Cigna Extra Rx A 2025 Medicare Part D Plan for New York
Cigna Extra Rx A 2025 Medicare Part D Plan for New York
This guide provides an overview of the Cigna 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 New York. Use the sections below to explore your prescription drug coverage options.
Cigna 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 New York.
Cigna Extra Rx: Part D Plan Overview | |
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Part D Plan ID: | S5617-248 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $111.60 |
Annual Deductible: | $145.00 |
Part D Benefit Type: | Enhanced |
Gap Coverage: | Yes |
Low Income Subsidy: | No |
Availability: | |
Insured By: | Cigna |
An Overview of Medicare Part D Plan Costs
Cigna 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.
Premium Breakdown
The Cigna Extra Rx plan's monthly premium plays a significant role in determining your overall costs. Some plans may also include supplemental charges or offer Low-Income Subsidy (LIS) options. Below is a breakdown of the premium details for this 2024 plan from Cigna.
Basic Part D Premium: | $103.50 |
Supplemental Part D Premium: | $8.10 |
Total Part D Premium: | $111.60 |
Part D Premium with Full LIS Assistance: | $62.90 |
To learn more about the Low-Income Subsidy (LIS) program, also known as "Extra Help," and how it can assist with your prescription drug costs, visit the Social Security Extra Help page.
Understanding the Plan’s Deductible
This plan has a Medicare Part D annual deductible of $145.00. You must pay this amount upfront at the pharmacy before Cigna begins contributing to your prescription costs.
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
Along with the plan's monthly premium and deductible, Cigna 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.
Tier | Preferred | Standard |
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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) | 48% | 48% |
5 (Specialty Tier) | 31% | 31% |
CMS 5-Star Rating Overview
The CMS evaluates Medicare Part D plans each year and assigns a star rating from 1 to 5 based on their overall quality and performance. These ratings are determined by factors like member experiences, customer service, and how well the plan ensures prescription drug safety. Higher ratings indicate better quality, making it easier for you to choose the right plan. Below is the star rating for the Cigna 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
Knowing when to enroll in a Medicare Part D plan is crucial to ensuring you have the coverage you need. Below are the main enrollment periods:
- Initial Enrollment Period (IEP): Your first opportunity to join Medicare Part D typically begins three months before you turn 65 and continues for seven months. Find out more about the Initial Enrollment Period.
- Annual Enrollment Period (AEP): From October 15 to December 7 each year, you can change your Medicare Part D plan. Get details on the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): Between January 1 and March 31, you can change your Medicare Advantage plan or return to Original Medicare (with or without Part D). Learn more about the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Specific situations, like moving or losing other coverage, may allow you to use a Special Enrollment Period to enroll or switch plans.
How to Enroll in Medicare Part D
Ready to enroll in Cigna Extra Rx or another Medicare Part D plan? Here are your options:
- Call HealthCompare: For personalized assistance, call HealthCompare at 877-388-0596 (TTY 711) to get expert help with finding the right plan.
- Online via MedicareEnrollment.com: Visit MedicareEnrollment.com to compare plans and enroll online quickly and securely.
- 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
Plan Website: | Cigna Plan Information |
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Formulay Information: | Cigna Formulary Information |
Pharmacy Information: | Cigna Pharmacy Information |
Prospective Members: | (800)735-1459 |
TTY Users: | (711)- |
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
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