Cigna Healthsprings Part D Plan Reviews in Virginia
On this page we help consumers: Compare Cigna Secure Rx with other 2022 Medicare prescription drug plans (Function D) available in Virginia: $34.lxxx/month, $480.00 deductible.
This folio contains editorial content that is non endorsed or approved by Cigna-HealthSpring Rx[two]. This is non a solicitation of insurance.
| Medicare Rating: |
|
|---|---|
| CMS Plan ID: | S5617-216 |
| CMS Plan Year: | 2022 |
| Premium: | $34.80/mo |
| Rx Deductible: | $480.00 (annual) |
| Initial Coverage: | $4430.00 |
| Mail Club: | Coming Shortly! |
| Donut Hole Coverage: | No |
| Actress Help: | Aye |
| Formulary ID: | Northward/A |
| Do good Type: | Basic |
Cigna Secure Rx is a iii.v Star Medicare Role D Plan for Medicare Beneficiaries in Virginia
CMS gave this prescription drug plan a quality rating of three.five out of v.0 stars (Average).
These are the areas of the plan that are important to compare and review:
- Premium & Deductible A deductible is an amount a beneficiary must pay for their health care expenses before the health insurance policy begins to pay its share. : The premium is the amount you will pay monthly. Plus, many plans have an annual deductible that must be met before price sharing An amount patients pay for their share of the price of medical service or supply, like a dr.'south visit, hospital inpatient visit, or prescription drug. begins.
- Coverage Phases: Part D plans accept an initial coverage limit Once you lot have met your yearly deductible, you will pay a copayment or coinsurance for each covered drug until you accomplish the initial coverage limit. You will then enter your plan'south coverage gap (aka, "donut... , followed past a coverage gap A menstruum of fourth dimension in which you pay higher price-sharing for prescription drugs until you spend plenty to qualify for catastrophic coverage. , and and then catastropic coverage. Some plans offering some coverage in the gap.
- Co-pays & Co-insurance: If you lot have regular prescriptions, it'due south critical to verify that your drugs are covered and to know what y'all will pay at the chemist's.
- CMS Ratings: Of import measurements across 4 different areas that will help you understand how well this programme will treat yous.
Cost Details
Cigna Secure Rx is a cost-sharing prescription drug program (PDP). In that location are iii singled-out costs: monthly premiums A premium is an amount that an insurance policyholder must pay for coverage. Premiums are typically paid on a monthly basis. In the federal Medicare program, at that place are four different types of premiums. , an almanac deductible, and co-payments or co-insurance. The almanac premium on this PDP is $417.60 ($34.fourscore per month), and breaks down as follows:
Low-Income Subsidy ("Extra Help")
This plan qualifies for the low income subsidy Social Security's Low-Income Subsidy (LIS) program helps Medicare beneficiaries pay for their Medicare Part D prescription drugs past paying some of the costs. Also known as "Extra Assist", beneficiaries who qualify for LIS receive premium... (Extra Aid) do good. The following table details the LIS subsidised premium amounts:
| Subsidy Level | Monthly Premium | |
|---|---|---|
| 100% | $0.00 | |
| 75% | $0.00 | |
| 50% | $0.00 | |
| 25% | $0.00 |
Deductible
This plan has a $480.00 deductible (annual).
For 2022, the maximum Part D deductible is $480. A plan with the maximum deductible does not necessarily mean that information technology is more than expensive than a plan with a lower deductible or no deductible at all. You need to consider all costs.
Your Costs Include the Monthly Premium + Deductible + Copayments
Yous are required to pay your premium each month, even if yous don't fill a prescription. Plus, y'all'll pay all of your prescription costs until the annual deductible amount has been paid (if any). You'll also pay the required copayment at your chemist's shop when y'all have your prescriptions filled. These are your costs and the plan pays the rest.
Extra Costs
There are ii conditions that could impact how much you pay for this program. If you qualify for the Social Security Actress Help plan your premium will generally exist lower. Also, if you enrolled tardily the Centers for Medicare and Medicaid Medicaid is a public wellness insurance plan that provides health care coverage to depression-income families and individuals in the United States. Service may impose a premium penalisation. Contact your local Virginia Medicare Insurance Agent to become an exact quote for your situation.
Coverage Details
Cigna Secure Rx is a Basic PDP. At a minimum, Cigna-HealthSpring Rx must offer a "standard benefit" bundle mandated by law. The standard benefit includes an annual deductible and a gap in coverage, aka, donut hole. Carriers may also offer plans that:
- are actuarially equivalent to the standard benefit; or
- are enhanced, offering benefits in addition to the standard benefit.
Typically, enhanced plans offer additional coverage during the coverage gap. If you brutal into the donut hole last twelvemonth, store enhanced plans.
