Cigna Extra Rx (PDP)

S5617 - 253
3.5 out of 5 stars (3.5 / 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 2022 Cigna Extra Rx (PDP) S5617 – 253.

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: $100.00
Initial Coverage Limit: $4430
Catastrophic Coverage Limit: $7050
Drug Benefit Type: Enhanced
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 D LIS 25% LIS 50% LIS 75% LIS Full
$59.10 $54.10 $49.10 $44.10 $39.10

Initial Coverage Phase

After you pay your $100.00 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 $4430. 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 $4430, you will pay no more than the amounts below for any drug tier until you reach $7050.

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 $7050, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs.

Drug TypeCost Share
Generic drugs$3.95 copay or 5% (whichever costs more)
Brand-name drugs$9.85 copay or 5% (whichever costs more)

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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