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Total Behavioral Health

Your Cigna medical plan provides you and your covered dependents access to a comprehensive and personalized program that provides confidential lifestyle coaching, educational tools and dedicated support. It’s the care you need wherever you are in your health care journey.

Cigna Total Behavioral Health℠ helps you manage behavioral health issues in your workforce before they become more serious. We do this through a combination of behavioral, wellness and pharmacy components. Our comprehensive approach is designed to improve health – and your bottom line.

Our whole-person approach to behavioral health – mind and body

With Cigna Total Behavioral Health, you get:

  • Innovative, evidence-based clinical programs and services focused on reducing the negative impact of behavioral issues.
  • A personalized customer experience to support individuals – and their families.
  • More than 40 years of experience delivering behavioral health programs designed to prevent relapse and hospital readmission.*
  • A large, national network of behavioral health care providers.
  • Extensive expertise identifying undiagnosed or underlying behavioral disorders and managing treatment compliance.
  • Peace of mind regarding claim risk, as Cigna funds covered in-network behavioral claims.
  • A care coaching model that is designed to empower sustainable behavior change and lead to lasting results.
  • Tools to manage out-of-network substance use treatment and costs. Includes predictive modeling, customer education and a designated Substance Use Treatment provider program.
    – Our Designated Substance Use Treatment provider program identifies in-network behavioral facilities that have earned a top ranking based on Cigna’s measures of patient outcomes and cost-efficiency.
  • Help for people with hard-to-treat conditions, like chronic pain, who want to feel better physically and emotionally.

* The company that is today Cigna Behavioral Health, Inc. was established in 1974.

Total Behavioral Health’s integrated design drives better health, outcomes and savings.

%

lower total medical costs6

%

lower emergency room costs6

%

lower inpatient medical costs6

%

lower professional claim medical costs6

How we do it – Comprehensive and personalized support every step of the way

Cigna Total Behavioral Health creates more opportunities to proactively engage customers in the right treatment and coaching, at the right time. Increasing the use of these important services can lead to improved health, lower utilization and lower costs.6

Inpatient care management
Support for those needing hospitalization for mental health or substance use treatment, including detoxification and residential treatment. Care managers work with the individual, their family and outpatient professionals to coordinate services and help ensure safe and effective treatment upon discharge.

Outpatient care management
Dedicated outpatient support for those leaving the hospital. Services include partial hospitalization and intensive outpatient treatment. Outreach to individuals and health care professionals to provide education, appointment reminders and follow-ups on medication compliance. Plus, there is no precertification required for routine care.

Intensive care management
For individuals with complex mental health or substance use conditions who are at high risk for readmission. Dedicated care managers reach out to support individuals as often as necessary. They act as liaisons to patient and family after discharge.

Gaps in care
Proprietary screening model used to review all claims. Identifies evidence-based behavioral gaps in care. Enables targeted outreach and intervention.

Specialty care management
Our specialty care management programs provide dedicated focus for complex, high-cost conditions. Our programs include autism, eating disorders, substance use and bipolar disorder. We also have programs that focus on children and adolescent mood and anxiety disorders, and young adult major depression, bipolar and substance use disorders.

Our dedicated behavioral care managers support your employees – and their families. This support continues as long as they need help and remain covered under your plan. Our care managers apply a multidisciplinary approach to help ensure treatment is effective and appropriate. They coordinate with health care professionals and refer to Cigna pharmacy and wellness programs. They also help overcome barriers to treatment and promote engagement through education and referrals to local support groups and seminars.

