Members

If you have a life threatening emergency or an emergency that poses a threat to the life or property of others, call 9-1-1 or go directly to the nearest emergency room.

Bilingual or Interpreter Services: Cigna representatives are ready to help in English and Spanish. Cigna can provide interpreter and translation services in over 170 languages. Please call Member Services at 1 (877) 653-0327 (TTY: 7-1-1) Monday – Friday, 8:00 am – 5:00 pm Central Time for assistance.

If you have a question about Cigna STAR+PLUS, or access to covered services and benefits call Member Services at 1 (877) 653-0327 (TTY: 7-1-1) Monday – Friday from 8:00 am – 5:00 pm Central Time. A member service representative can also talk to you about our Service Coordination Program. Cigna representatives are ready to help in English and Spanish. Cigna can provide interpreter and translation services in over 170 languages. A message service is used after-hours, weekends and during federal holidays. You may also request any information from this website in audio, larger print, braille or another language.

If you have an emergency or an emergency that poses a threat to the life or property of others, call 9-1-1 or go directly to the nearest emergency room.

If you are a provider, you can call our Provider Services Hotline at 1 (877) 653-0331 (TTY: 7-1-1) Monday – Friday, 8:00 am – 5:00 pm Central Time. Providers call this number to check on member benefits, get claim information, authorization requests, etc.

For questions about behavioral health and substance abuse, call the behavioral health line at 1 (877) 725-2539 (TTY: 7-1-1) Monday – Friday from 8:00 am – 5:00 pm Central Time.

If you have a mental health crisis, you can get help by calling our mental health crisis hotline at 1 (800) 959-4941 (TTY: 7-1-1), 24 hours a day, and 7 days a week. Qualified mental health professionals will be ready to answer your questions, Assess your mental health, and provide and coordinate services as needed. You can speak with someone in English and Spanish. Other language interpreter services are ready upon request. Cigna can provide interpreter and translation services in over 170 languages.

Cigna gives you access to experienced registered nurses 24 hours a day, 365 days a year. Our nurses offer immediate, reliable information for any health concern. Please call 1 (855) 418-4552 (TTY: 7-1-1). Help is ready in English or Spanish. You can also request other languages.

  • To find out if you are able to get STAR+PLUS Medicaid, call 2-1-1.
  • To switch to Cigna-HealthSpring STAR+PLUS, call the STAR+PLUS Help Line at 1 (800) 782-6440 (TTY: 7-1-1), Monday – Friday, 8:00 am – 8:00 pm Central Time.

Cigna offers Service Coordination. You and your Service Coordinator will work together to:

  • Assess your health needs
  • Create a care plan
  • Organize all your services
  • Monitor your progress toward your health care goals.

You can call your Cigna Service Coordinator at 1 (877) 725-2688 (TTY: 7-1-1). You can also call your Service Coordinator through Member Services at 1 (877) 653-0327 (TTY: 7-1-1) Monday – Friday, 8:00 am – 5:00 pm Central Time.

If you, as a member of the health plan, disagree with the health plan’s decision, you have the right to ask for a fair hearing. To ask for a fair hearing, you or your representative should either send a letter to the health plan at:

Cigna Appeals and Complaints Department - Fair Hearing
PO Box 211088
Bedford, TX 76095

Or call: 1 (877) 653-0327 (TTY: 7-1-1), Monday – Friday, 8:00 am – 5:00 pm Central Time.

Members eligible for Medicaid only who are 21 years of age or older can get routine dental care services. STAR+PLUS Waiver Members are also eligible for some dental care. To get covered dental care, call DentaQuest at 1 (855) 418-1628 Monday – Friday, 8:00 am – 8:00 pm Central Time.

Members eligible for Medicaid only can get routine eye care services by calling Superior Vision at 1 (800) 866-1995 Hours: Monday – Friday, 7:00 am – 8:00 pm Central Time. If you need eye care for an illness or injury to your eye, call your main doctor for help first. You do not need a referral for specialty eye care from an ophthalmologist.

Cigna can help you with questions regarding your Prescription Drug Program benefit. You can call Member Services at 1 (877) 653-0327 (TTY: 7-1-1) Monday – Friday from 8:00 am – 5:00 pm Central Time for questions regarding prescription drugs or visit starplus.cigna.com

Health Care Professionals

Appeals
You can call Cigna for a Member Advocate to help you file an Appeal.
Phone: 1 (877) 653-0327
TTY: 7-1-1
Hours: 8:00 am – 5:00 pm Central Time, Monday - Friday

Behavioral Health Substance Abuse Services
Phone: 1 (877) 725-2539
TTY: 7-1-1
Hours: 8:00 am – 5:00 pm Central Time, Monday - Friday

