Cigna Healthcare retail pharmacy medical vaccine network

List last updated January 2024. Subject to change.

* Plans vary, so check your plan materials for details, including a current list of covered vaccinations and the pharmacies included

in your speciﬁc plan’s network. Most immunizations for travel are generally not covered. If you use an out-of-network pharmacy,

services may not be covered or may be subject to your plan’s copayment, coinsurance or deductible requirements.

All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group.

Cigna Healthcare

retail pharmacy

medical network

A list of major participating pharmacies

You may be able to get the seasonal u shot – as well as other vaccines – at

your local retail pharmacy. Depending on your plan, vaccines may be covered

under your medical benet at no cost-share ($0) to you.*

You shouldn’t need to make an appointment to get a vaccine, but you should

call your pharmacy to make sure your vaccine is available at that location.

Major participating pharmacies in your network that oer vaccines under

the medical benet include Walgreens, Kroger, Walmart/Sam’s Club,

Rite Aid, Publix, Albertsons, Safeway, United Supermarkets and their

associated pharmacies listed below.

•

ACME Markets

•

American Drug Stores

•

Bond Drugs

•

Carrs

•

Dillon

•

Duane Reade

•

Fred Meyer

•

Happy Harry’s

•

Harris Teeter

•

Jewel-Osco

•

Pavilions

•

Ralphs

•

Randalls

•

Shaw’s

•

Smith’s

•

Star’s

•

Stephen La France

•

Tom Thumb

•

Vons

•

Costco

•

Food Lion

•

Giant Eagle

•

Giant Food

•

Hannaford

•

H-E-B

•

Hy-Vee

•

Ingles

•

Meijer

•

Mercy

•

Price Chopper

•

Roundy’s Supermarkets

•

ShopRite

•

Stop & Shop

•

Wegmans

•

Weis

•

Winn-Dixie

Other participating pharmacies include the following:

Additional pharmacies not listed above may be in-network for vaccines and immunizations under Cigna Healthcare

medical benets; ask your pharmacy. Note: As of January 1, 2023, CVS Pharmacy only processes claims under a

pharmacy benet for Cigna Healthcare customers.

Conrm that your pharmacy

is in-network for vaccines and

immunizations under Cigna

Healthcare

medical benets.

Bring the following information

to the pharmacy with your

medical ID card.

Your pharmacist may need the

BIN and PCN codes listed below

to submit your claim.

CHANGE HEALTHCARE/

EMDEON

BIN 004766

PCN COM62308

OMNISYS

BIN 004303

PCN CIGPPOIMM

Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance

Company, Evernorth Behavioral Health, Inc., Evernorth Care Solutions, Inc. and HMO or service company subsidiaries of Cigna Health Corporation, including Cigna HealthCare of Arizona, Inc., Cigna HealthCare

of California, Inc., Cigna HealthCare of Colorado, Inc., Cigna HealthCare of Connecticut, Inc., Cigna HealthCare of Florida, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare

of Indiana, Inc., Cigna HealthCare of St. Louis, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of New Jersey, Inc., Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of Tennessee, Inc., and

Cigna HealthCare of Texas, Inc. ATTENTION: If you speak languages other than English, language assistance services, free of charge are available to you. For current Cigna customers, call the number on

the back of your ID card. Otherwise, call 1.800.244.6224 (TTY: Dial 711). ATENCION: Si usted habla un idioma que no sea inglés, tiene a su disposición servicios gratuitos de asistencia lingüística. Si es un

cliente actual de Cigna, llame al numero que figura en el reverso de su tarjeta de identificación. Si no lo es, llame al 1.800.244.6224 (los usuarios de TTY deben llamar al 711).

Cigna Healthcare complies with applicable

Federal civil rights laws and does not discriminate

on the basis of race, color, national origin, age,

disability, or sex. Cigna Healthcare does not

exclude people or treat them dierently because

of race, color, national origin, age, disability, or sex.

Cigna Healthcare:

• Provides free aids and services to people

with disabilities to communicate

eectively with us, such as:

–

Qualied sign language interpreters

–

Written information in other formats

(large print, audio, accessible electronic

formats, other formats)

• Provides free language services to people

whose primary language is not English,

such as:

–

Qualied interpreters

–

Information written in other languages

If you need these services, contact customer

service at the toll-free number shown on your

ID card, and ask a Customer Service Associate

for assistance.

