FOR AGENT/BROKER USE ONLY. DO NOT DISTRIBUTE.
More virtual care options through Digital Health Formulary
Eligible Express Scripts® Pharmacy clients can now access MD Live virtual1 primary care2, urgent care and behavioral health as a bundled solution through the Evernorth Digital Health Formulary®.
A streamlined path to virtual care
The addition of MD Live expands the Evernorth Digital Health Formulary with a comprehensive virtual care solution and a simplified enrollment pathway for eligible Express Scripts clients. The bundled offering brings together urgent care, virtual primary care, and behavioral health through a single vendor relationship, with streamlined contracting and flexible activation.
One platform. Multiple ways to access care.
MD Live provides convenient access to care through phone, video, and digital channels, with members able to connect through the MD Live website, mobile app, or 24/7 support center. Through Digital Health Formulary, eligible clients can offer three virtual care services:
Urgent care
24/7 on-demand treatment for common illnesses and injuries.
Virtual primary care
Preventive care, wellness screenings, chronic condition management, and ongoing care coordination.
Behavioral health
Virtual therapy and psychiatry services.
The bundled MD Live offering provides eligible clients with a simplified path to virtual care.
Competitive bundled per-member-per-month pricing
Waived implementation fees
No minimum lives requirement
60-day activation and termination flexibility
Streamlined contracting through a clinical addendum, with no direct MD Live contract required
$0 member cost share (Labs needed to support care are charged to the medical benefit)
8% of fees at risk tied to performance service levels
Is your client eligible?
Express Scripts clients with fewer than 10,000 eligible lives can purchase MD Live through Digital Health Formulary. For clients with more than 10,000 eligible lives, consultants should work with the ESI Account Team to determine whether the Digital Health Formulary offering or a direct MD Live agreement is the appropriate pathway.
Clients must also have Labcorp and/or Quest included in their medical network. Cigna Healthcare medical clients, Medicare clients, and Medicaid clients are not eligible to purchase MD Live through Digital Health Formulary.
1. Cigna Healthcare provides access to virtual care through certain third-party service providers. Such third-party service providers are solely responsible for the care and treatment they deliver. Benefits are subject to plan terms and conditions, including applicable exclusions and limitations. These services may not be available in all areas.
2. Virtual primary care through MD Live is only available for Cigna Healthcare medical members aged 18 and older.