Are you already a STAR+PLUS member and want to change your medical plan to Cigna?

Call the STAR+PLUS Helpline at 1 (877) 782-6440 (TTY: 7-1-1). Let them know that you would like to be a member of Cigna.

If you DO NOT have STAR+PLUS, you can apply by doing one of the following:

  1. Once you are approved for STAR+PLUS, you will receive a packet in the mail. It will tell you about the program and the medical plans that are in your area.

  2. Carefully read all of the details in your packet. You will need to pick one of the medical plans. If you don’t have Medicare, you also need to pick a main doctor.

  3. You have 15 days to pick a medical plan. The 15 days starts once you get the packet in the mail. If you don't pick a medical plan, HHSC will pick a medical plan and main doctor for you.

  4. You can submit your choices by phone, mail or by filling out a form at an enrollment event or presentation. If you call in, tell the person helping you on the phone that you want to join Cigna. If you turn in your choices, pick Cigna as your health plan on the STAR+PLUS enrollment form.

Are you already a Cigna STAR+PLUS member? Do you want to learn more about our Medicare Advantage plans?


STAR+PLUS is a Texas Medicaid managed care program for people who have disabilities or are age 65 or older. People in STAR+PLUS get Medicaid health-care and long-term support services through a medical plan that they choose.

You must join STAR+PLUS if you live in a STAR+PLUS service area, approved for Medicaid and fit at least one of these:

  • Age 21 or older, getting Supplemental Security Income (SSI) benefits, and able to get Medicaid because of low income.
  • Not getting SSI and able to get STAR+PLUS Home and Community-Based Services.
  • Age 21 or older, getting Medicaid through "Social Security Exclusion programs" and meet rules for income and asset levels.
  • Age 21 or over residing in a nursing home and receiving Medicaid while in the nursing home.
  • In the Medicaid for Breast and Cervical Cancer program.

To find out if you are able to get STAR+PLUS Medicaid, call 2-1-1.

To switch to Cigna STAR+PLUS, call the STAR+PLUS Help Line at 1 (800) 866-6440 (TTY: 7-1-1), Monday - Friday, 8:00 am - 8:00 pm Central Time.

Cigna covers members in the Medicaid for Breast and Cervical Cancer (MBCC) Program. Before applying, you have to be screened and found to need active treatment for either breast or cervical cancer. Individuals may apply for STAR+PLUS or receive information online at or call 2-1-1. Once determined eligible for MBCC, a woman remains eligible for Medicaid through the duration of her cancer treatment or until she no longer meets the eligibility criteria, whichever is earlier. MBCC members are eligible to receive all Medicaid-covered services, not only cancer-related services.

Medicaid Rural Service Area (MRSA) / Northeast Texas Service Delivery Area: Anderson, Angelina, Bowie, Camp, Cass, Cherokee, Cooke, Delta, Fannin, Franklin, Grayson, Gregg, Harrison, Henderson, Hopkins, Houston, Lamar, Marion, Montague, Morris, Nacogdoches, Panola, Rains, Red River, Rusk, Sabine, San Augustine, Shelby, Smith, Titus, Trinity, Upshur, Van Zandt, Wood

Hidalgo Service Delivery Area: Cameron, Duval, Hidalgo, Jim Hogg, Maverick, McMullen, Starr, Webb, Willacy and Zapata

Tarrant Service Delivery Area: Tarrant, Denton, Hood, Johnson, Parker and Wise

Have a Question? Call Member Services at 1 (877) 653-0327 (TTY 711)

See Service Area Map