to those who qualify. Cigna Medicare Advantage Plans offer the following coverage:

MAKE SURE YOUR CUSTOMERS UNDERSTAND THEIR CIGNA BENEFITS
Preventive care and screenings are vital to health, and at Cigna we want your customers to stay as healthy as possible. Our incentive program is designed to reward customers for being proactive about their health.
Aug 12, 2021

Full Answer

Does Cigna offer Medicare Advantage plans?

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.

What are the advantages of Medicare Advantage plans (Part C)?

Advantages of Medicare Advantage Plans (Part C): Your costs may be lower than the Original Medicare Plan. You may get extra benefits offered by the plan such as coverage for vision, hearing, dental, and wellness programs, as well as special discounts on health-related items. Prescription drug coverage may be included as part of the plan.

What kind of insurance is Cigna known for?

Cigna offers health insurance for individuals and families, dental insurance, Medicare Advantage and Part D plans, Medicare Supplement Insurance, and other insurance coverage such as whole life and cancer treatment insurance. The company also offers insurance for businesses. In 2020, Cigna posted $160 billion in adjusted revenues.

What is the difference between Cigna MAPD and HMO?

Cigna offers Medicare Advantage Prescription Drug Plans, or MAPDs, as well as stand-alone Prescription Drug Plans and Medicare Advantage Plans without drug coverage. A health maintenance organization, or HMO, generally requires that you use a specific network of doctors and hospitals.

What is the number one goal for Cigna Medicare plans?

What is the number one goal for the 2020 Medicare plan designs? Peace of mind for our customers.

What are Cigna incentive points for?

A Cigna study showed that offering an outcomes-based incentive program can lead to increased employee health engagement, improved clinical outcomes, and decreased medical costs.

Does Cigna have an incentive program?

Employees in the Cigna Medical Plan can earn up to $1,026. You can earn these incentive dollars by qualifying for the Tobacco Free incentive and participating in Healthy Life activities. If you have a spouse or partner enrolled, there is another $500 in rewards available if they complete their own personal plan.

What are health insurance incentives?

These incentives can include cash payments or discounts on insurance premiums. There are three types of core services that wellness programs provide: Screening services to identify health risks. Lifestyle management services to encourage healthy behavior.

Will Cigna pay for my gym membership?

As a customer of the Cigna Medical Plan and an employee of United Site Services you are eligible for a fitness reimbursement of up to $150 per individual, or $300 per family per calendar year in qualified health club membership fees ,fitness class fees or online fitness class subscriptions.

What is Cigna motivate me?

Cigna MotivateMe® is a turnkey incentive program that gives your employees and their spouses1 opportunities to earn rewards for taking charge of and improving their health.

What are incentive based wellness programs?

Seven budget-friendly wellness incentive ideasGive paid leave. Nothing can match the thrill when one hears Vacation! ... Reward through corporate wellness platforms. ... Gift merchandise. ... Offer health insurance rebates. ... Issue free memberships. ... Issue gift cards as a perk. ... Plan worksite exercise.

How do I get my Cigna rewards?

After you've completed the program, here's how to redeem your incentive.1 Go to myCigna.com. Enter your. ... 2 Click on. My Health.3 Then click on. the Incentives Tile. ... 4 Redeeming your awards. Once you've completed the program and earned your reward you can click here to visit the award redemption page.

What is a participatory wellness program?

Participatory wellness programs are generally available without regard to an individual's health status. Either no reward is offered, or none of the conditions for obtaining a reward are based on an individual satisfying a standard related to a health factor.

Why are wellness incentives important?

By helping your employees develop healthy habits, you help them avoid health complications that can lead to chronic disease. Wellness programs encourage employees to eat healthy foods and exercise, reducing the risk of long-term health problems and helping them feel more energized and happy throughout their work days.

How do wellness credits work?

The Wellness Credit Screening not only gives you basic information about your health, but it also gives you the chance to earn $520 in wellness credits for next year. What are Wellness Credits? Wellness credits add extra money to your paycheck to help offset the cost of medical insurance.

How do you incentivize healthcare workers?

Incentive Ideas for Healthcare EmployeesOffer a Monthly Spa Day. Spa days are becoming increasingly popular with organizations that don't want to spend a ton of money but also want their employees to take a chance to relax. ... Give Extra Days Off. ... Gift Cards. ... Catered Lunches. ... Better Pay for Productivity. ... Employee Recognition.

What is Medicare Advantage Plan?

Medicare Advantage plans (Part C) provide all of your Part A (hospital) and Part B (medical) coverage and must cover all medically necessary services. Many plans also offer prescription drug coverage and additional programs not covered by Original Medicare. To enroll in a Medicare Advantage Plan, you must already have Original Medicare Part A ...

What are the extra benefits of Medicare?

Extra benefits such as coverage for vision, hearing, dental, wellness programs, and discounts on health-related items. Prescription drug coverage (if it’s included as part of the plan). All the rights and protections offered through the Medicare program. Help paying for premiums (subsidies), if you qualify.

