Get the free 2012 CIGNA Medicare Select Plus Rx (HMO) Formulary Step Therapy Criteria

This document outlines the step therapy criteria for various medications covered by CIGNA Medicare Select Plus Rx, detailing the conditions under which certain drugs will be covered based on prior

How to fill out 2012 cigna medicare select

How to fill out 2012 CIGNA Medicare Select Plus Rx (HMO) Formulary Step Therapy Criteria

1. Review the 2012 CIGNA Medicare Select Plus Rx (HMO) Formulary to identify the medications that require step therapy.
2. Gather any necessary medical records or documentation supporting the use of the requested medication.
3. Determine the preferred first-line therapy as indicated in the formulary.
4. Fill out the Step Therapy Criteria form, ensuring that all required fields are completed, including patient information and medication details.
5. Provide justification or medical rationale for why the preferred treatment was ineffective or inappropriate for the patient's condition.
6. Submit the completed form along with the required documentation to CIGNA through the specified submission method.
7. Follow up if necessary to check the status of the request and provide any additional information if requested.

Who needs 2012 CIGNA Medicare Select Plus Rx (HMO) Formulary Step Therapy Criteria?

1. Patients who have prescriptions for medications that are subject to step therapy under the 2012 CIGNA Medicare Select Plus Rx (HMO) plan.
2. Healthcare providers who are prescribing medications that may require prior authorization based on the step therapy criteria.
3. Those seeking coverage for specific medications that necessitate documentation of previous treatment failures or medical justification.

People Also Ask about

What is the Cigna Saver RX plan?

Cigna Healthcare Saver Rx Offers modest coverage and great value. This plan has a $0 to low monthly premium and very low cost for many generics.

What is step therapy in Medicare prescription drug plans?

Medicare Advantage plans may use step therapy for Medicare Part B-covered drugs. Step therapy allows a plan to require an enrollee to try a different, less expensive drug before it covers a more costly drug.

How do I check if a medication is covered by my insurance?

Call your insurer directly to find out what is covered. Have your plan information available. The number is available on your insurance card the insurer's website, or the detailed plan description in your Marketplace account. Review any coverage materials that your plan mailed to you.

What is the difference between Cigna Saver RX and Cigna Extra RX?

The Cigna Healthcare Saver Rx plan has a 2025 deductible of $590 for tiers 3, 4 and 5 only. The Cigna Healthcare Extra Rx plan has a 2025 deductible of $175 tiers 3, 4 and 5 only.

What is the difference between Cigna Extra RX and Cigna Saver RX?

The Cigna Healthcare Saver Rx plan has a 2025 deductible of $590 for tiers 3, 4 and 5 only. The Cigna Healthcare Extra Rx plan has a 2025 deductible of $175 tiers 3, 4 and 5 only.

Is Cigna Healthcare Saver RX good?

Cigna Saver Rx is one of the cheapest Part D plans available. Every Part D plan offers at least Tier 1 drugs with $0 copays. Star ratings are slightly below average. Lowest copays might require ordering 90-day supplies by mail.

Is a formulary based on CMS guidelines?

CMS standards and guidelines for the P&T activities will help ensure that formulary decisions are based on scientific and economic considerations that achieve appropriate, safe and cost effective drug therapy, and that the P&T committee has a key role in defining policies for utilization management activities such as

For pdfFiller’s FAQs

What is 2012 CIGNA Medicare Select Plus Rx (HMO) Formulary Step Therapy Criteria?

The 2012 CIGNA Medicare Select Plus Rx (HMO) Formulary Step Therapy Criteria is a guideline used to determine the appropriate use of specific medications within a healthcare plan, requiring patients to try certain alternatives or lower-cost options before progressing to more expensive medications.

Who is required to file 2012 CIGNA Medicare Select Plus Rx (HMO) Formulary Step Therapy Criteria?

Healthcare providers and prescribers who are administering treatments covered by the CIGNA Medicare Select Plus Rx (HMO) plan are required to file the Step Therapy Criteria, ensuring compliance with formulary guidelines.

How to fill out 2012 CIGNA Medicare Select Plus Rx (HMO) Formulary Step Therapy Criteria?

To fill out the 2012 CIGNA Medicare Select Plus Rx (HMO) Formulary Step Therapy Criteria, providers need to complete the necessary forms indicating the patient's medical history, prior medications tried, and justification for using specific medications as per the step therapy protocol.

What is the purpose of 2012 CIGNA Medicare Select Plus Rx (HMO) Formulary Step Therapy Criteria?

The purpose of the 2012 CIGNA Medicare Select Plus Rx (HMO) Formulary Step Therapy Criteria is to promote the use of clinically effective and cost-efficient medications while ensuring that patients receive appropriate therapeutic options in a stepwise approach.

What information must be reported on 2012 CIGNA Medicare Select Plus Rx (HMO) Formulary Step Therapy Criteria?

The information that must be reported includes patient demographics, medical diagnosis, history of previous treatments, response to those treatments, and details supporting the request for the medication being prescribed under the step therapy protocol.