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CommercialCoverageMedium impact

2025 Cigna Care Designation reconsideration requests due August 23

Cigna·Coverage
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Cigna Healthcare has updated their 2025 Cigna Care Designation (CCD) program which evaluates network providers for quality and cost-efficiency across 21 specialties. Providers who missed the August 23, 2024 deadline for reconsideration requests will have any approved designation changes reflected in online directories after October 2024, potentially affecting patient tier benefits and copayments.

Action Required

Action needed
No immediate action required as the August 23, 2024 reconsideration deadline has passed. However, billing teams should verify provider CCD and Tier 1 status in Cigna directories beginning January 1, 2025, as this affects patient copayments and coinsurance for tiered benefit plans. Update patient education materials to inform them about potential cost differences between Tier 1 and non-Tier 1 providers.

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