2017 Medicare Prescription Drug Plan Details | |||||
---|---|---|---|---|---|
Medicare Plan Name: | Cigna-HealthSpring Rx Secure (PDP) by Cigna-HealthSpring Rx | ||||
State: | Illinois | ||||
Plan ID: | S5617 - 224 - 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 | |||||
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 (PDP) benefit details
![]() | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $20.60 (see Plan Premium Details below) | ||||
Annual Deductible: | $400 (Tier excluded from the Deductible.) | ||||
$0 Premium if Full LIS Benefits? | Yes, this plan does qualify for the $0 Premium. (See premiums for partial LIS subsidy below.) | ||||
Annual Initial Coverage Limit (ICL): | $3,700 | ||||
Additional Gap Coverage? | No additional gap coverage, only the Donut Hole Discount | ||||
Total Number of Formulary Drugs: | 3,511 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 | $7.00 | $40.00 | 44% | 25% |
• Number of Drugs per Tier: | 241 | 1440 | 479 | 796 | 555 |
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? |