CIGNA-HEALTHSPRING RX SECURE-EXTRA PLAN

Cigna-HealthSpring Rx Secure-Extra plan is designed for Medicare members who need a very high level of cost protection. This plan has a large drug list, gap coverage for Tier 1 & Tier 2 drugs, and a deductible that applies only for Tier 4 & Tier 5 drugs. Review plan details and highlights below. Use the links on the right sidebar to view and/or download Plan Documents.

Consider a Cigna-HealthSpring Rx Secure-Extra plan if you’re looking for:

  • Very high protection
  • Low $4 copay (for all Tier 1 drugs at preferred network pharmacies)
  • Home Delivery savings
  • Insulin savings –low $6 copay for some insulin and insulin delivery products (Tier 6)
  • $100 Deductible – only for Tier 4 & Tier 5 drugs. (Immediate coverage for Tier 1, Tier 2, and Tier 3 drugs)
  • Enhanced gap coverage- Tier 1 & Tier 2 drugs covered in the gap, plus standard gap coverage
  • Large list of covered drugs
  • Pharmacy network with 32,000 preferred pharmacies

This Medicare prescription drug plan features:

  • Retail pharmacies with preferred and standard cost sharing.
  • Enhanced gap coverage.
  • Extensive drug coverage - Our plans cover over 3,000 medications and most of the common medications for people on Medicare.

Plan Details

  Retail
1-month supply
Retail
3-month supply
Home Delivery
3-month supply
Tier 1 $4 $12 $10
Tier 2 $10 $30 $25
Tier 3 $42 $126 $105
Tier 4 49-50% 49-50% 49-50%
Tier 5 31% 1-month supply only 1-month supply only
Tier 6 $6 $18 $15
  Retail
1-month supply
Retail
3-month supply
Home Delivery
3-month supply
Tier 1 $9 $27 $27
Tier 2 $15 $45 $45
Tier 3 $47 $141 $141
Tier 4 50% 50% 50%
Tier 5 31% 1-month supply only 1-month supply only
Tier 6 $11 $33 $33

For Tier 1 and Tier 2 drugs you pay the copays above. For all other covered drugs, you pay a percentage of the cost for brand drugs (25%) or generic drugs (37%). (Does not apply if you are receiving Extra Help).

After out-of-pocket costs for your Part D drugs reach $5,100 you pay the higher of 5% of covered drug costs or $3.40 (generic or brands treated as generic) and $8.50 (all other drugs).

Premiums, copays, coinsurance and deductibles may be less based on your Medicaid eligibility category and/or the level of Extra Help you receive. Please contact the plan for further details.

This information is not a complete description of benefits. Call 1-800-222-6700 for more information.

Limitations, copayments, and restrictions may apply.

Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

Every year, Medicare evaluates plans based on a 5-star rating system.

ATTENTION: If you speak languages other than English, language assistance services, free of charge, are available to you. Call 1(800)222-6700 (TTY 711) 8am - 8pm local time. Translations of this alternate language tagline can be found here.

You must continue to pay your Medicare Part B premium.

Cigna-HealthSpring Rx Secure-Extra (PDP) has a network of pharmacies. You must generally use network pharmacies to fill your prescriptions for covered Part D drugs.

Medicare beneficiaries may also enroll in Cigna-HealthSpring Rx Secure-Extra (PDP) through the CMS Medicare Online Enrollment Center located at https://www.medicare.gov.

Plan Documents

State Premium Table
English

Summary of Benefits
English | Español

Evidence of Coverage
English | Español

Drug List
English | Español

LIS Premium Chart
English | Español

Free Interpreter Services
Click Here

See our Medicare Star Ratings
English | Español

Extra Help
Click Here

Pre-Enrollment Checklist
English | Español

Enrollment Form
English | Español

Information Guide
English | Español