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Cigna Healthcare Extra Rx A 2025 Medicare Part D Plan Available in West Virginia
Cigna Healthcare Extra Rx A 2025 Medicare Part D Plan Available in West Virginia
Welcome to the 2025 Cigna Healthcare Extra Rx Medicare Part D plan guide for West Virginia. Here, you’ll find all the information you need, including plan benefits, costs, and star ratings. We’ve also included enrollment options to assist you in securing the right prescription drug coverage for you in West Virginia.
The Cigna Healthcare Extra Rx plan provides valuable coverage for reducing your prescription drug costs, whether you're enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in West Virginia.
Cigna Healthcare Extra Rx : Part D Plan Overview | |
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Part D Plan ID: | S5617-251 |
Plan Year: | 2025 |
Total Part D Premium: | $95.30 |
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 various costs beyond just the monthly premium. From deductibles to copayments and coinsurance, it's essential to understand how these expenses work so you can effectively manage your prescription drug costs. The sections below break down each cost component to help you navigate these financial details with ease.
Monthly Premium Overview
The Cigna Healthcare Extra Rx plan's monthly premium is an important factor in your total costs. Some plans include extra fees or offer financial aid through the Low-Income Subsidy (LIS) program. The following table details the premium costs for this 2025 plan by Cigna Healthcare.
Basic Part D Premium: | $65.10 |
Supplemental Part D Premium: | $30.20 |
Total Part D Premium: | $95.30 |
Low Income Premium Subsidy: | $48.36 |
Low Income Premium Subsidy CMS Pays: | $48.40 |
Low Income Subsidy Premium: | $46.90 |
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 West Virginia. For more details, visit the Social Security Extra Help page.
Understanding the Plan’s Deductible
The annual Medicare Part D deductible for this plan is $175.00. You are responsible for paying this amount before Cigna Healthcare starts sharing the cost of your prescriptions.
Out-of-Pocket Expenses with this Part D Plan
Along with the plan's monthly premium and deductible, Cigna Healthcare Extra Rx requires you to pay copayments (a set dollar amount) or coinsurance (a percentage of the drug cost) when picking up your medications. The table below provides a breakdown of these out-of-pocket expenses.
Drug Tier | Retail | Mail Order | |
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Preferred Generic* | $1.00 | $12.00 | |
Generic* | $9.00 | $20.00 | |
Preferred Brand | 19.00% | 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 a Medicare Part D Plan
Timing your enrollment in Medicare Part D is critical. Here are the key periods when you can sign up for or make changes to your plan:
- Initial Enrollment Period (IEP): This seven-month period begins three months before your 65th birthday month. Discover more about your Medicare Initial Enrollment Period.
- Annual Enrollment Period (AEP): Every year between October 15 and December 7, you can make changes to your Medicare Part D plan. Learn about the Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can switch Medicare Advantage plans or return to Original Medicare, , so long as you are currently enrolled in a Medicare Advantage plan. Learn more about the MA Open Enrollment Period.
- Special Enrollment Period (SEP): Life events such as relocating or losing coverage can trigger a Special Enrollment Period, allowing changes outside the usual enrollment windows.
How to Enroll in 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: Visit MedicareEnrollment.com to compare plans and enroll online quickly and securely.
- Call HealthCompare: For personalized assistance, call HealthCompare at 833-748-3201 (TTY 711) to get expert help with finding the right plan (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: Speak with a Medicare representative by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: You can also contact the plan directly using the details provided below to enroll over the phone.
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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