Depending on a patient's plan, you may be required to request a prior authorization or precertification for any number of prescriptions or services. A full list of CPT codes are available on the CignaforHCP portal.
For Medical Services
For Pharmacy Services
To better serve our providers, business partners, and patients, the Cigna Healthcare SM Coverage Review Department is transitioning from PromptPA, fax, and phone coverage reviews (also called prior authorizations) to Electronic Prior Authorizations (ePAs). ePAs save time and help patients receive their medications faster. Moving forward, please use one of the following portals below.
If you are unable to use electronic prior authorization, you can call us at 1 (800) 882-4462 to submit a prior authorization request.
Conveniently manage your medical and pharmacy drug prior authorization with EviCore by Evernorth.
For both oncology pharmacy drug and medical prior authorization for Cigna Healthcare patients, please choose the option for Medical Oncology Pathways. For other pharmacy drug prior authorization for Cigna Healthcare patients, please choose the option for Pharmacy Drugs (Express Scripts ® Coverage).
Connect to all Pharmacy Benefit Manages (PBMs) and payers with ePA from Surescripts. We can help you easily submit ePA requests and save you valuable time if you haven’t fully integrated ePA into your EHR workflow.
CoverMyMeds is a one-stop solution that works for all medications and all payers.
Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of The Cigna Group Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT). The Cigna Healthcare name, logo, and other Cigna Healthcare marks are owned by The Cigna Group Intellectual Property, Inc.
All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna Healthcare sales representative. This website is not intended for residents of Arizona and New Mexico.
Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna Healthcare website. Cigna Healthcare may not control the content or links of non-Cigna Healthcare websites. Details
La aseguradora publica el formulario traducido para fines informativos y la versión en inglés prevalece para fines de solicitud e interpretación.
The insurer is issuing the translated form on an informational basis and the English version is controlling for the purposes of application and interpretation.