Autism specialty program7
  • 14% lower emergency room utilization
  • 36% fewer inpatient admissions for participants
Eating disorders program8
  • $1,000 lower total medical cost per individual participating in the program
  • 52% lower emergency room costs per customer compared to nonparticipants
Substance use disorder program9
  • $10,000 lower total medical cost per participant
  • 40% fewer outpatient visits
  • 47% fewer admissions
Coaching and support for children and families10
  • 11% greater reduction in behavioral costs postprogram for participants
  • 37% reduction in 60-day readmissions
  • 19% higher medication adherence rate in participants
  • 18% more outpatient visits than nonparticipants**
Coaching and support for young adults11
  • 7% greater reduction in behavioral costs postprogram for participants
  • 45% reduction in 60-day readmissions
  • 33% more outpatient visits postprogram**
  • 10% higher medication adherence rate compared to nonparticipants
Intensive care management12
  • $3,635 total medical cost saved on average per participant
  • $1,783 total behavioral cost saved on average per participant
  • 14% fewer office visits
  • 10% fewer admissions

**Outpatient therapy helps the individual and family learn how to overcome the challenges inherent in their day-to-day lives.

%

of participants were very satisfied with the service their care manager provided13

10 hours

average time saved per participants were very satisfied with the service their care manager provided13

Lifestyle management

Phone and online coaching to help individuals manage stress, lose weight and/or quit tobacco.

  • Tobacco Cessation Program
    $3,162 estimated annual future medical savings per individual who meets program completion requirements15
    – 96% still tobacco-free one year after graduation16
  • Weight management program
    $1,082 estimated annual future medical savings per individual who meets program completion requirements17
  • Stress management program
    $609 estimated annual future medical cost-savings per individual who meets program completion requirements18

Cognitive behavioral modification

Support for those who suffer from physical ailments with no clear treatment path, such as chronic pain and migraines. Through one-on-one coaching and support groups, members learn to manage their symptoms to feel better physically and emotionally.

Complex psychiatric care management20

Gives physicians and psychiatrists a solution to help patients taking multiple psychotropic drugs. Helps foster appropriate levels of care and adherence to drug therapies to optimize treatment regimens and help decrease potential emergency room visits or hospitalizations.

Narcotics therapy management20

Uses comprehensive medical information to identify and address potential inappropriate use of narcotics and other controlled substances. Encourages better management of pain by offering tools and resources and addressing fraud and abuse.

%

of participants felt the program was useful19

$3,800

total cost-savings per participant. 99% of savings from avoided inpatient, outpatient and emergency room visits21

$2,300

total cost-savings per participant. 99% of savings from avoided outpatient and emergency room visits21

Better health, better bottom line

With Cigna Total Behavioral Health, we help our customers improve their health, optimize productivity and lower overall costs. We do this with a whole-person approach to behavioral health – mind and body. We manage behavioral issues proactively through a combination of wellness, medical and pharmacy components.

In fact, we’re so confident that we can help improve the overall health of your organization, we offer a 1% reduction in medical, pharmacy and behavioral claim costs in year one when you add Cigna Total Behavioral Health to your new or existing Cigna medical plan.***

Frequently Asked Questions

Click on the question to view the answer

How do I find network behavioral health providers online?

Visit Cignabehavioral.com. Under the “Members” menu, click on “Find a Therapist/Psychiatrist/Hospital” to find network providers who treat:
> Mental health disorders
> Substance use disorders
If your organization does not have an “Employer ID,” you may leave that field blank or enter the word “Member”

What can I do on Cignabehavioral.com?

From our site you can:
> Find an up-to-date list of network behavioral health providers and search by specialty, zip code, language, etc.
> Read personal profiles for many behavioral health providers
> Review Employee Assistance Program benefits and services
> Learn more at the Frequently Asked Questions section

How do I make a behavioral appointment?

Many behavioral health providers lead their own independent practices and may not have office staff to take your call. Simply leave a voicemail clearly stating the information below and request a call back.
> Your name, that you’re a Cigna customer, and reason for your call
> How you can be reached and best days and times for an appointment

What if I can’t find a psychiatrist for a medication evaluation?

To help with the shortage of psychiatrists, we also contract with the following providers for medication evaluations:
> Nurse practitioners who can prescribe medications
> Developmental-behavioral pediatricians
> Physician assistants
> Psychologists who can prescribe medications in states that have passed associated laws
> Behavioral health professionals recommended by primary care physicians (PCP) or co-located in PCP practices
For many plans, Cigna will reimburse for therapy and medication management telehealth services. Please contact us to learn more and to find out if telehealth services are available to you.

