Email received from : Cigna-Healthspring_Contracting@healthspring.com  Sub : Cigna-HeatlthSpring Network Interest Notice  Thank you for your interest in participating with Cigna-HealthSpring®. Reference the enclosed letter for our decision on your recent network interest form submission.  We appreciate your interest in Cigna-HealthSpring.  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. © 2018 Cigna    Also confirmed from the Rep.  Rep : Ana M Issue:  They have so many providers with the same speciality in the area. They don't need more.  Ref code : 22853963  Please see the attachment