Prescription Drug Coverage

Prescription Drug Coverage

All medical plan participants have prescription drug coverage based on their selected plan. A way to save money is by requesting generics and/or mail order options when available.

*You pay the discounted rate until you meet the plan deductible, then the coinsurance applies.
**Via Express Scripts Pharmacy.
Note: Coverage for Specialty drugs is limited to a 30-day supply for retail and home delivery.

Find a Participating Pharmacy

Cigna Pharmacy
1-800-244-6224
cigna.com

Express Scripts Home Delivery
1-800-835-3784

What If I Am in the Middle of a Treatment or Have a Surgery Approved for Early January? (Transition of Care)

If your current provider is outside of your new Cigna plan network and if you have certain medical conditions, Transition or Continuity of Care may allow you to see your previous provider for a defined amount of time.   

Learn all about Transition of Care on www.cigna.com.

Note: In the event you have a surgery or procedure planned that requires a pre-authorization under the Cigna plan, then you must request the pre-authorization from Cigna.

For questions, contact your TouchCare Personal Benefits Assistant by calling 1-866-486-8242 or emailing assist@touchcare.com.

You can also contact Cigna for medical and pharmacy plan coverage at 1-800-244-6224.

Is My Current Medication Covered?

To check if your current medications are covered under your Cigna medical plan, visit https://www.cigna.com/individuals-families/member-resources/prescription/ and access their Prescription Drug Lists.

All of Cigna’s covered medications are approved by the U.S. Food and Drug Administration (FDA). The Cigna National Preferred Prescription Drug List is updated often so it’s important to know that this is not a complete list of the medications your plan covers. Also, your specific plan may not cover all of the medications in this document. Be sure to call TouchCare or Cigna to learn more about your specific coverage.

Transferring a Mail Order Maintenance Medication

If you are currently receiving your maintenance medications by mail, you’ll need to transfer your mail service to Express Scripts Pharmacy.

Have your doctor send your prescription electronically to Express Scripts Home Delivery, NCPDP 2623735 or have your doctor call 1-888-327-9791 to get a Fax Order Form.

Checking if Your Specialty Medication Is Covered

If you are currently taking any Specialty medications for complex conditions (e.g., cancer, cystic fibrosis, immune deficiency, multiple sclerosis, rheumatoid arthritis), be sure to contact Cigna’s specialty pharmacy, Accredo at 1-877-826-7657 to talk with an Accredo representative to learn about specialty medications coverage with Cigna.

Understanding the Cost of Medications

For more information on your out-of-pocket cost for prescription medications, please see the following resources:

  • Review the Benefits Guide for plan design information
  • Review Summary of Benefits and Coverage (SBC) for additional details about prescription drug coverage and your cost share
  • Contact TouchCare or Cigna to inquire about medication costs
  • Find out before you fill with the Price a Medication feature on www.mycigna.com (you can use this feature once your coverage is active and you’ve registered with Cigna and created your online account)
  • Patient Protections and Affordable Care Act (PPACA) requires the plan to cover certain preventive medications and products at 100%, or no cost-share ($0) to you. View PPACA No Cost-Share Preventive Medications to see if your medication is covered at no cost.

Have Additional Questions Regarding Medications?

Contact your TouchCare Personal Benefits Assistant by calling 1-866-486-8242 or emailing assist@touchcare.com.

You can also contact Cigna for medical and pharmacy plan coverage at 1-800-244-6224.

Important Documents

For additional details regarding your medical coverage, please review the documents below: