PROVIDER AND PHARMACY DIRECTORY 2019 - Cigna

PROVIDER AND PHARMACY DIRECTORY

2019

Cigna-HealthSpring? CarePlan (Medicare-Medicaid Plan)

Member Services 1-877-653-0327 (TTY: 7-1-1) 7 days a week 8 a.m. to 8 p.m. Central Time

H8423_18_60391 Approved 11202017

923611 ? 2017 Cigna

H8423_19_66475 Approved 08232018

Cigna-HealthSpring? CarePlan (Medicare-Medicaid Plan) | 2019 Provider and Pharmacy Directory

Introduction

This Provider and Pharmacy Directory includes information about the provider and pharmacy types in Cigna-HealthSpring CarePlan and listings of all the plan's providers and pharmacies as of the date of this Directory. The listings contain provider and pharmacy address and contact information as well as other details such as days and hours of operations, specialties, and skills. Key terms and their definitions appear in alphabetical order in the last chapter of the Member Handbook.

Table of Contents

A. Disclaimers.................................................................................................................................................. III B. Providers .....................................................................................................................................................IV

B1. Key terms.............................................................................................................................................IV B2. Primary Care Provider (PCP) ................................................................................................................V B3. Long-term services and supports (LTSS).............................................................................................VI B4. How to identify providers in Cigna-HealthSpring CarePlan's network ..................................................VI B5. How to find Cigna-HealthSpring CarePlan providers in your area.......................................................VII B6. List of network providers .....................................................................................................................VII C. List of network pharmacies .......................................................................................................................VIII C1. How to identify pharmacies in Cigna-HealthSpring CarePlan's network ..............................................IX C2. Long-term supplies of prescriptions .....................................................................................................IX D. Cigna-HealthSpring CarePlan's network providers.......................................................................................X D1. Primary Care Providers.........................................................................................................................1 D2. Specialists........................................................................................................................................... 57 D3. Hospitals........................................................................................................................................... 173 D4. Skilled Nursing Facilities (SNF)........................................................................................................ 176 D5. Nursing Facilities (NF)...................................................................................................................... 179

? If you have questions, please call Cigna-HealthSpring CarePlan at 1-877-653-0327 (TTY: 7-1-1), 7 days a

week, 8 a.m. to 8 p.m. Central Time. The call is free. For more information, visit .

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D6. Mental Health Providers....................................................................................................................181 D7. Long-Term Services and Supports (LTSS)....................................................................................... 192 D8. Ancillary Providers............................................................................................................................ 215 D9. Dental Providers................................................................................................................................239 D10. Vision Providers.............................................................................................................................. 240 E. Cigna-HealthSpring CarePlan's network pharmacies................................................................................244 E1. Retail and Chain Pharmacies............................................................................................................245 E2. Mail-Order Pharmacies .................................................................................................................... 406 E3. Home Infusion Pharmacies ..............................................................................................................407 E4. Long-Term Care Pharmacies ........................................................................................................... 416 F. Index of Providers and Pharmacies............................................................................................................4..5..5. F1. Providers............................................................................................................................................4..5..5. F2. Pharmacies........................................................................................................................................4...6..7.

? If you have questions, please call Cigna-HealthSpring CarePlan at 1-877-653-0327 (TTY: 7-1-1), 7 days a

week, 8 a.m. to 8 p.m. Central Time. The call is free. For more information, visit .

II

A. Disclaimers

This Directory lists health care professionals (such as doctors, nurse practitioners, and psychologists), facilities (such as hospitals or clinics), and support providers (such as Adult Day Health and Home Health providers) that you may see as a Cigna-HealthSpring CarePlan Member. We also list the pharmacies that you may use to get your prescription drugs.

We will refer to these groups as "network providers" in this Directory. These providers signed a contract with us to provide you services. This is a list of Cigna-HealthSpring CarePlan's network providers for Hidalgo County, Texas.

ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call 1-877-653-0327 (TTY: 7-1-1), 7 days a week, 8 a.m. to 8 p.m. Central Time. The call is free. Si habla espa?ol, tiene a su disposici?n servicios gratuitos de asistencia ling??stica. Llame al 1-877-653-0327 (TTY: 7-1-1), los 7 d?as de la semana, de 8 a.m. a 8 p.m., hora del Centro. La llamada es gratuita.

You can get this document for free in other formats, such as large print, braille, or audio. Call 1-877-653-0327 (TTY: 7-1-1), 7 days a week, 8 a.m. to 8 p.m. Central Time. The call is free.

You can request to receive this document in Spanish or an alternate format, now and in the future by calling Member Services at 1-877-653-0327 (TTY: 7-1-1), 7 days a week, 8 a.m. to 8 p.m. Central Time.

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc.

Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

The list is up-to-date as of November 2019, but you need to know that:

? Some Cigna-HealthSpring CarePlan network providers may have been added or removed from our network after this Directory was published.

? Some Cigna-HealthSpring CarePlan providers in our network may no longer be accepting new Members. If you are having trouble finding a provider who will accept new Members, call Member Services at 1-877-653-0327 (TTY: 7-1-1) and we will help you.

? To get the most up-to-date information about Cigna-HealthSpring CarePlan's network providers in your area, visit or call Member Services at 1-877-653-0327 (TTY: 7-1-1), 7 days a week, 8 a.m. to 8 p.m. Central Time. The call is free.

? If you have questions, please call Cigna-HealthSpring CarePlan at 1-877-653-0327 (TTY: 7-1-1), 7 days a

week, 8 a.m. to 8 p.m. Central Time. The call is free. For more information, visit .

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Doctors and other health care professionals in Cigna-HealthSpring CarePlan's network are listed on pages 1-243. Pharmacies in our network are listed on pages 245-416. You can use the Index in the back of the Directory to find the page where a provider or pharmacy is listed.

If you live in a nursing facility, please refer to the Cigna-HealthSpring STAR+PLUS Member Handbook for Nursing Facility Carve-In. For a copy of the Member Handbook, you can go online at or call Member Services at 1-877-653-0327 (TTY: 7-1-1), 7 days a week, 8 a.m. to 8 p.m. Central Time.

B. Providers

B1. Key terms

Your Plan of Care is the plan for what health services you will get and how you will get them.

After your health risk assessment, your Service Coordination Team will meet with you to talk about what health services you need and want. Together, you and your Service Coordination Team will make your Plan of Care.

For Members eligible for Home and Community Based Services (HCBS), the Member's Individual Service Plan (ISP) is incorporated into the Plan of Care.

Every year, your Service Coordination Team will work with you to update your Plan of Care if the health services you need and want change.

This section explains key terms you'll see in our Provider and Pharmacy Directory.

Providers are health care professionals and support providers such as doctors, nurses, pharmacists, therapists, and other people who provide care and services. Services include medical care, long-term services and supports (LTSS), supplies, prescription drugs, equipment and other services.

o The term providers also includes facilities such as hospitals, clinics, and other places that provide medical services, medical equipment, and long-term services and supports.

o Providers that are a part of our plan's network are called network providers.

Network providers are the providers that have contracted with us to provide services to Members in our plan. The providers in our network generally bill us directly for care they give you. When you see a network provider, you usually pay nothing for covered services.

A Primary Care Provider (PCP) is a physician who gives you routine health care. Your PCP will keep your medical records and get to know your health needs over time.

Specialists are doctors who provide health care services for a specific disease or part of the body. There are many kinds of specialists. Here are a few examples:

o Oncologists care for patients with cancer.

? If you have questions, please call Cigna-HealthSpring CarePlan at 1-877-653-0327 (TTY: 7-1-1), 7 days a

week, 8 a.m. to 8 p.m. Central Time. The call is free. For more information, visit .

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