If you believe that Cigna Healthcare has

failed to provide these services or discriminated

in another way on the basis of race, color,

national origin, age, disability, or sex, you

can le a grievance by sending an email to

ACAGriev[email protected] or by writing

to the following address:

Cigna Healthcare

Nondiscrimination Complaint Coordinator

P.O. Box 188016

Chattanooga, TN 37422

If you need assistance ling a written grievance,

please call the number on the back of your ID card

or send an email to ACAGriev[email protected].

You can also le a civil rights complaint with the

U.S. Department of Health and Human Services,

Oce for Civil Rights electronically through the

Oce for Civil Rights Complaint Portal, available

at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf,

or by mail or phone at:

U.S. Department of Health and Human Services

200 Independence Avenue, SW

Room 509F, HHH Building

Washington, DC 20201

1.800.368.1019, 800.537.7697 (TDD)

Complaint forms are available at

http://www.hhs.gov/ocr/oce/le/index.html

Discrimination is against the law.

Medical coverage

Proﬁciency of Language Assistance Services

English – ATTENTION: Language assistance services, free of charge, are available to you. For current Cigna

customers, call the number on the back of your ID card. Otherwise, call 1.800.244.6224 (TTY: Dial 711).

Spanish – ATENCIÓN: Hay servicios de asistencia de idiomas, sin cargo, a su disposición. Si es un cliente

actual de Cigna, llame al número que figura en el reverso de su tarjeta de identificación. Si no lo es, llame

al 1.800.244.6224 (los usuarios de TTY deben llamar al 711).

Chinese – 注意：我們可為您免費提供語言協助服務。對於 Cigna 的現有客戶，請致電您的 ID 卡背面的號碼。其

他客戶請致電 1.800.244.6224 （聽障專線：請撥 711）。

Vietnamese



Korean – 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 현재 Cigna

가입자님들께서는 ID 카드 뒷면에 있는 전화번호로 연락해주십시오. 기타 다른 경우에는 1.800.244.6224

(TTY: 다이얼 711)번으로 전화해주십시오.

Tagalog – PAUNAWA: Makakakuha ka ng mga serbisyo sa tulong sa wika nang libre. Para sa mga

kasalukuyang customer ng Cigna, tawagan ang numero sa likuran ng iyong ID card. O kaya, tumawag sa

1.800.244.6224 (TTY: I-dial ang 711).

Russian













Cigna – Arabic

711

:TTY) 1.800.244.6224

French Creole – ATANSYON: Gen sèvis èd nan lang ki disponib gratis pou ou. Pou kliyan Cigna yo, rele

nimewo ki dèyè kat ID ou. Sinon, rele nimewo 1.800.244.6224 (TTY: Rele 711).

French – ATTENTION: Des services d’aide linguistique vous sont proposés gratuitement. Si vous êtes un

client actuel de Cigna, veuillez appeler le numéro indiqué au verso de votre carte d’identité. Sinon, veuillez

appeler le numéro 1.800.244.6224 (ATS: composez le numéro 711).

Portuguese – ATENÇÃO: Tem ao seu dispor serviços de assistência linguística, totalmente gratuitos. Para

clientes Cigna atuais, ligue para o número que se encontra no verso do seu cartão de identificação. Caso

contrário, ligue para 1.800.244.6224 (Dispositivos TTY: marque 711).

Polish – UWAGA: w celu skorzystania z dostępnej, bezpłatnej pomocy językowej, obecni klienci firmy

Cigna mogą dzwonić pod numer podany na odwrocie karty identyfikacyjnej. Wszystkie inne osoby

prosimy o skorzystanie z numeru 1 800 244 6224 (TTY: wybierz 711).

Japanese – 注意事項：日本語を話される場合、無料の言語支援サービスをご利用いただけます。現在のCignaの

お客様は、IDカード裏面の電話番号まで、お電話にてご連絡ください。その他の方は、1.800.244.6224（TTY: 711）

まで、お電話にてご連絡ください。

Italian – ATTENZIONE: Sono disponibili servizi di assistenza linguistica gratuiti. Per i clienti Cigna attuali,

chiamare il numero sul retro della tessera di identificazione. In caso contrario, chiamare il numero

1.800.244.6224 (utenti TTY: chiamare il numero 711).

German – ACHTUNG: Die Leistungen der Sprachunterstützung stehen Ihnen kostenlos zur Verfügung.

Wenn Sie gegenwärtiger Cigna-Kunde sind, rufen Sie bitte die Nummer auf der Rückseite Ihrer

Krankenversicherungskarte an. Andernfalls rufen Sie 1.800.244.6224 an (TTY: Wählen Sie 711).





Cigna– Persian (Farsi)

7111.800.244.6224

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896375 d 04/23