Written by Klarity Editorial Team
Published: Jul 17, 2026

Cigna plans in New Hampshire may cover anxiety treatment under your mental health benefits, which are protected by the federal Mental Health Parity and Addiction Equity Act (MHPAEA). Coverage may include psychiatric evaluations, medication management, and follow-up appointments, depending on your specific plan, deductible status, and in-network provider selection. Klarity Health offers online anxiety treatment and works with many insurance plans. You can check whether your Cigna plan may cover care at Klarity before booking.
Cigna manages pharmacy benefits through Express Scripts (ESI) and administers mental health benefits in compliance with federal MHPAEA requirements. New Hampshire’s RSA 417-E:1 et seq. requires that mental health benefits be offered at parity with medical and surgical benefits for fully-insured plans in the state.
Anxiety treatment may include SSRIs (sertraline, escitalopram, paroxetine), SNRIs (venlafaxine, duloxetine), buspirone, hydroxyzine, and benzodiazepines for short-term management. SSRIs, SNRIs, buspirone, and hydroxyzine are not controlled substances and are not subject to New Hampshire’s EPCS requirements. Benzodiazepines are Schedule IV controlled substances — under New Hampshire RSA 318-B:21-a, Schedule IV prescriptions may require electronic prescribing. Pregabalin (Lyrica), sometimes used for anxiety, is Schedule V and may also require EPCS under New Hampshire’s broad mandate covering Schedule II–IV (and potentially Schedule V) substances.
Note: Cigna’s PA policy IP0477 (effective May 15, 2026) applies to stimulant medications only and does NOT affect anxiety medications. Standard anxiety medications such as SSRIs, SNRIs, buspirone, and hydroxyzine are generally not subject to IP0477 PA requirements.
Cigna plan types in New Hampshire include:
On the Express Scripts formulary, generic SSRIs and SNRIs are typically Tier 1–2 with no prior authorization. Benzodiazepines are typically covered at Tier 2 with quantity limits. Contact Cigna at 1-800-244-6224 or Express Scripts at 1-800-835-3784 for specific formulary details.
Cigna plans in New Hampshire may cover anxiety treatment, including evaluations and medication management, under mental health benefits protected by federal MHPAEA and New Hampshire RSA 417-E:1. Coverage details vary by specific plan and design. Verify your benefits before scheduling an appointment.
Cigna plans with Express Scripts pharmacy benefits may cover anxiety medications including SSRIs, SNRIs, buspirone, and hydroxyzine, typically at preferred formulary tiers. Benzodiazepines may be covered with quantity limits. Cigna’s IP0477 PA policy does not apply to anxiety medications. Review your Express Scripts formulary or call 1-800-835-3784 to confirm coverage for your specific anxiety medication.
Klarity Health works with many insurance plans, including Cigna. Network participation may vary by plan type and region within New Hampshire. Use Klarity’s benefits check tool or contact Klarity directly to verify in-network status for your specific Cigna plan before booking.
Copay amounts vary by plan type and deductible status. Log into cigna.com or review your Summary of Benefits and Coverage to find your specific copay for mental health outpatient visits and pharmacy benefits. Call Cigna member services at 1-800-244-6224 for personalized assistance.
Referral requirements depend on your specific Cigna plan type. HMO plans may require a primary care referral for mental health specialist visits. PPO and EPO plans typically allow direct access to mental health providers. Confirm your plan’s specific referral requirements through your plan documents or member services.
Many Cigna plans include telehealth benefits that may cover online anxiety evaluations and medication management. Virtual mental health visits are often covered at the same benefit level as in-person care. Verify your specific Cigna plan’s telehealth coverage before scheduling your first online anxiety appointment.
Log into your Cigna member portal at cigna.com, call Cigna member services at 1-800-244-6224, or use Klarity’s benefits check tool. For prescription coverage, contact Express Scripts at 1-800-835-3784. Have your member ID and group number available when you call.
Most Cigna plans with Express Scripts prescription coverage may cover anxiety medications. This includes employer-sponsored plans, individual marketplace plans, and Medicare Advantage plans. Contact Cigna at 1-800-244-6224 to discuss which plan benefits cover anxiety medications and any prior authorization requirements that may apply.
Disclaimer: Insurance coverage varies by plan, insurer, and state. The information on this page is intended as general guidance only and does not constitute a guarantee of benefits. Telehealth provider availability may vary by state. Please verify your specific plan’s mental health coverage with your insurer or through Klarity’s benefits check before booking.
Check if your Cigna plan may cover anxiety treatment in New Hampshire
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