S5617-264: Cigna Healthcare Extra Rx – 2025 Medicare Part D Plan Available in Arkansas
S5617-264: Cigna Healthcare Extra Rx – 2025 Medicare Part D Plan Available in Arkansas
CMS 5-Star Rating: (2.5 out of 5 stars*)
For 2025, the Cigna Healthcare Extra Rx Part D plan (S5617-264) is listed in the CMS Landscape dataset for Arkansas, including premium, deductible, and rating details.
* The Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
| Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5617-264 |
| Plan Year: | 2025 |
| Total Part D Premium: | $125.60 |
| Annual Deductible: | $175.00 |
| Part D Benefit Type: | Enhanced |
| No Deductible Drug Tier: | Yes |
| Low Income Subsidy: | Yes |
| Insured By: | Cigna Healthcare |
Plan Costs
Premium Details
| Basic Part D Premium: | $93.00 |
| Supplemental Part D Premium: | $32.60 |
| Total Part D Premium: | $125.60 |
| Low Income Premium Subsidy: | $20.91 |
| Low Income Premium Subsidy CMS Pays: | $20.90 |
| Low Income Subsidy Premium: | $104.70 |
Did you know? The Extra Help program (LIS) can reduce premiums, deductibles, and copays for eligible Medicare Part D enrollees in Arkansas. Check eligibility at the Social Security Extra Help page.
Deductible
The deductible for the 2025 Cigna Healthcare Extra Rx PDP (S5617-264) is $175.00, based on the CMS Landscape dataset.
Out-of-Pocket Costs
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic* | $1.00 | $8.00 | |
| Generic* | $8.00 | $18.00 | |
| Preferred Brand | 18.00% | 22.00% | |
| Non-Preferred Drug | 47.00% | 47.00% | |
| Specialty Tier | 31.00% | 31.00% | |
| *Deductible does not apply. | |||
CMS 5-Star Rating Data for Plan S5617-264
The CMS 5-star system measures Medicare Part D plan quality, including service, member experience, and drug safety. A 5-star rating is the highest score.
| CMS Measure | Star Rating |
|---|---|
| Overall Plan Rating | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Cigna Healthcare
| Website: | Cigna Healthcare Plan Page |
|---|---|
| Formulary: | Cigna Healthcare Formulary Page |
| Pharmacy: | Cigna Healthcare Pharmacy Page |
| Prospective Part D Members: | (800)735-1459 |
| Prospective Part D TTY Users: | (877)843-6493 |
Last update: .