Cigna Healthcare Medicare Advantage

Request printed copies of your annual plan documents

Please fill out the information to request printed copies of your Cigna Healthcare Medicare Advantage annual plan documents.

Note:

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This request is for Cigna Healthcare Medicare Advantage customers only.

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The information requested will be used to match to your current customer record.

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The documents you selected will be mailed to your mailing address on file within three (3) business days.

If you need your documents in a language other than English or Spanish, or mailed to a different address, please call:

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Customer Service at: 1-800-668-3813 (TTY 711)

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Arizona Customers with an HMO plan: 1-800-627-7534 (TTY 711)

October 1 – March 31, 8 a.m. – 8 p.m. local time, 7 days a week.
From April 1 – September 30, Monday – Friday, 8 a.m. – 8 p.m. local time. Messaging service used on weekends, after hours, and on federal holidays.

Annual Plan Documents (please check which documents you are requesting):

Evidence of Coverage (EOC)

Drug List (Formulary)

Provider & Pharmacy Directory

Last 5 digits of ID Number *

If there is *01 at the end of your ID Number please do not include as part of the 5 digits

First Name *

As printed on your ID card

Last Name *

As printed on your ID card

Address 1 *

City *

State or Province *

Zip or Postal Code *

County *

Birth Month *

Birth Year *

Email Address *

Phone *

xxx-xxx-xxxx

address2

Note: If we have any questions, we may contact you at the phone number or email address provided above.

Product availability may vary by location and plan type and is subject to change. All group health insurance policies and health benefit plans contain exclusions and limitations. For costs and details of coverage, contact a Cigna representative.

All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group.

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