Transition to Cigna 

Transition of Care 

If you are currently receiving care from a provider that is not in Cigna’s network, some medical conditions are eligible for Transition of Care (TOC) from your current, out-of-network provider at network rates for a limited time. Examples that may qualify for TOC include (but are not limited to): 

• Pregnancy 

• Ongoing chemotherapy or radiation therapy 

• Transplant 

• Previously scheduled major surgeries

• Some scheduled dental work 

Routine care, chronic conditions, minor illnesses and elective surgeries do not qualify for TOC. 

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You must apply no later than 30 days after the effective date of your coverage (January 31, 2024). Typically Cigna allows the transition to last 90 days (1/1/2024-3/31/2024). Cigna will review and evaluate your TOC and will send a letter informing you if your request was approved or denied. A denial will include information about how to appeal the determination.

Transition of Prescription Drugs ​

1. Refill your prescription(s) before your current plan ends to make sure you have enough medication while moving to your new Cigna pharmacy plan. 

2. See how medications will be covered under Cigna. Click here to see if and what tier your medication is covered under, and if you must meet additional requirements before Cigna will cover it. 

   • If your medication needs approval, go to myCigna to get your medical ID card. Your doctor will need the information on the card.

   • Call your doctor’s office to let them know you’ve switched to Cigna, and provide your updated insurance information.

     • Let your doctor know your current medication needs pre-approval and they will need to contact Cigna ASAP.

     • Cigna will review the information and provide your doctor with a letter detailing next steps (typically 1-5 days).