Cigna HealthSpring

What Cigna HealthSpring does

HealthSpring is a Medicare-focused health insurance brand operating under Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and the largest customer-owned health insurer in the United States. Following HCSC's acquisition of The Cigna Group's Medicare Advantage, Supplemental Benefits, Medicare Part D, and CareAllies businesses in March 2025, the brand transitioned from "Cigna Healthcare Medicare" to HealthSpring and was positioned as the national Medicare brand of HCSC. HealthSpring serves Medicare-eligible individuals (primarily seniors aged 65 and older, plus those qualifying through disability) and employer- or union-sponsored retiree groups across select U.S. states. Product offerings span Medicare Advantage (Part C) HMO and PPO plans, Medicare Supplement (Medigap) plans, standalone Medicare Part D Prescription Drug Plans (PDP), and supplemental health insurance products including lump-sum cancer insurance, hospital indemnity, heart and stroke coverage, and whole life insurance.

The technology and operational stack centers on the myHealthSpring member portal for self-service access to coverage, claims, ID cards, and provider directories, alongside the Availity Essentials provider portal (Payer ID: 52192) used by contracted physicians, hospitals, and home health agencies for eligibility verification, claims submission, and prior authorization. Pharmacy benefits are integrated through Express Scripts home delivery, Accredo Specialty Pharmacy, and major retail networks; care management and clinical oversight are delivered through the inherited CareAllies platform; and prior authorization for high-technology radiology, oncology, radiation therapy, and musculoskeletal services is administered through EviCore. Quality is tracked via CMS Star Ratings and HEDIS measures, with members receiving additional benefits via the Silver&Fit fitness program, HealthSpring Flex Card incentives, and the Healthier Together wellness platform. Behavioral health is administered through the Evernorth Behavioral Health Network and dental benefits through Cigna Dental, with clinical review guidelines sourced from American Specialty Health and WellMed.

Revenue is generated predominantly through recurring monthly premiums paid for Medicare Advantage, Medicare Supplement, and Medicare Part D plans, supplemented by Medicare risk-adjustment and capitation subsidies and employer-paid group retiree premiums. Distribution blends direct-to-consumer phone and website sales during annual (October 15 – December 7) and special enrollment periods with a network of licensed insurance brokers and agents, employer-sponsored group Medicare channels, and provider referrals within HMO/PPO networks. Operations span regional offices in Chicago (HCSC corporate context), Nashville, Chattanooga, Dallas, Weston, Phoenix, St. Louis, and Kansas City, supporting an employee base of 1,001–5,000 across a wholly-owned subsidiary stack that includes HealthSpring Insurance Company, HealthSpring National Health Insurance Company, American Retirement Life Insurance Company, Loyal American Life Insurance Company, and Medco Containment Life Insurance Company.

Name

Cigna HealthSpring

Legal name

Health Care Service Corporation

Website

https://healthspring.com

Company type

Private

Founded year

2025

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

HealthSpring, the national Medicare brand of Health Care Service Corporation, offers Medicare Advantage, Medicare Supplement, Medicare Part D, and supplemental health insurance products to seniors and employer/union retiree groups across select U.S. states.

Ownership category

akta.pro rank

Product category

Medicare Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG)

akta.pro secondary industry

Medicare Supplement (Medigap) Plans (FSAIAGAB)

Keywords

• Medicare Advantage Plans
• Medicare Supplement Insurance
• Prescription Drug Plans
• Senior Healthcare Coverage
• Medicare Health Insurance

Headquarters

HQ city

Franklin

HQ country

United States

HQ region

North America

Offices8 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Medicare Advantage Premiums: HealthSpring generates revenue through Medicare Advantage plan premiums paid by members and subsidized by Medicare. Plans include HMO and PPO options with integrated medical and pharmacy benefits.
2. Medicare Part D Prescription Drug Plans: Standalone prescription drug plans (PDP) generating revenue through member premiums and Medicare subsidies based on drug benefit utilization.
3. Medicare Supplement Insurance: Medigap plans that supplement Original Medicare by covering cost-sharing expenses not covered by Medicare Parts A and B.
4. Supplemental Health Insurance: Additional insurance products including lump-sum cancer insurance, hospital indemnity insurance, cancer treatment insurance, heart & stroke insurance, and whole life insurance.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

HealthSpring (formerly Cigna HealthSpring) is a Medicare-focused health insurance brand of Health Care Service Corporation (HCSC) that offers Medicare Advantage (Part C), Medicare Supplement (Medigap), and Medicare Prescription Drug (Part D) plans to individuals, along with supplemental health insurance products including cancer, heart and stroke, hospital indemnity, and whole life coverage. The company sells plans across multiple U.S. states under the HealthSpring brand, supported by member tools such as the myHealthSpring portal, the HealthSpring Flex Card benefit, and wellness programs including Silver&Fit and Healthier Together.

Product overview

HealthSpring is a Medicare-focused health insurance brand operating under Health Care Service Corporation (HCSC). The company offers a unified portfolio of Medicare products including Medicare Advantage HMO/PPO plans (Part C), Medicare Supplement (Medigap) plans, and Medicare Part D Prescription Drug Plans (PDP), along with supplemental health insurance products such as cancer, hospital indemnity, heart & stroke, and whole life insurance. Key member-facing platforms include the myHealthSpring online portal, HealthSpring Flex Card for incentives and OTC allowances, and the Availity Essentials portal for providers. The company serves Medicare beneficiaries through integrated pharmacy networks including Express Scripts, Accredo Specialty Pharmacy, and home delivery services, with supplemental benefits administered through partners including Cigna Dental, Evernorth Behavioral Health, Silver&Fit (American Specialty Health), and Healthwise for health education.

