Integrated Pharmacy Benefits
More affordability, predictability, and simplicity for employers and employees.
A Total Healthcare Approach
A better healthcare experience can only come from truly integrated benefits. We have over 30 years of experience and specialized expertise in pharmacy, medical, and behavioral1—all working together as one team for you and your employees.
At Cigna Healthcare℠*, we start with one clinical platform, across all our benefits, which far surpasses the ability of limited and delayed data feeds. It’s real-time, interwoven into all our benefits for actionable insights, proactive and timely customer engagement, and provider collaboration resulting in real impact that focuses on the whole person.
Why Choose Cigna Healthcare Integrated Pharmacy
Financial Predictability and Protection
Our total cost of care approach with funding options and solutions helps improve affordability and eliminates surprises.
- Formulary and utilization management removes unreasonably priced, low-value drugs and focuses on the lowest net cost.
- Complete specialty drug management across benefits centers on total medical costs and condition-specific care.
- Minimize exposure to unexpected risks with programs like integrated stop-loss insurance for self-funded plans and Embarc Benefit Protection® solution for emerging gene therapies.
Customer Engagement and Clinical Support
Addressing the whole-person, across all benefits, helps to improve outcomes and drive to the lowest total cost of care.
- Proactive customer engagement identifies those at risk and intervenes with coaching, case management, or behavioral counseling.
- Specialized clinical outreach in specific diseases and behavioral conditions, plus personal guides who coach customers to high-value opportunities
- Cost savings programs, like the Patient Assurance Program and dedicated copay assistance teams, make medication more affordable, driving better adherence, and improving outcomes.
- Convenience of medication delivery with home delivery makes adherence easier for customers.
Provider Collaboration
Using our integrated, real-time data helps make an impact by getting the right information in the hands of the right caregiver at the right time.
- Cigna Healthcare accountable care includes embedded care coordinators working with providers and Cigna Healthcare Pharmacists actively mining data to close gaps in care and deliver affordable options.
- Point of care support with Real Time Benefit Check shows lower-cost alternatives and allows for electronic and auto prior authorization (ePA) in the patient’s electronic health record for a simpler experience.
- Integrated medical, lab, and pharmacy data helps find gaps and sends provider alerts via digital messaging, fax, and mail.
One Dedicated Team
Experts in pharmacy, medical, and behavioral work together as one team to implement, monitor, and offer ongoing guidance for all of your benefits.
- Expertly designed plan includes one set of consistent policies built to work together.
- Simpler administration with one contract, financial process, and concierge as a single point of contact for our customers, resulting in less to manage and less stress for your benefits team.
- Integrated reporting with a complete, whole-person view, across benefits to provide analysis, strategic, and actionable insights.
Save with Integrated Cigna Healthcare Benefits
For the sixth year in a row, our Value of Integration study proves that when benefits work together as one, we can better engage our customers to take control of their health, while driving savings and ease for our clients and customers.
Integrated benefits lead to $148 per member per year (PMPY) total medical cost savings across the Cigna Healthcare book of business2 as well as $1,407 PMPY total medical cost savings when identified for a health improvement opportunity like coaching or case management and has improved their health by closing a gap in care or received counseling.3
Higher Savings Across Complex Conditions or Therapies3
Specialty Medications
$8,907 PMPY savings
when taking specialty medications
$11,397 PMPY savings
when taking specialty medications for an inflammatory diagnosis
$17,476 PMPY savings
when taking specialty drugs and have a depression diagnosis
Complex Conditions
$368 PMPY savings
with a musculoskeletal diagnosis and $1,425 PMPY when also engaged in a health improvement opportunity
$2,489 PMPY savings
with a diabetes diagnosis
$357 PMPY savings
with a depression diagnosis
Turn Your Health Plan into a Growth Plan Through Integrated Benefits
Watch how our integrated benefits and whole-person approach improves customers’ engagement with their health. (Length: 00:02:57)
*Offered by Cigna Health and Life Insurance Company or its affiliates
View Cigna Healthcare Company Names
1 Cigna Healthcare national book of business analysis full year 2023 - includes commercial, Medicare, Medicaid, and Payer
2 Aon was independently engaged to design and perform our 2022 Value of Integration study. This book of business study leveraged a proprietary match case-control methodology, comparing those customers who share certain characteristics (age, gender, health status and benefits) but differ in terms of their medical, pharmacy and behavioral coverage. Results may vary.
3 Cigna Healthcare supplemented the Aon study with its own study of medical customers who have integrated Cigna Healthcare pharmacy and total behavioral health. Average annual per member per year (PMPY) - client/customer results will vary and are not guaranteed. Cigna Healthcare used a match case-control methodology developed at Harvard University to produce these statistics on different subsets of its customer population (those with particular comorbidities, those who engaged in health improvement activities, etc.).
Product availability may vary by location and plan type and is subject to change. All group health insurance policies and health benefit plans contain exclusions and limitations. For costs and details of coverage, contact a Cigna Healthcare representative.
Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company (Bloomfield, CT), Express Scripts, Inc., or their affiliates. In Utah, all products and services are provided by Cigna Health and Life Insurance Company (Bloomfield, CT). Policy forms: OK - HP-APP-1 et al., OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. (CHLIC); GSA-COVER, et al. (CHC-TN).
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