CIGNACIGNATURE Rx - Medicare Prescription Drug Plan

Compare 2007 CIGNATURE Rx Plans

   

2007 Plans
CIGNATURE Rx has three plans Value Plan
Summary of Benefits Summary of Benefits
(PDF)
Plus Plan
Summary of Benefits Summary of Benefits
(PDF)
Complete Plan
Summary of Benefits 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 This is a PDF document Premium Table (PDF) This is a PDF document Premium Table (PDF) This is a PDF document 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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