Cigna Extra Rx (PDP)

S5617 - 250 - 0
2.5 out of 5 stars (2.5 / 5)

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Cigna Extra Rx (PDP) is a Medicare Part D Prescription Drug Plan by Cigna.

This page features plan details for 2024 Cigna Extra Rx (PDP) S5617 – 250 – 0.

IMPORTANT: This page has been updated with plan and premium data for 2024.

Locations

Cigna Extra Rx (PDP) is offered in the following locations.

Plan Overview

Cigna Extra Rx (PDP) offers the following coverage and cost-sharing.

Insurer: Cigna
Drugs Covered: Yes
Please Note:
  • This plan does not charge an annual deductible for all drugs. The $100.00 annual deductible only applies to drugs on certain tiers.

Ready to sign up for Cigna Extra Rx (PDP) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

8am – 11pm EST. 7 days a week

Drug Info

Cigna Extra Rx (PDP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible:$145.00
Initial Coverage Limit:$5,030.00
Catastrophic Coverage Limit:$8,000.00
Drug Benefit Type:Enhanced
Additional Gap Coverage:Yes
Formulary Link: Formulary Link

Part D Premium Reduction

The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.

The table below shows how the LIS impacts the Part D premium of this plan.

Part DLIS Full
$69.10$27.80

NOTE:  The Inflation Reduction Act of 2022 has expanded full subsidy eligibility under the LIS program to individuals with incomes up to 150% of the Federal Poverty Level. People who qualify for Extra Help generally will pay no more than $4.50 for each generic drug and $11.20 for each brand-name drug.

Initial Coverage Phase

After you pay your $145.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $5,030.00. Once you reach that amount, you will enter the next coverage phase.

Gap Coverage Phase

After your total drug costs (including what this plan has paid and what you have paid) reach $5,030.00, you will pay no more than the amounts below for any drug tier until you reach $8,000.00.

Tier Cost
All other tiers (Generic)25%
All other tiers (Brand-name)25%

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $8,000.00, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit. Please note, that this plan has a Enhanced benefit type.

Ready to sign up for Cigna Extra Rx (PDP) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

8am – 11pm EST. 7 days a week

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