Cigna Extra Rx, 2023 Georgia Part D Plan
Cigna Extra Rx is a 2023 Enhanced Medicare Part D plan (Plan ID: S5617-255) from Cigna-HealthSpring Rx that's available to people with Medicare Part A and/or Part B, or a Medicare Advantage plan that does not include prescription benefits, in Georgia.
This is a cost-sharing plan that has an initial coverage limit of $4,660 and a $100.00 annual deductible. CMS rated this plan 3.0 (Average) out of 5 stars.
GET NOTIFIED: 2024 Medicare Part D Plan Notification
Key Takeaways
- It is an enhanced benefit Medicare Part D plan from Cigna-HealthSpring Rx.
- The plan's monthly premium is $65.30, and there's a $100.00 annual deductible.
- Enhanced plans, like Cigna Extra Rx, have a higher actuarial value than basic benefit plans.
- Actuarial value refers to the percentage of cost covered by the Georgia plan.
- Enhanced plans generally have higher monthly premiums than basic benefit plans but offer more benefits.
- This plan offers additional coverage in the coverage gap (aka, "donut hole").
- This plan does not qualify for the Extra Help program's full low-income subsidy.
- It's important to remember that benefits vary from plan to plan.
- 2024 Medicare Prescription Drug Plan information for Cigna Extra Rx will be published in early October. Sign-up to be notified.
| Plan Basics | |
|---|---|
| Plan ID: | S5617-255 |
| Plan Type: | PDP |
| Plan Year: | 2023 |
| Premium: | $65.30/mo |
| Deductible: | $100.00/yr |
| Benefit Type: | Enhanced |
| Rx Gap Coverage: | Yes |
| Low Income Subsidy: | No |
| Availability: | Georgia |
| Insured By: | Cigna-HealthSpring Rx |
WARNING: Before enrolling in a Part D plan, take the time to evaluate the cost of your regular prescriptions.
Please note that 2024 Medicare Part D information from Cigna-HealthSpring Rx will not be available until early October.
Sign-Up for 2024 Medicare Part D Plan Notification.
Prescription Drug Plan Premium
Although Cigna Extra Rx's monthly premium is bundled with the total plan cost, some plans have supplemental costs and/or offer low-income subsidy (LIS) assistance. The following table outlines the premium details of this Cigna-HealthSpring Rx plan.
| Basic Part D Premium: | $22.90 |
| Supplemental Part D Premium: | $42.40 |
| Total Part D Premium: | $65.30 |
| Part D Premium with Full LIS Assistance: | $42.40 |
| Part D Premium with 75% LIS Assistance: | $48.10 |
| Part D Premium with 50% LIS Assistance: | $53.80 |
| Part D Premium with 25% LIS Assistance: | $59.60 |
For more information about the Low-Income Subsidy (aka, "Extra Help") program, refer to the Social Security Extra Help page.
Prescription Drug Plan Deductible
The Medicare Part D annual deductible with this plan is $100.00. This is the amount you must pay at the pharmacy before Cigna-HealthSpring Rx begins paying its share.
NOTE: The deductible does not apply to one or more drug tiers in this plan (see "Prescription Drug Plan Out-of-Pocket Costs" below).
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Cigna Extra Rx has copayments (a fixed dollar amount) and/or coinsurances (a percentage amount) that you must pay when you pick up your prescriptions. The following table shows you those costs.
| Tier | Preferred | Standard |
|---|---|---|
| 1 (Preferred Generic) | $4.00 copay (deductible does not apply) | $15.00 copay (deductible does not apply) |
| 2 (Generic) | $10.00 copay | $20.00 copay |
| 3 (Preferred Brand) | $45.00 copay | $47.00 copay |
| 4 (Non-Preferred Drug) | 50% | 50% |
| 5 (Specialty Tier) | 31% | 31% |
| 6 (Select Care Drugs) | $0.00 copay | $11.00 copay |
Our Review & 2023 CMS Rating Marks
This Medicare Part D plan gets 3.0 out of 5 stars overall. Here's our quick summary of how well Cigna Extra Rx performs.
On most measures, this Part D plan performs well. But it's good to know where it could use some improvement. Solving issues when a member has a problem getting their medications is critical, and Cigna Extra Rx members say the plan does a good job when they call for help. When it comes to member complaints to Medicare, this plan does an average job. Medicare beneficiaries enrolled in this Cigna-HealthSpring Rx plan enjoy a good member experience. Drug safety and the accuracy of drug pricing with this plan are about average.
The true value of any Medicare Part D plan can only be judged by how well it covers your medications. You can find enhanced benefit plans that have a lower monthly cost than this one. If the plan covers your prescriptions at a lower price overall, that's fine. This plan has a deductible, but one tier is excluded (see table above).
Each year the Centers for Medicare & Medicaid Services (CMS) rates drug plans (Part D) in four broad categories. We do not recommend joining a plan with an overall rating of less than 3.0. Here are the most recent CMS ratings for this plan:
| CMS Measure | Star Rating |
|---|---|
| Overall Plan Rating | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Additional Enhanced Medicare Part D Plan Options in Georgia
Here are some additional plans in your area that might be worth reviewing:
- AARP MedicareRx Preferred
- AARP MedicareRx Walgreens
- Wellcare Medicare Rx Value Plus
- Mutual of Omaha Rx Premier
- Elixir RxPlus
Contact Cigna-HealthSpring Rx
Call 1-855-728-0510 (TTY 711) to speak with a licensed insurance agent (Mon-Sun 8am-11pm EST) and learn more about this Medicare Part D plan and other plans on this site. You may also Enroll Online using our safe and secure online enrollment website or take advantage of the following plan resources:
| Plan Website: | Cigna-HealthSpring Rx Plan Information |
|---|---|
| Formulay Information: | Cigna-HealthSpring Rx Formulary Information |
| Pharmacy Information: | Cigna-HealthSpring Rx Pharmacy Information |
| Prospective Members: | (800)735-1459 |
| TTY Users: | (711)- |
If you qualify for Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov.
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Centene Corporation, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna-HealthSpring, Humana, Molina Healthcare, Mutual of Omaha, Oscar Health Insurance, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, and UnitedHealthcare.
Citations & References
- Cigna-HealthSpring Rx, "http://www.cignamedicare.com", Last Accessed October 15, 2023
- Medicare.gov, "Drug coverage (part D)", Last Accessed September 20, 2023
- Medicare.gov, "How Part D works with other insurance", Last Accessed August 14, 2023
- Medicare.gov, "Costs for Medicare drug coverage", Last Accessed June 3, 2023
- SSA.gov, "Understanding the Extra Help With Your Medicare", Last Accessed February 9, 2023
- CMS.gov, "Landscape Source Files", Last Accessed January 15, 2023
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 15, 2023