All PlansCoverageHigh impact
Support for customers and health care providers in Southern California in the wake of wildfires
Cigna·CA·Coverage
Effective date
Jan 7, 2025
We identified it
Jun 19, 2026
Summary
Cigna Healthcare is temporarily waiving prior authorization requirements and providing enhanced coverage accommodations for providers and patients in Los Angeles and Ventura counties affected by wildfires. The policy includes pharmacy requirement waivers, removal of prior auth for medical services, and coverage of out-of-network urgent/emergency care as in-network through April 7, 2025.
Action Required
Immediately through April 7, 2025: Billing team must update systems to reflect temporary policy changes for LA/Ventura county patients with Cigna coverage - remove prior authorization requirements for all services, bill out-of-network urgent/emergency care as in-network rates, process pharmacy claims without R71/R73/R75/R76/R79 rejections, and waive transfer authorization requirements while maintaining medical necessity reviews post-service.