Cigna Medicare Advantage

Please fill out the information to request printed copies of your Cigna Medicare Advantage annual plan documents.

Note:

This request is for Cigna Medicare Advantage customers only.

The information requested will be used to match to your current customer record.

The documents you selected will be mailed to your mailing address on file within three (3) business days.

If you need your documents mailed to a different address, please call Customer Service at:

1-800-668-3813 (TTY 711)
October 1 – March 31, 8 a.m. – 8 p.m. local time, 7 days a week.
From April 1 – September 30, Monday – Friday, 8 a.m. – 8 p.m. local time. Messaging service used weekends, after hours, and on federal holidays.

Arizona Customers: 1-800-627-7534

Annual Plan Documents (please check which documents you are requesting):

Evidence of Coverage (EOC)

Drug List (Formulary)

Provider & Pharmacy Directory

Last 5 digits of ID Number * If there is *01 at the end of your ID Number please do not include as part of the 5 digits

First Name * As printed on your ID card

Last Name * As printed on your ID card

Address *

City *

State *

Zip Code *

County *

Birth Month *

Birth Year *

Email Address *

Phone * xxx-xxx-xxxx

Note: If we have any questions, we may contact you at the phone number or email address provided above.