Cigna Health Advisor is one-on-one coaching aimed at both at-risk and seemingly healthy members.
Cigna says Health Advisor finds members who show unhealthy behaviors and coaches them one on one. It reaches people before a claim, which is different from an app members must find themselves.
What the program is and what members do.
What the program is
Cigna describes the Health Advisor Program as identifying both at-risk and seemingly healthy individuals who exhibit unhealthy behaviors. Through one-on-one coaching, Cigna says it guides members to make lifestyle changes, close gaps in care and choose cost-effective treatments. It is outreach-driven, not only opt-in.
What members do
A member is contacted or opts in, then works with a coach on specific goals. Cigna says the coaching covers lifestyle change, closing gaps in care and choosing treatments. Cigna does not publish the contact method, session count or typical duration on its employer page, so those are worth asking about.
Related coaching programs
Cigna lists other condition support programs on the same page. Lifestyle Management offers online or phone coaching for weight, tobacco cessation and stress management. Your Health First provides coaching for 16 common chronic conditions. Omada for Cigna Healthcare addresses prediabetes and is run by Omada Health, not Cigna. Health Advisor is the general-purpose entry.
Eligibility, funding and plan design.
Who can use it
Cigna says to contact a Cigna representative or broker to learn which programs apply to an organization. The page does not give a group-size cutoff for Health Advisor. Product availability can vary by location and plan type, so eligibility depends on the contract and funding.
How it is funded or sold
Cigna’s page lists Health Advisor with no price or rider language. Whether it is included in the administrative fee, premium or an add-on is a contract question. The only way to know is to ask for the line item in the proposal.
Where it fits in a plan design
Coaching suits employers with a stable workforce where gaps in care and preventable conditions are a recurring cost. It pairs with a health assessment that finds candidates. It is less likely to move results for a very small group where a few members drive claims, which care management handles better.
What to settle before relying on it.
How are members identified and contacted?
Cigna says the program finds at-risk and seemingly healthy people who show unhealthy behaviors. We would ask what data drives that, whether outreach is automatic, and how members can decline. Outreach that employees read as intrusive hurts trust in the whole program.
What does the employer see afterward?
We would ask for a sample report showing engagement and outcomes at the group level, and for the minimum group size at which data is shown. Individual coaching information should not reach the employer, and the employer should be able to tell employees that plainly.
Is any reward attached to coaching?
If members earn money or a plan-design reward for completing coaching, incentives tied to health outcomes fall under HIPAA and ACA wellness rules and may raise ADA and GINA questions. We would have employment counsel review the design. Participation-only rewards are treated differently, but they still need review.
Common questions about this program.
Who does Cigna Health Advisor coach?
Cigna says it identifies both at-risk members and seemingly healthy members who show unhealthy behaviors, then offers one-on-one coaching.
What does coaching try to change?
Cigna says it guides lifestyle changes, helps close gaps in care and helps members choose cost-effective treatments.
Is Health Advisor the same as Your Health First?
No. Cigna lists Your Health First separately as coaching for 16 common chronic conditions. Ask which coaching programs are in the group’s contract.
Programs and vendors named on this page
Official pages for the services mentioned above. Availability, cost and eligibility vary by plan and employer group, so confirm what applies to your group with the carrier.
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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