Cigna Medicare Plans in 2026: A Complete Guide to the HealthSpring Transition, Coverage, and Benefits

Cigna Medicare plans have undergone a major change in 2026. The Cigna Group completed the sale of its Medicare business to Health Care Service Corporation (HCSC) in March 2025. Following the transaction, the former Cigna Medicare business operates under the HealthSpring name.

What Happened to Cigna Medicare?

The Cigna Group completed the sale of its Medicare business to HCSC on March 19, 2025.

The transaction transferred Cigna's Medicare Advantage, Medicare Part D, and related Medicare businesses to HCSC. Cigna continued providing certain pharmacy benefit and other services to Medicare members through Evernorth under post-closing service arrangements.

The Medicare business subsequently became associated with HealthSpring.

As a result, a search for Cigna Medicare plans in 2026 may lead to HealthSpring plan information rather than a current Cigna-branded Medicare plan.

What Is HealthSpring?

HealthSpring is the Medicare business operating under HCSC following the acquisition of Cigna's Medicare business.

The current HealthSpring website provides information about 2026 Medicare plans and allows eligible individuals to review and compare available coverage.

The transition does not mean that Medicare itself changed.

Medicare remains the federal health insurance program, while private insurers administer Medicare Advantage and Part D plans under contracts with Medicare.

What Happened to Existing Cigna Medicare Members?

Existing members affected by the transaction received plan and membership information associated with the transition.

The specific details depend on the Medicare plan and service area.

Members should rely on current plan documents, identification cards, provider directories, and prescription information rather than older Cigna Medicare materials.

A former Cigna Medicare plan document from 2024 or 2025 may no longer accurately describe the plan operating in 2026.

Medicare Advantage Plans

Medicare Advantage, also known as Medicare Part C, provides Medicare Part A and Part B coverage through a private Medicare-approved health plan.

Medicare Advantage plans can include:

  • Hospital coverage
  • Physician services
  • Preventive care
  • Prescription drug coverage
  • Specialist services
  • Emergency care
  • Urgent care
  • Dental benefits
  • Vision benefits
  • Hearing benefits
  • Fitness benefits
  • Other supplemental services

The exact combination varies by plan and location.

Medicare.gov explains that Medicare Advantage plans are offered by private companies approved by Medicare and can provide benefits beyond Original Medicare.

Medicare Part D Prescription Coverage

Medicare Part D helps pay for covered prescription medications.

Some Medicare Advantage plans include Part D coverage, while standalone Part D plans can be used alongside Original Medicare.

Medicare.gov states that Part D coverage is offered by private companies approved by Medicare.

Drug coverage can vary considerably between plans.

Important factors include:

  • Covered medications
  • Drug tiers
  • Copayments
  • Coinsurance
  • Deductibles
  • Preferred pharmacies
  • Mail-order services
  • Prior authorization
  • Quantity limits
  • Step therapy

Anyone taking regular prescriptions should compare the exact formulary for the plan under consideration.

Cigna and Prescription Services

Although the Cigna Group sold its Medicare business, Cigna's Evernorth businesses continued providing certain pharmacy-related services to Medicare members under transition arrangements following the transaction.

This helps explain why Cigna, Evernorth, or related pharmacy-service names may still appear in Medicare-related information.

The company relationship should not be confused with Cigna continuing to sell the former Cigna Medicare plans directly.

HealthSpring Medicare Advantage Plans

HealthSpring currently provides Medicare plan information for 2026.

Its website states that eligible individuals can apply for 2026 plans if they recently became eligible for Medicare or qualify through a Special Enrollment Period.

Plan availability varies according to location.

A plan offered in one county may not be offered in another county.

HMO Medicare Advantage Plans

Health Maintenance Organization plans generally use a network of participating healthcare providers.

Depending on the plan, members may need to select a primary-care provider and obtain referrals for certain specialist services.

Before enrolling, it is useful to verify whether preferred doctors, hospitals, specialists, and pharmacies participate in the specific plan.

