| 2007 Plans |
| CIGNATURE Rx has three plans |
Value Plan
Summary of Benefits (PDF) |
Plus Plan
Summary of Benefits (PDF) |
Complete Plan
Summary of Benefits (PDF) |
| Which plan best fits your needs? |
You are most concerned with low prescription drug costs. This plan has our lowest premium and co-payments, but has a deductible for brand drugs only before coverage begins. |
You want immediate coverage at an affordable cost. This plan has a low premium and no deductible. |
You want immediate coverage and expanded coverage. Generics are covered even after yearly costs go over $2,400. |
| Monthly Premiums |
Premium Table (PDF) |
Premium Table (PDF) |
Premium Table (PDF) |
| Annual Deductible |
$265 - Brand drugs only |
$0 |
$0 |
| |
In-Network Pharmacy |
In-Network Pharmacy |
In-Network Pharmacy |
|
Initial coverage:
Co-Payment:
Generic Drug
Preferred Brand
Non-Preferred Brand
Specialty Tier
|
30 Day Supply
$0
$20
$60
30%
|
90 Day Supply
$0
$60
$180
30%
|
90 Day Preferred Mail-Order - CIGNA Tel-Drug
$0
$50
$150
30%
|
30 Day Supply
$4
$30
$50
30%
|
90 Day Supply
$12
$90
$150
30%
|
90 Day Preferred Mail-Order - CIGNA Tel-Drug
$10
$75
$125
30%
|
30 Day Supply
$4
$30
$50
30%
|
90 Day Supply
$12
$90
$150
30%
|
90 Day Preferred Mail-Order - CIGNA Tel-Drug
$10
$75
$125
30%
|
Coverage Gap:
After your yearly drug costs reach $2,400 you pay |
100% of discounted drug costs. |
100% of discounted drug costs. |
$4 co-payment for generic drugs and 100% of discounted costs for covered brand drugs. |
After Coverage Gap:
After out-of-pocket drug costs reach $3,850 you pay |
5% of covered drug costs * |
5% of covered drug costs * |
5% of covered drug costs * |
* Or you pay a co-payment of $2.15 for generic or a preferred brand that is a multi-source drug and $5.35 for all other drugs if the co-payment amount is greater than 5% of the cost.
Do you take multiple drugs? Have chronic illness? Spend a significant amount of money on prescription drugs? Learn more about our Medication Therapy Management Program.
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