Cigna Healthcare of Texas Contract Negotiation

An Important Update About Your Cigna Coverage

At AdventHealth, we know how important it is to keep seeing the clinicians and specialists who know you, understand your health history and have earned your trust. That is why we want to explain what a recent change in coverage means for your care and the steps you can take.

AdventHealth Central Texas and AdventHealth Rollins Brook are now out-of-network with Cigna Healthcare as of October 1, 2026. Cigna has terminated its contract with both hospitals after demanding significant rate changes that would impact our ability to provide the accessible, high-quality care our communities deserve.

What You Need to Know:

Because Cigna forced AdventHealth Central Texas and AdventHealth Rollins Brook out of its network, you will most likely now face higher costs for non-emergency care at these locations. Cigna’s decision may also require you to find a new in-network doctor or hospital and travel farther from home for care.

Emergency care at AdventHealth will always remain available regardless of your insurance or network status. Patients receiving certain ongoing treatments may also qualify for Continuity of Care and continued in-network benefits through Cigna. Contact Cigna directly to confirm whether you qualify.

Why Did This Happen?

Like health systems across the country, AdventHealth is navigating rising costs for staffing, supplies, technology and growing needs in our communities. We worked hard to reach a new agreement with Cigna that would protect patient access and reflect the cost of providing high-quality care. Unfortunately, the rate changes they are requiring would greatly affect our ability to provide the high-quality care our patients and communities rely on. We remain committed to reaching a reasonable agreement that restores in-network access.

What You Can Do:

  • If you receive your insurance through your employer, talk to your human resources or benefits department about whether other plan options that include AdventHealth Central Texas and AdventHealth Rollins Brook are available.
  • Apply for Continuity of Care with Cigna. If you are pregnant, receiving ongoing treatment or have a procedure scheduled, you may qualify to continue receiving in-network benefits for a limited time. Contact Cigna to apply.
  • Call Cigna at the number on the back of your insurance card and let them know how important it is that AdventHealth Central Texas and AdventHealth Rollins Brook be restored to its network.
  • Check back on this page for updates and information about insurance plans that include AdventHealth.

Committed to Answering Your Questions

We understand the significance of this potential change to your health insurance coverage and are dedicated to answering all your questions about how it impacts you and your family’s healthcare.

  • When did the current contract end with Cigna?

    Cigna terminated its contract with AdventHealth Central Texas and AdventHealth Rollins Brook effective October 1, 2026. As a result, both hospitals are now out-of-network for patients with Cigna commercial insurance plans.

  • How do I know if my insurance plan is affected?

    We encourage patients to call Cigna using the number on the back of their health insurance card to learn what the potential impact may be for them based on their specific plan and circumstances. Cigna can also help patients apply for Continuity of Care coverage.

  • Why were AdventHealth Central Texas and AdventHealth Rollins Brook negotiating with Cigna?

    Cigna Healthcare has sent a termination notice to AdventHealth Central Texas and AdventHealth Rollins Brook, effective October 1, 2026. Cigna was seeking a double-digit payment-rate reduction for AdventHealth Central Texas and AdventHealth Rollins Brook to remain in-network. AdventHealth made meaningful changes to its proposal, but Cigna refused reasonable terms that would have kept both hospitals in its network.

    Our goal in these discussions was to reach sustainable contract terms that allow us to continue investing in the people, services and resources our patients rely on.

    We remain committed to reaching a reasonable agreement with fair payments and clear contract terms. Our goal is to restore in-network access to AdventHealth Central Texas and AdventHealth Rollins Brook while protecting our ability to provide high-quality, whole-person care.

  • What if I have a medical emergency on or after October 1, 2026?

    You will always have access to emergency care at AdventHealth, regardless of network status. If you or a loved one experience a medical emergency, please go to the nearest emergency room location immediately. Health plans like Cigna are required to cover emergency services provided at any hospital emergency room, including those that are not in the health plan network.

  • What if I’m pregnant or receiving complex treatment or critical care for a chronic illness that requires care after October 1, 2026?

    AdventHealth Central Texas and AdventHealth Rollins Brook patients with certain conditions or critical care needs, such as pregnancy or care for chronic or complex illnesses, may be eligible for Continuity of Care from Cigna. This would provide patients approved by Cigna the opportunity to continue seeing their current care team at in-network rates for a certain period, even if AdventHealth Central Texas and AdventHealth Rollins Brook are out of network with Cigna.

    Patients must apply for Continuity of Care through Cigna by calling the number on the back of their insurance cards. Cigna will review and approve or deny those applications on a case-by-case basis. Cigna is legally required to extend coverage for certain patients. We cannot predict how long the approval process for Continuity of Care claims may take, so please contact Cigna immediately to better understand their process and ensure your care is not interrupted.

  • How do I apply for Continuity of Care benefits?

    If you believe you may qualify for Continuity of Care benefits, we encourage you to call Cigna using the phone number on the back of your insurance card as soon as possible. If needed, work with your care team at AdventHealth Central Texas or AdventHealth Rollins Brook to complete the application. Cigna will review applications and determine eligibility on a case-by-case basis.

    Cigna is legally required to offer extended, in-network benefits coverage for certain patients. The types of conditions for which patients are entitled to seek Continuity of Care include the following:

    • Patients who are hospitalized at the time that the hospital goes out-of-network
    • A serious chronic condition
    • Pregnancy
    • Care of a newborn child between birth and age 36 months
    • Terminal illness
    • A surgery or other procedure that is authorized by the health plan and scheduled to occur within 180 days of the provider going out-of-network.

  • Should patients with Cigna insurance reschedule existing appointments or stop scheduling future appointments?

    Because Cigna forced us out of its network, your benefits and out-of-pocket costs for non-emergency care may have changed.

    Before a scheduled appointment or service, call Cigna at the number on the back of your insurance card to understand your options and costs. Some patients may qualify for Continuity of Care and continued in-network benefits. Contact Cigna to find out whether you qualify and to apply. Cigna controls the application and approval process.

  • What can I do to restore my in-network access to AdventHealth Central Texas and AdventHealth Rollins Brook?

    If you receive your insurance through your employer, talk to your human resources or benefits department about whether other plan options that include AdventHealth Central Texas and AdventHealth Rollins Brook are available.

    Apply for Continuity of Care with Cigna. If you are pregnant, receiving ongoing treatment or have a procedure scheduled, you may qualify to continue receiving in-network benefits for a limited time. Contact Cigna to apply.

    Call Cigna at the number on the back of your insurance card and let them know how important it is that AdventHealth Central Texas and AdventHealth Rollins Brook be restored to its network.

  • What other plans do AdventHealth Central Texas and AdventHealth Rollins Brook accept?

    AdventHealth Central Texas and AdventHealth Rollins Brook participate with all the large insurance carriers. Some of those plans are:

    • Aetna: Private and Employer HMO & PPO Commercial, Medicare, Medicaid
    • BCBS of Texas: Private and Employer HMO & PPO Commercial, Medicare, Medicaid
    • Centene/Ambetter/Superior: Private Exchange HMO
    • PHCS/Multiplan: Private and Employer HMO & PPO Commercial
    • Scott & White: Private and Employer HMO & PPO Commercial
    • United: Private and Employer HMO & PPO Commercial, Medicare, Medicaid

  • How can I stay up to date on the AdventHealth Central Texas and AdventHealth Rollins Brook/Cigna Negotiation?

    For more information on the ongoing progress of the negotiation, please continue to visit this page, and be sure to read emails and other communications from AdventHealth Central Texas and AdventHealth Rollins Brook for important updates.