Most Cost Sharing is in the Initial Coverage Limit Phase
The Initial Coverage Limit is the same for all Virginia plans, but it changes from year to yr. If you enroll in Cigna Secure Rx you share the cost of all covered medications with Cigna-HealthSpring Rx. You each pay your share until $4430.00 (retail spending) has been spent at the pharmacy. If you accomplish that level of spending on your prescriptions so you fall into the dreaded coverage gap and you are responsible for all costs. Fortunately, automatic discounts kicking in to aid yous until y'all qualify for Medicare's catastrophic coverage in Virginia.
The Part D Donut Pigsty
When you reach the coverage gap, unremarkably chosen the donut hole, you pay for your medications yourself. Well-nigh seniors never get into the coverage gap, but it is possible to hit it quickly if you have expensive long-term prescriptions.
If you reach the ICL (most people don't), so you are responsible for 100% of your prescription costs until your out-of-pocket costs Out-of-Pocket Costs for Medicare are the remaining costs that are not covered by the beneficiary'due south health insurance plan. These costs can come from the beneficiary'south monthly premiums, deductibles, coinsurance, and copayments. hit $vii,050 (excluding your monthly premiums and the amount paid by the plan). This is called the coverage gap or donut hole. The adept news is that you get a 75% discount on your brand-name prescription drugs and your generic medications while you're in the gap. You lot become to the other side of the donut hole when you've spent $7,050, at which betoken you automatically qualify to receive catastrophic coverage from Medicare.
Boosted Gap Coverage
Cigna Secure Rx does not offer boosted help in the coverage gap. If you reached the coverage gap last year and were not able to afford your medications, be sure to check with your local Virginia Medicaid part. You may qualify for additional aid. The Social Security Administration's Extra Help programme is another opportunity for seniors on Medicare who are non able to afford their prescriptions.
Copayment & Coinsurance Details
In addition to the monthly premium and annual deductible, the Cigna Secure Rx prescription drug plan has copayments A copayment, also known as a copay, is a set up dollar corporeality yous are required to pay for a medical service. (fixed dollar corporeality) and/or coinsurances (percentage) that you must pay when you pickup your medications. Hither's the schedule for this plan:
IMPORTANT: In order to determine if this is the best PDP for you, it's critical that you expect up your prescriptions in the plan'south formulary A formulary is a list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits. Medications not on a programme's formulary are more often than not not covered. .
Medicare Part D Star Ratings
In this department we show you the quality rating for this plan. Each twelvemonth the Centers for Medicare and Medicaid Services The Centers for Medicare & Medicaid Services (CMS) is the U.S. Federal agency that runs the Medicare, Medicaid, and Children's Health Insurance Programs. (CMS) rates prescription drug plans in four broad categories. We practise not recommend joining a program with an overall rating less than 3.0. The post-obit marks will requite you an idea of the level of intendance y'all volition receive if you lot join this Cigna-HealthSpring Rx program.
Here'south the new member contact information for Cigna-HealthSpring Rx:
For assistance 24 hours a day, telephone call 800-633-4227. TTY users should call 877-486-2048. If y'all qualify for Medicare simply have not nevertheless enrolled or verified your enrollment status, yous can exercise so on the Social Security Assistants website. You can learn more about the Medicare Part D Medicare Function D plans are an option Medicare beneficiaries can apply to get prescription drug coverage. Role D plans provide cost-sharing on covered medications in four different phases: deductible, initial coverage, coverage gap, and catastrophic. Each... program on www.medicare.gov. For information about the SSA'southward Extra Aid programme, download the Agreement Extra Help guide.
Compatibility
Cigna Secure Rx can exist used in conjunction with Original Medicare Original Medicare is private fee-for-service health insurance for people on Medicare. Information technology has two parts. Part A is infirmary coverage. Part B is medical coverage. (Parts A and B), and all Medicare supplement plans in Virginia. It can also be used with Virginia Medicare Advantage plans, only only if the Office C programme does not include Part D.
Availability
If you are entitled to Medicare Role A Medicare Part A is hospital coverage for Medicare beneficiaries. Information technology covers inpatient care in hospitals and skilled nursing facilities. Information technology besides covers limited habitation healthcare services and hospice care. (enrolled or not) or currently enrolled in Medicare Role B Medicare Part B is medical coverage for people with Original Medicare benefits. Information technology covers doctor visits, preventative care, tests, durable medical equipment, and supplies. Medicare Function B pays 80 percent of most medically necessary healthcare services. you may bring together the Cigna Secure Rx prescription drug programme. Unless y'all also receive benefits from Medicaid, enrollment in a Function D program is voluntary. This program is available in Virginia Beach, Norfolk, Chesapeake, Richmond, Newport News, Alexandria, Hampton, Roanoke, Portsmouth, Suffolk, Lynchburg, Harrisonburg, Charlottesville, Danville, Manassas, and all other towns and cities in Virginia.
The Medicare Part D information on this page originates from CMS Mural Source Files, is maintained by David Bynon, and was final updated on .
Source: https://medicarewire.com/medicare-part-d/plan/S5617-216-0-VA/
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