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Get the free 2011 CIGNA Medicare Select Plus Rx (HMO) Formulary Prior Authorization Criteria

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This document outlines the prior authorization criteria for various medications under the CIGNA Medicare Select Plus Rx (HMO) plan, detailing required medical information, age restrictions, coverage
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How to fill out 2011 CIGNA Medicare Select Plus Rx (HMO) Formulary Prior Authorization Criteria

01
Obtain the 2011 CIGNA Medicare Select Plus Rx (HMO) Formulary Prior Authorization Criteria form from CIGNA's website or customer service.
02
Review the patient's medical history and current medications to determine the necessity of the prior authorization.
03
Fill out the patient’s information, including name, date of birth, and insurance details at the top of the form.
04
Select the medication requiring prior authorization from the formulary list provided in the guiding documentation.
05
Complete any required clinical information, including diagnosis and physician notes supporting the use of the medication.
06
Attach any relevant medical records that justify the need for the medication.
07
Double-check for completeness and accuracy before submitting the form.
08
Submit the completed form to CIGNA via the specified method (fax, mail, or online portal).
09
Monitor the status of the prior authorization request through CIGNA’s communication channels.

Who needs 2011 CIGNA Medicare Select Plus Rx (HMO) Formulary Prior Authorization Criteria?

01
Patients enrolled in the CIGNA Medicare Select Plus Rx (HMO) plan who require certain medications not automatically covered.
02
Healthcare providers prescribing medications that fall under the prior authorization criteria set by CIGNA.
03
Pharmacists needing to ensure that the prescribed medication meets coverage requirements for reimbursement.
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Use Cigna payer ID 62308 * Including employee assistance program.
HealthSpring is a Medicare plan that is administered through Cigna's health insurance company. Medicare Part C, also known as Medicare Advantage, Medicare Part D prescription drug plans (PDPs), and Medicare supplement insurance (Medigap) policies are all available through Cigna-HealthSpring.
882.4462 (1.800. 88. CIGNA) to submit a verbal prior authorization request. If you are unable to use ePA and can't submit a request via telephone, please use one of our request forms and fax it to the number on the form.
If you are unable to use electronic prior authorization, you can call us at 1 (800) 882-4462 to submit a prior authorization request.
If you are unable to use electronic prior authorization, you can call us at 800.88Cigna (882.4462) to submit a prior authorization request.
If you are unable to use electronic prior authorization, you can call us at 800.88Cigna (882.4462) to submit a prior authorization request.

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The 2011 CIGNA Medicare Select Plus Rx (HMO) Formulary Prior Authorization Criteria outlines the specific medical necessity and coverage guidelines that must be met before certain medications are approved for payment under the plan.
Healthcare providers, including physicians and pharmacists, are required to file the 2011 CIGNA Medicare Select Plus Rx (HMO) Formulary Prior Authorization Criteria on behalf of patients when requesting coverage for certain medications.
To fill out the 2011 CIGNA Medicare Select Plus Rx (HMO) Formulary Prior Authorization Criteria, providers need to complete the designated form with patient information, specific medication details, supporting clinical information, and any relevant documentation justifying the necessity of the requested medication.
The purpose of the 2011 CIGNA Medicare Select Plus Rx (HMO) Formulary Prior Authorization Criteria is to ensure that medications are prescribed based on clinical necessity and efficacy, to manage healthcare costs effectively, and to maintain compliance with regulatory requirements.
The information required includes patient identification details, specific drug name and dosage, medical diagnosis, previous treatments tried, reasons for requesting the medication, and clinical data supporting the need for it.
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