Credentialing Corner – March 2025

Credentialing Corner

Cigna Healthcare to Exit Individual & Family Plan Markets in 2025 

Starting January 1, 2025, Cigna Healthcare will no longer offer Individual & Family Plans (IFPs) in select states and counties, impacting patients and healthcare providers. This change will affect providers who currently serve Cigna IFP members in the following areas: 

  • Pennsylvania 
  • South Carolina 
  • Utah 
  • Leon County, Florida 
  • Lake County, Illinois 
  • McHenry County, Illinois 

Key Implications for Providers

1. Loss of Covered Patients 

Patients enrolled in Cigna IFPs in these markets will no longer have coverage through Cigna Healthcare after December 31, 2024. This means providers treating these patients will see a shift in the payer mix, as affected individuals transition to new insurance carriers or alternative coverage options. 

2. Continuity of Care Considerations 

Providers should prepare for potential disruptions in continuity of care. Patients may need assistance finding new coverage or understanding their options during open enrollment, which begins on November 1, 2024. It’s crucial to educate affected patients on the need to select a plan that includes their preferred providers to avoid gaps in care. 

3. Impact on Claims and Reimbursement 


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