Cigna Extra Rx New York Part D Plan S5617-248 by Cigna
Cigna Extra Rx is a 2024 Enhanced Medicare Part D plan from Cigna that's available to individuals enrolled in a Medicare Advantage plan without prescription drug plan benefits or Medicare Part A and/or Part B.
This plan has a monthly premium of $111.60, an initial coverage limit of $5,030, an out-of-pocket threshold of $8,000, and a $145.00 deductible that must be paid before cost-sharing begins. CMS rated this plan 2.5 (Below Average) out of 5 stars.
See more 2024 Medicare Part D Plans in New York.
Part D Plan Basics | |
---|---|
Plan ID: | S5617-248 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $111.60/mo |
Deductible: | $145.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | Yes |
Low Income Subsidy: | No |
Availability: | New York |
Insured By: | Cigna |
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 plan.
Basic Part D Premium: | $103.50 |
Supplemental Part D Premium: | $8.10 |
Total Part D Premium: | $111.60 |
Part D Premium with Full LIS Assistance: | $62.90 |
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 $145.00. This is the amount you must pay at the pharmacy before Cigna 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) | $3.00 copay (deductible does not apply) | $15.00 copay (deductible does not apply) |
2 (Generic) | $12.00 copay | $20.00 copay |
3 (Preferred Brand) | 20% | 23% |
4 (Non-Preferred Drug) | 48% | 48% |
5 (Specialty Tier) | 31% | 31% |
A Brief Review and CMS 5-Star Rating Marks
Each year Medicare rates drug plans (Part D) in several major categories. These ratings are designed to help you understand the quality of care and service you can expect if you join this plan.
This Medicare Part D plan gets 2.5 out of 5 stars overall. Here's our quick summary of how well Cigna Extra Rx performs.
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 |
Way below New York standards, we can't recommend this plan. Here's why. Cigna Extra Rx does a poor job at customer service. When it comes to member complaints to Medicare, this plan does an average job. The member experience with this Cigna plan is about average. Drug safety and the accuracy of drug pricing with this plan are about average.
You can't judge a Part D plan on its monthly premium or annual deductible. You have to look at the overall cost of your prescriptions. There are enhanced benefit plans with a lower monthly premium than this one. That's okay if the plan covers your prescriptions at a better overall price. This plan has a deductible, but one tier is excluded (see table above).
Additional Enhanced Medicare Part D Plan Options in New York
Here are some additional plans in your area that might be worth reviewing:
- Wellcare Value Script (S4802-138)
- AARP Medicare Rx Preferred from UHC (S5805-001)
- AARP Medicare Rx Walgreens from UHC (S5921-382)
- Humana Premier Rx Plan (S5552-005)
- SilverScript Plus (S5601-007)
Contact Cigna
Plan Website: | Cigna Plan Information |
---|---|
Formulay Information: | Cigna Formulary Information |
Pharmacy Information: | Cigna Pharmacy Information |
Prospective Members: | (800)735-1459 |
TTY Users: | (711)- |
If you qualify for Original 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, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
Citations & References
- Cigna, "http://www.cignamedicare.com", Last Accessed March 11, 2024
- Medicare.gov, "Explore your Medicare coverage options", Last Accessed March 2, 2024
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed March 1, 2024
- Medicare.gov, "Catastrophic coverage", Last Accessed March 13, 2024
- SSA.gov, "Understanding the Extra Help With Your Medicare", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed January 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 3, 2024