Behavioral Health Crisis Hotline
Phone: 1 (800) 959-4941
TTY: 7-1-1
Hours: 24 hours, 7 days a week

Claims Status Request
Phone: 1 (877) 653-0331
TTY: 7-1-1
Hours: 8:00 am – 5:00 pm Central Time, Monday - Friday

Compliance Hotline
Phone: 1 (877) 653-0331
TTY: 7-1-1
Hours: 24 hours, 7 days a week

Cigna Automated Eligibility Verification Line
Phone: 1 (866) 467-3126
TTY: 7-1-1
Hours: 24 hours, 7 days a week

Member Services Department
Phone: 1 (877) 653-0327
TTY: 7-1-1
Hours: 8:00 am – 8:00 pm Central Time, Monday - Friday

Cigna Pharmacy
Phone: 1 (877) 653-0331
TTY: 7-1-1
Hours: 8:00 am – 5:00 pm Central Time, Monday - Friday

Provider Services Department
Phone: 1 (877) 653-0331
TTY: 7-1-1
Hours: 8:00 am – 5:00 pm Central Time, Monday - Friday

Provider Relations
Phone: 1 (877) 653-0331
TTY: 7-1-1
Hours: 8:00 am – 5:00 pm Central Time, Monday - Friday
Email: ProviderRelationsCentral@healthspring.com

State Fair Hearing
Call to ask for a fair hearing regarding Cigna appeal decision.
Phone: 1 (877) 653-0327 (Fair Hearing)
Fax: 1 (877) 809-0783 (Medical)
Fax: 1 (866) 593-4482 (Drug)
Hours: 8:00 am – 8:00 pm Central Time, Monday - Friday

Utilization Management Service Coordination
Phone: 1 (877) 725-2688
TTY: 7-1-1
Hours: 8:00 am – 5:00 pm Central Time, Monday - Friday

Utilization Management Concurrent Review and Skilled Nursing Facility
Phone: 1 (877) 725-2688
TTY: 7-1-1
Hours: 8:00 am – 5:00 pm Central Time, Monday - Friday

Utilization Management Home Health
Phone: 1 (877) 725-2688
TTY: 7-1-1
Hours: 8:00 am – 5:00 pm Central Time, Monday - Friday

Utilization Management Inpatient Intake
Phone: 1 (877) 725-2688
TTY: 7-1-1
Hours: 8:00 am – 5:00 pm Central Time, Monday - Friday

Utilization Management Prior Authorization
Phone: 1 (877) 725-2688
TTY: 7-1-1
Hours: 8:00 am – 5:00 pm Central Time, Monday - Friday

24-Hour Health Information Line
Call for immediate, reliable information for any health concern.
Phone: 1 (855) 418-4552
TTY: 7-1-1
Hours: 24 hours, 7 days a week

Automated Inquiry System (AIS), Eligibility Verification
Phone: 1 (800) 925-9126
Hours: 24 hours, 7 days a week

Comprehensive Care Program (CCP)
Phone: 1 (800) 846-7470
Hours: 7:00 am – 7:00 pm Central Time
Website: http://www.tmhp.com

Dental (DentaQuest)
Phone: 1 (888) 308-9345
Phone: 1 (855) 418-1628 (Members)
Hours: 8:00 am – 8:00 pm Central Time, Monday - Friday
Website: http://www.dentaquest.com

Change Healthcare
Phone: 1 (800) 845-6592
Website: http://changehealthcare.com

MAXIMUS (Medicaid Managed Care Helpline)
Phone: 1 (800) 964-2777
Hours: 8:00 am – 5:00 pm Central Time, Monday - Friday
Website: http://www.maximus.com/medicaid

Medicaid Managed Care Helpline
Phone: 1 (866) 566-8989
Website: http://www.hhsc.state.tx.us/ombudsman

Medicaid Managed Care Helpline TDD
Phone: 1 (866) 222-4306
Website: http://www.hhsc.state.tx.us/ombudsman

Medical Transportation Program (MTP)
Phone: 1 (877) 633-8747
Website: https://hhs.texas.gov/services/aging/long-term-care/transportation

Texas Department of Family & Protective Services (TDFPS)
Phone: 1 (800) 252-5400
Website: https://www.dfps.state.tx.us/

Prescription Benefits Manager (PBM) OptumRx
Phone: 1 (800) 613-3591
Hours: 8:00 am – 5:00 pm Central Time
Website: http://www.optum.com

Texas Health Steps
Phone: 1 (877) THSTEPS (1 (877) 847-8377)
Website: http://www.txhealthsteps.com

Vision (Superior Vision)
Phone: 1 (888) 886-1995
Hours: 7:00 am – 8:00 pm Central Time, Monday - Friday
Website: https://www.superiorvision.com/