Duke's overall benefit plan has long been recognized and valued because of its comprehensiveness and competitiveness in the market. In addition to a robust array of traditional benefits such as medical care, dental care and retirement. Duke also offers a wide range of family-friendly and cultural benefits to attract, support and reward the skilled employees that help Duke remain a premier education, research and health care institution.
Highlights for 2026
- All medical plans will be administered by Cigna Healthcare and include access to behavioral health coverage
- Pharmacy benefits remain with Express Scripts
- Retaining 5 current medical plans: Duke Select, Duke Basic*, Cigna Care* (formerly Blue Care), Duke Options, and Duke USA
- New high deductible plan for 2026 called Duke Advantage, a plan with a Health Savings Account
- All plans cover Preventive Care as required by the Affordable Care Act at 100% (no charge to member) when an in-network provider is seen
- Compare health plans using the Cigna Easy Choice Tool
- Use the Provider Directories to confirm that your medical and behavioral health providers participate in your plan’s network
- New premium schedule for 2026
*Duke Basic and Cigna Care: These plans are frozen to new enrollments. Current members may keep their current coverage in 2026 or remove dependents from coverage. No other changes may be made.
Welcome to Cigna
Cigna is now the plan administrator for all Duke medical plans. Here are some helpful resources to ensure a smooth transition.
- Phone: 1-800-440-DUKE (3853)
- Web: cignahealthcare.com
ID Cards
New ID cards were mailed to participants. Please share your updated ID with providers and pharmacies beginning Jan. 1, 2026. Digital ID cards can be downloaded after registering for a MyCigna account. Express Scripts (Evernorth) has also issued new ID cards for the transition to Cigna. Your Cigna ID and your Express Scripts ID numbers are the same.
MyCigna Account
Access ID cards and view claims and coverage details online by registering for a MyCigna account. Click here for instructions.
Enroll or Make Changes
Please choose one of the options below to enroll or make changes to your Duke benefits:
Transparency in Coverage
Machine-Readable Files (MRF) for Duke health plans: