Cigna Health Advisor is one-on-one coaching for at-risk and seemingly healthy members, per Cigna.
Cigna describes Health Advisor as a coaching program that reaches both at-risk members and people who look healthy but show unhealthy behaviors. The employer page is brief, and the provider-facing page adds some detail.
What the program is and what members do.
What the program is
Cigna says Health Advisor identifies both at-risk and seemingly healthy individuals who show unhealthy behaviors. Through one-on-one coaching, Cigna says it guides customers to make lifestyle changes, close gaps in care and choose cost-effective treatments.
How members use it
Members work with a coach one on one. The provider-facing Cigna page, which we also read, says Health Advisor coaches assess overall health status, health attitudes and behavior, and readiness to change, and help set health goals. That page is written for clinicians, so we treat it as supporting context only.
What it covers and does not
The provider page lists prediabetes, hypertension and hyperlipidemia, and members who want to improve healthy eating and exercise. It does not state fees, outcomes or session counts.
Eligibility, funding and plan design.
Who can use it
The employer page describes the audience as at-risk and seemingly healthy individuals showing unhealthy behaviors. The provider page says it may be available to patients through their Cigna medical plan. Eligibility rules are not stated, so confirm for your group.
How it is funded or sold
Cigna’s footnotes say group insurance is offered to employers with more than 50 full-time employees in most states, and administrative services for self-funded plans with as few as 25 full-time employees. Product availability varies by location and plan type. We would confirm in writing how this program is funded for the group and whether any fee applies.
Where it fits in plan design
It fits as the lighter-touch coaching layer for members who are not yet in care management. It can pair with a chronic condition program, but should not be counted on to change claims on its own.
What to settle before relying on it.
How are members selected?
We would ask how Cigna identifies seemingly healthy members with unhealthy behaviors, and whether the outreach is claims based.
What does cost-effective treatment guidance mean?
Cigna says coaches help members choose cost-effective treatments. We would ask what that looks like in practice and whether it steers members to particular providers.
Is there a fee?
The pages do not say. We would ask for written confirmation of cost for the group.
Common questions about this program.
Who is Health Advisor for?
Cigna says at-risk members and seemingly healthy members with unhealthy behaviors.
Is the coaching one on one?
Yes, Cigna describes one-on-one coaching.
Is it available to my group?
Cigna says availability varies by location and plan type. Confirm with your representative.
Where these details come from.
This page summarizes what Cigna publishes. Programs change, so confirm current details with the carrier before relying on them.
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Contribution split by tier
Enrolled counts by tier
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