Welcome to the Cigna-HealthSpring STAR+PLUS Plan
Based in Nashville, Tennessee, Cigna-HealthSpring started in 2000.
It’s now one of the country’s largest and fastest-growing
coordinated care plans whose primary focus is Medicare Advantage plans.
Cigna-HealthSpring has Medicare Advantage plans in
Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, Indiana, Maryland,
Mississippi, North Carolina, New Jersey, Oklahoma, Pennsylvania, South
Carolina, Tennessee, Texas, West Virginia, and Washington, D.C., as well as
a national stand-alone prescription drug plan. Given our long partnership with dual-eligible
beneficiaries, we are very
excited to offer services to our valued members by expanding into Medicaid
health care across many states.
We value our relationship with all of our Providers and are committed
to working with you to meet the needs of your patients, our Members.
Discover the Cigna-HealthSpring difference and learn more about our Medicaid plans.
Cigna-HealthSpring recognizes the immeasurable contribution that you, as a Provider, make to the
STAR+PLUS program. To ensure you have access
to all of the resources and tools needed to support Cigna-HealthSpring Members, Cigna-
HealthSpring’s Provider Services team is
available. Provider Services can assist you when you have questions or need to schedule an
educational in-service. They also can assist you
when daily operations do not go as planned and you need help resolving a problem.
- Verify eligibility, benefits, and prior authorizations on file
- Receive assistance in finding the correct departments
- Verify claims receipt or review claim status
- Process demographic changes such as PCP on file, and member or provider address changes
- Receive assistance with Cigna-HealthSpring’s public website & secure Provider
We are here to serve you, and we thank you for being a part of the Cigna-HealthSpring STAR+PLUS
Network and for providing quality health
care to our members.
Not Yet a Cigna-HealthSpring STAR+PLUS Provider?
If you are not a Cigna-HealthSpring STAR+PLUS Provider, but you are interested in joining our
network, please fill out the appropriate
form below. For additional information contact us by phone or e-mail at: STAR+PLUS Provider Support
Team via telephone at 1-877-653-0331
or via email MedicaidProviderOperations@healthspring.com
Fax completed form and requested documents to 1-877-440-
Call: 1-877-653-0331 - Monday to Friday 8 a.m. to 5 p.m. Central Time. Calls to this number are
: 711 - Monday to Friday 8 a.m. to 8 p.m. Central Time. This
number requires special telephone equipment and is only for people who have difficulties with hearing
or speaking. Calls to this number are free.
Member Rights and Responsibilities
about the rights afforded members and the responsibilities they
have as part of the plan.
Provider Advisory Council
The purpose of the Provider Advisory Council (PAC
) is to bring leaders in the provider community together with senior management of
Cigna-HealthSpring to discuss issues important to the STAR+PLUS program. The PAC
meets quarterly with the leaders of your organization. Together, we
- Understand how managed care impacts provider business operations – and ways that
Cigna-HealthSpring can ease operational
- Learn how providers – hospitals, physicians, long-term services and supports,
ancillary, and pharmacy providers – can
work together to improve clinical outcomes for our members and your patients.
- Develop industry-leading provider and member initiatives that measurably impact quality
outcomes for Cigna-HealthSpring members and
reward providers for working together to achieve those goals.
Cigna-HealthSpring will establish and conduct quarterly meetings with Network Providers.
Membership in the Provider Advisory Council(s)
must include, at a minimum, acute, community-based LTSS
, and pharmacy providers. A separate Provider Advisory Council will be
established in each Service Delivery Area where Cigna-HealthSpring operates. Membership on the
Council will be in staggered 2-year terms. Cigna-HealthSpring attendees will include representation
from Provider Relations, Health Services and Service Coordination.
To become a part of the Provider Advisory Council, please contact Provider Relations Central at: ProviderRelationsCentral@healthspring.com