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Cigna Healthcare Extra Rx A 2025 Medicare Part D Plan Available in Ohio
Cigna Healthcare Extra Rx A 2025 Medicare Part D Plan Available in Ohio
This guide provides an overview of the Cigna Healthcare Extra Rx Medicare Part D plan for 2025. You’ll find important information about the plan's benefits, costs, and star rating, along with details on how to enroll in Ohio. Use the sections below to explore your prescription drug coverage options.
Cigna Healthcare Extra Rx helps lower your prescription drug expenses, whether you’re enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in Ohio.
Cigna Healthcare Extra Rx : Part D Plan Overview | |
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Part D Plan ID: | S5617-259 |
Plan Year: | 2025 |
Total Part D Premium: | $60.80 |
Annual Deductible: | $175.00 |
Part D Benefit Type: | Enhanced |
No Deductible Drug Tier: | Yes |
Low Income Subsidy: | Yes |
Insured By: | Cigna Healthcare |
We're Here to Help You Enroll |
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An Overview of Medicare Part D Plan Costs
Cigna Healthcare Extra Rx has a range of costs, including monthly premiums, deductibles, copayments, and coinsurance. Understanding how each of these components impacts your overall expenses is key to managing your prescription drug costs effectively. The sections below will guide you through each cost factor.
Premium Breakdown
Your monthly premium for the Cigna Healthcare Extra Rx plan is bundled into the total plan cost. Depending on the plan, you may face additional expenses or qualify for Low-Income Subsidy (LIS) support. The table below outlines the premium structure for this 2025 Cigna Healthcare plan.
Basic Part D Premium: | $30.80 |
Supplemental Part D Premium: | $30.00 |
Total Part D Premium: | $60.80 |
Low Income Premium Subsidy: | $39.30 |
Low Income Premium Subsidy CMS Pays: | $30.80 |
Low Income Subsidy Premium: | $30.00 |
IMPORTANT: If you qualify for the Low-Income Subsidy (LIS) program, known as "Extra Help," you could receive assistance with your prescription drug plan costs in Ohio. For more details, visit the Social Security Extra Help page.
Part D Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $175.00. You will need to pay this deductible amount before Cigna Healthcare begins covering your prescription drug costs at the pharmacy.
Out-of-Pocket Expenses with this Part D Plan
In addition to the monthly premium and deductible, you'll also be responsible for copayments (fixed amounts) and/or coinsurance (a percentage of the drug cost) under the Cigna Healthcare Extra Rx plan. The following table details these out-of-pocket costs.
Drug Tier | Retail | Mail Order | |
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Preferred Generic* | $3.00 | $12.00 | |
Generic* | $10.00 | $20.00 | |
Preferred Brand | 20.00% | 23.00% | |
Non-Preferred Drug | 50.00% | 50.00% | |
Specialty Tier | 31.00% | 31.00% | |
*Deductible does not apply. |
What the CMS 5-Star Rating Means
Every year, the Centers for Medicare & Medicaid Services (CMS) rates Medicare Part D plans on a 5-star scale, with 5 stars representing excellent quality and performance. These ratings consider factors like customer service, member experience, and the safety of prescription drugs. A higher rating reflects better overall quality, helping you choose the best plan for your needs. The table below shows the CMS rating for the Cigna Healthcare Extra Rx plan.
CMS Measure | Star Rating |
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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 |
When to Enroll in Medicare Part D
It's important to enroll in a Medicare Part D plan during specific periods to avoid penalties and ensure continuous coverage. Here are the key times to sign up:
- Initial Enrollment Period (IEP): Your first chance to enroll in Medicare Part D typically starts three months before the month you turn 65 and lasts for seven months. Learn more about when your Initial Enrollment Period begins.
- Annual Enrollment Period (AEP): Every year from October 15 to December 7, you can join, switch, or drop your Medicare Part D plan. Get details about the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can change your Medicare Advantage plan or switch back to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Explore the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Certain events, like moving or losing other coverage, may qualify you for a Special Enrollment Period, allowing you to enroll or change plans outside the usual periods.
How to Sign Up for Cigna Healthcare Extra Rx
There are several ways to enroll in Cigna Healthcare Extra Rx or another Medicare Part D plan, allowing you to choose the method that works best for you:
- Online via MedicareEnrollment.com: Easily compare and enroll in plans by visiting MedicareEnrollment.com.
- Call HealthCompare: Get expert help from HealthCompare by calling 833-748-3201 (TTY 711). They can assist you in finding the right plan for your needs (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: For additional guidance, contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: Alternatively, reach out to the plan directly using the contact information provided below.
Contact Cigna Healthcare
Website: | Cigna Healthcare Plan Page |
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Formulary: | Cigna Healthcare Formulary Page |
Pharmacy: | Cigna Healthcare Pharmacy Page |
Prospective Part D Members: | (800)735-1459 |
Prospective Part D TTY Users: | (877)843-6493 |
Plans Offered Through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, 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.
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