PPO Medicare Advantage Plans

Preferred Provider Organization plans generally provide additional flexibility when receiving care outside the plan's network.

However, out-of-network care can involve higher cost-sharing.

The specific rules depend on the plan.

A PPO should therefore not automatically be assumed to provide unrestricted access to every provider.

Special Needs Plans

Special Needs Plans are Medicare Advantage plans designed for particular groups of beneficiaries.

Major categories include:

  • Dual Eligible Special Needs Plans
  • Chronic Condition Special Needs Plans
  • Institutional Special Needs Plans

Dual Eligible Special Needs Plans are designed for people who qualify for both Medicare and Medicaid.

Eligibility and benefits depend on the plan and the individual's circumstances.

Dental Benefits

Medicare Advantage plans can include supplemental dental benefits.

Depending on the plan, coverage may include:

  • Preventive examinations
  • Cleanings
  • X-rays
  • Fillings
  • Extractions
  • Dentures
  • Other covered dental services

Dental benefits frequently have annual limits, provider-network requirements, or procedure-specific cost-sharing.

The Summary of Benefits should be reviewed for the exact coverage.

Vision Benefits

Some Medicare Advantage plans include routine vision coverage.

Potential benefits can include:

  • Eye examinations
  • Eyeglasses
  • Contact lenses
  • Allowances toward frames or lenses

The exact benefit varies by plan.

Hearing Benefits

Certain Medicare Advantage plans provide hearing benefits.

Coverage can include:

  • Hearing examinations
  • Hearing-aid allowances
  • Hearing-aid fittings
  • Hearing-related services

The participating provider network and benefit limits should be reviewed in the specific plan documents.

Over-the-Counter Benefits

Some Medicare Advantage plans include an OTC allowance.

Eligible products can potentially include:

  • Vitamins
  • Pain-relief products
  • Cold and allergy products
  • First-aid supplies
  • Dental-care products
  • Digestive-health products
  • Personal-care products

An OTC allowance is not a universal Medicare benefit and should not be assumed to be included with every plan.

Medicare Advantage Plan Costs

There is no single price for a Medicare Advantage plan that was previously associated with Cigna.

Costs can vary according to:

  • County
  • State
  • Plan
  • Plan type
  • Premium
  • Deductible
  • Copayments
  • Coinsurance
  • Provider network
  • Prescription coverage
  • Supplemental benefits

Some Medicare Advantage plans have no additional monthly plan premium, while others charge a monthly premium in addition to the Medicare Part B premium.

A $0-premium plan can still have other out-of-pocket expenses.

Annual Out-of-Pocket Maximum

Medicare Advantage plans have an annual maximum for covered Part A and Part B services.

The specific maximum varies by plan.

When comparing plans, it is useful to examine the out-of-pocket maximum together with:

  • Monthly premium
  • Medical deductible
  • Primary-care copay
  • Specialist copay
  • Hospital costs
  • Emergency-care costs
  • Prescription expenses

Looking at only the monthly premium can provide an incomplete picture of potential healthcare costs.

Provider Networks

Provider networks are especially important when comparing Medicare Advantage plans.

Before selecting a plan, check whether preferred:

  • Primary-care physicians
  • Specialists
  • Hospitals
  • Clinics
  • Urgent-care centers
  • Laboratories
  • Pharmacies

are included.

Provider participation can change between plan years.

A doctor who participated in a former Cigna plan does not necessarily participate in the corresponding 2026 HealthSpring plan.

Prescription Drug Formularies

A prescription formulary lists the medications covered by a specific plan.

The same medication can have different costs under different plans.

When reviewing a 2026 Medicare plan, check:

  1. Whether the medication is covered
  2. Which tier it occupies
  3. Whether a deductible applies
  4. Whether prior authorization is required
  5. Whether step therapy applies
  6. Which pharmacies are preferred
  7. Whether mail-order delivery is offered

Medicare.gov's plan-comparison resources can be used to compare Medicare health and drug plans.