Who do I call if I have questions?

We’re here to help you 24/7/365. Call 800.274.7603 to speak to a Cigna Personal Advocate if you have difficulty locating a provider online or need help finding an appointment.

The NCQA Managed Behavioral Health Organization Accreditation for Cigna Behavioral Health, Inc. applies to Commercial and Marketplace products & Cigna Behavioral Health CA accreditation applies to Commercial products. Full accreditation is a three year accreditation and is national is scope.
1) Substance Abuse and Mental Health Services Administration, results from the 2014 National Survey on Drug Use and Health: Mental Health Findings, Rockville, MD.

2) Centers for Disease Control and Prevention. Mental health surveillance among children – United States, 2005–2011. (Suppl; May 16, 2013):1–35.

3) Depression Fact Sheet, World Health Organization, October 2015, www.who.int/mediacentre/factsheets/fs369/en/

4) Insel, T., Cost of not caring: Nowhere to go, the financial and human toll for neglecting the mentally ill, USA Today, May 12, 2014.

5) Behavioral Health Trends in the United States: Results from the 2014 National Survey on Drug Use and Health, September 2015.

6) Cigna Analytics, Cigna Total Behavioral Health Program Evaluation, 2015. Results derived from National book of business analysis using retrospective matched case control analysis. Study compared 2014 claim experience of customers in Total Behavioral Health plan with customers in FFS inpatient only plan.

7) Cigna Analytics, Autism Specialty Case Management Program Evaluation, 2014. Results derived from National book of business study using retrospective comparison analysis.

8) Cigna Analytics, Eating Disorder Specialty Program Evaluation, 2016.Results derived from National book of business study using retrospective comparison analysis.

9) Cigna Analytics,Substance Use Specialty Program Evaluation, 2016. Results derived from National book of business study using retrospective comparison analysis.

10) Cigna Analytics, Coaching & Support for Children & Families Program Evaluation, 2013. Results derived from National book of business study using retrospective comparison analysis.

11) Cigna Analytics, Coaching & Support for Young Adults Program Evaluation, 2013. Results derived from National book of business study using retrospective comparison analysis.

12) Cigna Analytics, Intensive Case Management Program Evaluation, 2014. Results derived from National book of business study using retrospective comparison analysis.

13) Cigna Satisfaction Survey, 2015.

14) Cigna Satisfaction Survey, 2014.

15)“The Health Consequences of Smoking – 50Years of Progress: A Report of the Surgeon General,”2014.

16) Cigna Lifestyle Management Program, National Book of Business results, November 2014 calendar year.

17) Cigna Analytics, Weight Management Program Evaluation, 2013. Results derived from a National book of business analysis using retrospective matched case control analysis.

18) Cigna Analytics, Stress Management Program Evaluation. National Book of Business evaluation study, August 2014.

19) 2015 CLIMB Participant Survey.

20) Available for Cigna Total Behavioral Health clients with Cigna Pharmacy.

21) Cigna Pharmacy program evaluation, updated 2015. Results derived from national book of business study using retrospective comparison analysis.
All statistics are used for illustrative purposes only. Individual customer/client results will vary and are not guaranteed. All group health insurance policies and health benefit plans contain exclusions and limitations. For costs and complete details of coverage, contact your Cigna sales representative.

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company (CHLIC), Connecticut General Life Insurance Company (CGLIC), Cigna Behavioral Health, 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. (CHC-TN), and Cigna HealthCare of Texas, Inc. Policy forms: OK – HP-APP-1 et al (CHLIC), GM6000 C1 et al (CGLIC); TN – HP-POL43/HC-CER1V1 et al (CHLIC), GSA- COVER, et al (CHC-TN). The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All pictures are used for illustrative purposes only.

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