Cigna Extra Rx Part D Plan S5617-251 Details for Pennsylvania
Cigna Extra Rx is a 2024 Enhanced Medicare Part D plan from Cigna that's available to people with Medicare Part A and/or Part B or a Medicare Advantage plan that does not include prescription drug plan benefits.
Cigna Extra Rx is a cost-sharing plan that has a $91.00 monthly premium, an initial coverage limit of $5,030, a $145.00 annual deductible, and an out-of-pocket threshold of $8,000. This plan is rated 2.5 (Below Average) stars by CMS.
See more Medicare Part D Plans in Pennsylvania.
2025 Cigna Extra Rx Cost and Coverage
The 2025 cost and coverage information for Cigna Extra Rx will not be available until early October. We'll notify you when it is available from CMS.
Sign-Up for 2025 Medicare Part D Plan Notification. The 2025 Annual Enrollment Period starts October 15.
Part D Plan Basics | |
---|---|
Plan ID: | S5617-251 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $91.00/mo |
Deductible: | $145.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | Yes |
Low Income Subsidy: | No |
Availability: | Pennsylvania |
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: | $78.30 |
Supplemental Part D Premium: | $12.70 |
Total Part D Premium: | $91.00 |
Part D Premium with Full LIS Assistance: | $50.80 |
The Social Security Extra Help page has more information about the Low-Income Subsidy (“Extra Help”) program.
Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $145.00. You must pay this amount 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) | 50% | 50% |
5 (Specialty Tier) | 31% | 31% |
CMS Rating Marks for Plan Year 2024
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.
Overall, this Medicare Part D plan gets 2.5 out of 5 stars from CMS. Here's a 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 |
The true value of any Medicare Part D plan can only be judged by how well it covers your medications. 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).
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 at www.medicare.gov.
Citations & References
- Cigna, "http://www.cignamedicare.com", Last Accessed March 11, 2024
- Medicare.gov, "Drug coverage (part D)", Last Accessed March 2, 2024
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed March 1, 2024
- Medicare.gov, "Medicare costs at a glance", Last Accessed March 11, 2024
- SSA.gov, "Apply for Medicare Part D Extra Help program", 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
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.