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2017 Medicare Prescription Drug Plan Benefit Details for the Cigna-HealthSpring Rx Secure-Extra (PDP)
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2017 Medicare Prescription Drug Plan Details
Medicare Plan Name:Cigna-HealthSpring Rx Secure-Extra (PDP)
   by Cigna-HealthSpring Rx
State:Nevada
Plan ID:S5617 - 274 - 0     Click to see other plans
Member Services:1-800-222-6700
— This plan information is for research purposes only. —
Click here to see plans for the current plan year
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
Email a copy of the Cigna-HealthSpring Rx Secure-Extra (PDP) benefit details
— Medicare Plan Features —
Monthly Premium:$38.60 (see Plan Premium Details below)
Annual Deductible:$50 (Tier excluded from the Deductible.)
$0 Premium if Full LIS Benefits?No, this plan does NOT qualify for the $0 Premium. (See premiums for partial LIS subsidy below.)
Annual Initial Coverage Limit (ICL):$3,700
Additional Gap Coverage?Yes, some additional gap coverage.
Total Number of Formulary Drugs:3,541 drugsBrowse the Cigna-HealthSpring Rx Secure-Extra (PDP) Formulary
This plan has 5 drug tiers. See cost-sharing for all pharmacies and tiers. 
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
• Preferred Pharmacy
  Cost-Sharing during
  initial coverage phase:		$5.00$10.00$42.0050%32%
• Number of Drugs per
  Tier:		2451441495799561
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?
Plan Type (Reach):National Plan
Number of Members enrolled in this plan in Nevada:2,010 members     (CMS Region 29)
Number of Members enrolled in this plan nationally:206,296 members
Plan’s Summary Star Rating: 3 out of 5 Stars.
• Customer Service Rating: 1 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 Base
Premium		Part D Supplemental
Premium
$38.60$26.20$12.40
Monthly Premium with Extra Help Low-Income Subsidy (LIS): ❔100%
Subsidy		75%
Subsidy		50%
Subsidy		25%
Subsidy
Monthly Part D Premium with LIS:$12.40$18.90$25.50$32.00




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