What is Medicare Part C?

Medicare Part C plans offer the benefits of Original Medicare in combination with prescription drug coverage and extra programs. Learn more about Part C coverage.

What are the different types of Medicare Advantage plans?

There are various kinds of Medicare Advantage plans, such as HMO, PPO, and Private Fee-for-Service plans . HMOs and PPOs each have certain characteristics, whether they are part of a Medicare plan or part of a regular health plan.

What are the pros and cons of Medicare Advantage?

Pros of Medicare Advantage Plans. With Medicare Advantage plans, you can get personalized, coordinated medical care at a lower cost, depending on your plan. There are many advantages of enrolling in a Medicare Advantage plan. You can get: All of your coverage bundled together in 1 convenient plan.

Does Medicare Advantage come with additional programs?

May come with additional programs and services not offered by Original Medicare. These plans are part of the government's Medicare program, but are offered and managed through private insurers, like Cigna. Medicare Advantage Plans may include plan extras not found in Original Medicare.

Do you have to pay out of pocket for Medicare?

Depending on your Medicare Advantage plan, the costs you pay out-of-pocket can vary: You may pay a deductible, a certain amount you must meet before your plan begins to pay. There may be copays for doctor visits—this is a flat fee usually due at the time of the visit.

What is Cigna utilization management?

Cigna Utilization Management associates base decisions on the clinical needs of members, benefit availability, and appropriateness of care. Objective, scientifically-based clinical criteria and treatment guidelines, such as InterQual measures, along with Medicare National Coverage Guidelines in the context of provider or member-supplied clinical information, lead the decision-making process. Cigna in no way rewards or incentivizes, either financially or otherwise, practitioners, utilization reviewers, case managers, physician advisers, or other individuals involved in conducting utilization review, for issuing denials of coverage or service, or inappropriately restricting care.

Is TennCare responsible for Cigna?

For residents of Tennessee, TennCare is not responsible for payment for these benefits, except for appropriate cost sharing amounts. TennCare is not responsible for guaranteeing the availability or quality of these benefits. © 2021 Cigna. All rights reserved.

Does Cigna reward or incentivize?

Cigna in no way rewards or incentivizes, either financially or otherwise, practitioners, utilization reviewers, case managers, physician advisers, or other individuals involved in conducting utilization review, for issuing denials of coverage or service, or inappropriately restricting care.

Available Medicare Advantage plans

Cigna offers a few kinds of Medicare Advantage plans, and they vary in terms of structure, costs and benefits. Cigna offers Medicare Advantage Prescription Drug Plans, or MAPDs, as well as stand-alone Prescription Drug Plans and Medicare Advantage Plans without drug coverage.

Available Part D prescription drug plans

While many of Cigna’s Medicare Advantage plans include Part D drug coverage, the company also sells stand-alone Part D prescription drug plans in all 50 states, plus Puerto Rico and Washington, D.C. These plans are meant to accompany Medicare Part A and Part B and don't provide medical coverage.

Additional benefits

Cigna Medicare Advantage offers many members access to routine vision, dental and hearing coverage. Some plans offer other benefits as well. Here are a few standouts, although their availability varies by plan:

Customer service

Cigna Medicare Advantage members can contact their plan’s customer service in a few ways:

Cigna Medicare Advantage service area

Cigna offers Medicare Advantage plans in 26 states and Washington, D.C. It offers Medicare prescription drug plans in all 50 states, plus Puerto Rico and Washington, D.C. Altogether, Cigna offers Medicare Advantage plans in 477 counties [2].

Cost

Costs for Medicare Advantage plans will depend on your plan, your geographic location and your health needs. One of the costs to consider is the plan’s premium, and Cigna offers a $0-premium plan in every market in 2022. In fact, more than three-quarters (78.6%) of Cigna’s Medicare Advantage plans are $0-premium plans [5].

Medicare star ratings

If you want Medicare’s take on Cigna’s plans, look no further than the Centers for Medicare & Medicaid Services's own star ratings, which rank each plan from best (5 stars) to worst (1 star). The agency bases these ratings on plans’ quality of care and measurements of customer satisfaction, and ratings may change from year to year.

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When will Cigna give the 360 exam?

Cigna-HealthSpring Medicare Advantage customers in eligible markets or plans* – who complete their yearly 360 Exam (wellness exam) between J anuary 1, 2019 and May 31, 2019, and return the signed provider form – have the opportunity to receive a $50 gift card to one of three retailer of their choosing: Walmart, Amazon or Subway.

Does Cigna offer wellness exams?

Preventive care and screenings are vital to our customers’ overall health, and it’s our goal to help them stay as healthy as possible. Cigna-HealthSpring has been encouraging customers to get their free yearly 360 exam (wellness exam) with a customer bonus incentive offered through for the first half of 2019!

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