Differentiator

Problem solved

Functional benefit

Brands

• HealthSpring Medicare: Medicare Advantage, Medicare Supplement, and Medicare Part D plans offered by HealthSpring

Products and services

• Medicare Advantage Plans (Part C) Medicare Advantage plans offered to Medicare-eligible individuals, combining hospital, medical, and usually prescription drug coverage in a single plan. Available in multiple U.S. states under the HealthSpring brand with HMO and PPO options.
• Medicare Supplement Plans (Medigap) Medicare Supplement (Medigap) insurance policies that help pay certain out-of-pocket costs not covered by Original Medicare, available to Medicare-eligible individuals in select U.S. states.
• Medicare Prescription Drug Plans (Part D/PDP) Standalone Medicare Part D prescription drug plans that provide outpatient prescription drug coverage for Medicare beneficiaries, offered alongside Original Medicare or Medicare Supplement plans.
• Lump Sum Cancer Insurance Supplemental health insurance that pays a lump-sum cash benefit directly to the insured upon a cancer diagnosis, designed to complement Medicare coverage.
• Cancer Treatment Insurance Supplemental insurance product covering specified cancer treatment costs for the insured, intended to supplement Medicare benefits.
• Lump Sum Heart & Stroke Insurance Supplemental health insurance that pays a lump-sum cash benefit directly to the insured following a covered heart attack, stroke, or related cardiovascular event.
• Hospital Indemnity Insurance Supplemental insurance that pays a fixed daily or per-event benefit for hospital confinements and related services to help offset out-of-pocket costs.
• Whole Life Insurance Whole life insurance offering lifetime coverage with fixed premiums, marketed to HealthSpring customers seeking protection alongside their Medicare plans.

Quantifiable outcome

• CMS Star Ratings system tracks quality measures including preventive care, chronic disease management, member satisfaction, and pharmacy performance

Named customers2 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration12 records

Feature3 records

Partnerships

14 partnerships are on record, tiered core and general.

• Health Care Service Corporation (HCSC)coreStrategic or Co-development Partner · 1 March 2025HCSC acquired The Cigna Group's Medicare Advantage, Supplemental Benefits, Medicare Part D, and CareAllies businesses in March 2025. HealthSpring is now the national Medicare brand of HCSC, the largest customer-owned health insurer in the United States serving over 26 million people.
• AvailitycoreTechnology or IntegrationAvaility Essentials is the provider self-service portal for HealthSpring Medicare Advantage (Payer ID: 52192). Providers use Availity for eligibility verification, claims submission, prior authorization requests, and benefits inquiry.
• Express Scripts PharmacycoreTechnology or IntegrationExpress Scripts Pharmacy provides home delivery pharmacy services for HealthSpring members. Part of Evernorth Health Services.
• Accredo Specialty PharmacycoreTechnology or IntegrationAccredo Specialty Pharmacy (by Evernorth Health Services) is the preferred specialty pharmacy for HealthSpring, providing specialty medication management and delivery.
• EviCore HealthcarecoreTechnology or IntegrationEviCore manages prior authorization for high-technology radiology, diagnostic cardiology, medical oncology, radiation therapy, and musculoskeletal procedures through clinical guidelines and web portal.
• Evernorth Behavioral Health NetworkcoreTechnology or IntegrationBehavioral health providers are part of Evernorth Behavioral Health Network. HealthSpring administers member behavioral health benefits including care management, customer service, claims processing, and utilization management.
• Cigna DentalgeneralTechnology or IntegrationDental benefits for HealthSpring Medicare Advantage members are administered by Cigna Dental. Providers can verify dental coverage by the 'Dental Plan' designation on member ID cards.
• American Specialty HealthgeneralTechnology or IntegrationAmerican Specialty Health provides medical coverage policies and guidelines used in HealthSpring's clinical review process.
• WellMedgeneralTechnology or IntegrationWellMed provides medical coverage policies referenced in HealthSpring's clinical review guidelines.
• CAQH (Council for Affordable Quality Healthcare)coreTechnology or IntegrationCAQH Provider Data Portal supports HealthSpring's provider credentialing and recredentialing processes. Providers must maintain updated information in CAQH ProView.
• VerisysgeneralTechnology or IntegrationVerisys verifies provider credentialing data on behalf of HealthSpring during network participation and recredentialing processes (every three years).
• HealthwisegeneralStrategic or Co-development PartnerHealthSpring partners with Healthwise to provide additional health and wellness articles and resources for members beyond the company's own content library.
• Silver&Fit (American Specialty Health)generalTechnology or IntegrationSilver&Fit Healthy Aging and Exercise Program provides fitness benefits to HealthSpring Medicare Advantage members through American Specialty Health Fitness, Inc.
• CareAlliescoreStrategic or Co-development PartnerCareAllies business was acquired by HCSC from The Cigna Group in March 2025 as part of the same transaction that created HealthSpring, representing care coordination and management capabilities.

Scale indicators5 records

Recent moves7 records

Expansion highlights5 records

Market position

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/cignahs
• Facebookfacebook.com/cignahealthspring
• LinkedInlinkedin.com/company/24761

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Cigna HealthSpring