Prior Authorization

Some Medicare Advantage plans require prior authorization before certain services, procedures, or medications are covered.

Prior authorization means the health plan reviews a requested service before it is provided.

The requirements vary according to the plan and service.

When reviewing a Medicare plan, prior authorization requirements can be particularly relevant for recurring treatments, specialist procedures, advanced imaging, and certain prescription medications.

Medicare Advantage Versus Original Medicare

Medicare Advantage and Original Medicare have different structures.

Feature Medicare Advantage Original Medicare
Part A Included through the plan Medicare
Part B Included through the plan Medicare
Part D Often included Usually separate
Provider network Generally applies Generally broader provider access
Annual Part A/B out-of-pocket maximum Yes No standard annual limit
Dental benefits May be included Generally limited
Vision benefits May be included Generally limited
Private insurer Yes No Medicare Advantage insurer

Individual costs and coverage depend on the specific plan.

Medicare Supplement Insurance

Medicare Supplement insurance, also known as Medigap, is different from Medicare Advantage.

Medigap policies work alongside Original Medicare rather than replacing it.

A Medigap policy can help pay certain Medicare-covered cost-sharing amounts, depending on the policy.

Because Cigna's former Medicare business was sold to HCSC, older references to Cigna Medicare Supplement products should be checked carefully against current availability and issuer information.

Enrollment for Medicare Coverage

The main Medicare Annual Enrollment Period generally runs from October 15 through December 7 each year.

For coverage beginning in 2027, this enrollment period will run from October 15 through December 7, 2026.

During this period, eligible beneficiaries can generally:

  • Join a Medicare Advantage plan
  • Switch Medicare Advantage plans
  • Return to Original Medicare
  • Change Part D coverage

Other enrollment periods can apply depending on individual circumstances.

Medicare Advantage Open Enrollment Period

The Medicare Advantage Open Enrollment Period generally runs from January 1 through March 31.

People already enrolled in Medicare Advantage can generally:

  • Switch to another Medicare Advantage plan
  • Return to Original Medicare

Additional rules apply to prescription drug coverage when returning to Original Medicare.

How to Compare Former Cigna Medicare Options in 2026

People searching for Cigna Medicare plans in 2026 should focus on the current HealthSpring plan information rather than older Cigna advertisements.

Important comparison points include:

  1. Monthly premium
  2. Medical deductible
  3. Annual out-of-pocket maximum
  4. Primary-care copay
  5. Specialist copay
  6. Hospital costs
  7. Emergency-care costs
  8. Prescription drug coverage
  9. Drug formulary
  10. Preferred pharmacies
  11. Provider network
  12. Dental benefits
  13. Vision benefits
  14. Hearing benefits
  15. OTC benefits
  16. Transportation benefits
  17. Fitness benefits
  18. Prior authorization requirements

Why Older Cigna Medicare Information Can Be Misleading

Online articles published before the 2025 transaction may still describe Cigna as a current Medicare Advantage insurer.

That information can be outdated for 2026.

The Cigna Group's Medicare business was transferred to HCSC, while Cigna's broader healthcare businesses continue operating under Cigna Healthcare and Evernorth.

Therefore, the date of an article or plan document matters.

A page describing a Cigna Medicare Advantage plan from 2024 should not automatically be treated as a description of the 2026 Medicare market.

Frequently Asked Questions

Does Cigna still offer Medicare Advantage plans in 2026?

The Cigna Group sold its Medicare business to HCSC in March 2025. The former Medicare business operates under HealthSpring in 2026.

What happened to Cigna Medicare?

Cigna's Medicare business was acquired by Health Care Service Corporation in March 2025. The Medicare business subsequently became associated with HealthSpring.

Is HealthSpring the same company as Cigna?

HealthSpring operates the former Cigna Medicare business under HCSC. The Cigna Group continues to operate Cigna Healthcare and Evernorth businesses, including certain pharmacy-related services.