2016 Medicare Prescription Drug Plan Details | |||||
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Medicare Plan Name: | Cigna-HealthSpring Rx Secure (PDP) by Cigna-HealthSpring Rx | ||||
State: | Kansas | ||||
Plan ID: | S5617 - 118 - 0 Click to see other plans | ||||
Member Services: | 1-800-222-6700 TTY users 1-800-322-1451 | ||||
— This plan information is for research purposes only. — Click here to see plans for the current plan year | |||||
— This plan was sanctioned in 2016 — Read more here... | |||||
Medicare Contact Information: | Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048 or contact your local SHIP for assistance |
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Email a copy of the Cigna-HealthSpring Rx Secure (PDP) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $33.40 (see Plan Premium Details below) | ||||
Annual Deductible: | $360 (Tier excluded from the Deductible.) | ||||
$0 Premium if LIS Benefits? | No, this plan does NOT qualify for the $0 Premium. (See premiums for partial LIS subsidy below.) | ||||
Annual Initial Coverage Limit (ICL): | $3,310 | ||||
Additional Gap Coverage? | No additional gap coverage, only the Donut Hole Discount | ||||
Total Number of Formulary Drugs: | 3,538 drugs | Browse the Cigna-HealthSpring Rx Secure (PDP) Formulary | |||
This plan has 5 drug tiers. See cost-sharing for all pharmacies and tiers. | |||||
Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
• Preferred Pharmacy Cost-Sharing during initial coverage phase: | $2.00 | $6.00 | 16% | 47% | 25% |
• Number of Drugs per Tier: | 299 | 1627 | 411 | 678 | 523 |
Plan's Pharmacy Search: | https://cignahealthspring.destinationrx.com/PlanCompare/Consumer/type2/2016/Resources/HelpfulTools?WT.z_nav=HS-home%3BHeader%3BMedicare%20Advantage%3BFind%20a%20Pharmacy | ||||
Plan Offers Mail Order? | Yes | ||||
Plan Type (Reach): | National Plan | ||||
Number of Members enrolled in this plan in Kansas: | 5,007 members (CMS Region 24) | ||||
Number of Members enrolled in this plan nationally: | 671,515 members | ||||
Plan’s Summary Star Rating: | 3 out of 5 Stars. | ||||
• Customer Service Rating: | 4 out of 5 Stars. | ||||
• Member Experience Rating: | 4 out of 5 Stars. | ||||
• Drug Cost Accuracy Rating: | 3 out of 5 Stars. | ||||
— Plan Premium Details — | |||||
The Monthly Premium is Split as Follows: ❔ | Total Premium | Part D Basic Premium | Part D Supplemental Premium | ||
$33.40 | $33.40 | $0.00 | |||
Monthly Premium with Extra Help Low-Income Subsidy (LIS): ❔ | 100% Subsidy | 75% Subsidy | 50% Subsidy | 25% Subsidy | |
Monthly Part D Premium with LIS: | $2.70 | $10.40 | $18.10 | $25.70 |