Preventive Care

Prevention and Screening are key components of helping customers stay healthy and lead to quality, cost effective care.

  • Preventive Care Benefit Guidelines - Our Preventive Care Benefit Guidelines are based on U.S. Preventive Services Task Force (USPSTF), Health Resources and Services Administration (HRSA), and Advisory Committee on Immunization Practices (ACIP) guidelines. The guidelines are reviewed and endorsed by Cigna's Preventive Care Committee whose members include Cigna Healthcare participating providers. More information can be found in the preventive care coverage policy: Preventive Care Services
  • Well Informed Gaps in Care - The Well-Informed Program uses medical, pharmacy and laboratory data to proactively identify and address potential gaps in care. Upon identification of the potential gap, a letter may be sent to the customer notifying them of the gap in care. Gaps in care can include missed medications, recommended health screenings or exams. The program encourages customers to collaborate with their Health Care Providers (HCPs) to take appropriate steps to improve their health and address any questions or concerns they may have.
  • Cigna continuously evaluates new ways to support customers in completing important preventive care. Recent examples of initiatives include:
    • Flu vaccine text message pilot which provides education about the flu vaccine.
    • Colorectal cancer screening at-home test service which provides members with tests that can be completed at home.
    • Preventive Care Outreach program which provides assistance to members in scheduling wellness visits and cancer screenings.
  • Immunization Reminder Program - A reminder email is sent to parents/guardians with information about the frequency of well visits, along with recommended immunizations, based on appropriate age groups. The reminder also encourages parents to follow-up with their child's HCP to ensure they are up-to-date on immunizations or create a catch-up schedule.

Additional information about preventive care programs can be found on the Provider Newsroom site at providernewsroom.com