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office of the insurance commissioner mike kreidler
     
 

SHIBA News Flash

 
 

CMS imposes sanctions against Cigna-HealthSpring Medicare plans

The Centers for Medicare & Medicaid Services (CMS) informed Cigna-HealthSpring that it's imposing intermediate sanctions on 22 Medicare Advantage (MA), MA-prescription drug (PD) and prescription drug plan (PDP) contracts. This takes effect immediately, suspending their ability to market to or to enroll Medicare clients. This sanction is due to systemic violations uncovered during an October 2015 program audit, which CMS determined posed, or has the likelihood to pose, an immediate threat to the health and safety of its enrollees. 

In Washington state, Cigna has two stand-alone Part D plans: Cigna HealthSpring Rx Secure and Cigna HealthSpring Rx Secure-Extra.  Sanctions mean that the plan cannot:

  • Make any new enrollments
  • Market their plans

As well, the plans will not show up on the Medicare Plan Finder. 

If clients are enrolled in these plans and are experiencing problems, they can contact Medicare at 1-800-633-4227.  On a case-by-case basis, they may be allowed a Special Enrollment Period to change plans.