EXTERNAL PARTNERS: FDRS AND VENDORS

Providing Better Healthcare through Committed Partnerships

Cigna is committed to conducting its business operations in compliance with ethical standards, contractual obligations, and all applicable state and federal statutes, rules and regulations pertaining to Medicare. Cigna’s commitment extends to its business partners and delegated entities that enable Cigna to fully meet the needs of our contracted providers and their patients with Cigna plan coverage.

We collectively refer to the Medicare Advantage (MA) Plans and Medicare Prescription Drug Plans (PDPs) we offer as "Medicare plans." We partner with external entities like you as an efficient, cost-effective way of providing the administrative and health care services that support these plans and are required under our contracts with the Centers for Medicare & Medicaid Services (CMS).

This webpage is created to provide self-service access to FDRs of the Cigna network in support of patients covered by a Cigna Medicare Advantage Plan.

FDRs

First Tier (F) Downstream (D) Related Entity (R)
Entities that enter into a written arrangement, acceptable to CMS, with Cigna to provide administrative services or health care services to a Medicare-eligible individual under the Medicare Advantage program or Part D program. Entities that enter into a written arrangement, acceptable to CMS, with persons or entities involved with the Medicare Advantage benefit or Part D benefit, below the level of the arrangement between Cigna and a First Tier Entity. These written arrangements continue down to the level of the ultimate provider of both health and administrative services. Any entity that is related to the MA organization by common ownership or control and:
  • Performs some of the MA organization's management functions under contract or delegation;
  • Furnishes services to Medicare enrollees under an oral or written agreement; or
  • Leases real property or sells materials to the MA organization at a cost of more than $2,500 during a contract period.

  

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Contact Us for Questions: FDRBusinessOperations@Cigna.com