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Carrier Updates

Cigna has recently received information from the Centers for Medicare and Medicaid Services (CMS) that changes in the eligibility are required for the Healthy Benefits+ Produce benefit that is available in the Mid Atlantic/Pennsylvania market. With this new guidance, members must have one or more chronic medical conditions to receive this benefit. Examples of a chronic condition include, but are not limited to, diabetes, heart disease, or hypertension (high blood pressure).

Customers who are enrolled in a DSNP plan will see no change in their benefit. Letters are being mailed this week to enrollees in the five (5) remaining Cigna Medicare Advantage plans who were identified as not having a chronic condition, notifying them that they are no longer eligible for this benefit after June 1, 2021. This represents a minimal impact to Cigna members who have this benefit.

Cigna is pleased to be able to offer the Healthy Benefits+ fresh produce card to those with chronic conditions. Members will receive a letter from Cigna after enrollment to determine their eligibility for Healthy Benefits+. Please let your future Mid Atlantic/Pennsylvania clients know they may qualify for this additional benefit and that they should call the number on their post-enrollment letter, where a representative will confirm their eligibility.  

Collaterals that reference Healthy Benefits+ are being updated to reflect this change and should be ready within two weeks. Please destroy any marketing materials that include this benefit that you may currently have. 

Have questions? Call us today at 866-568-9649!