S5617-215: Cigna Healthcare Assurance Rx – 2025 Medicare Part D Plan Available in Pennsylvania
S5617-215: Cigna Healthcare Assurance Rx – 2025 Medicare Part D Plan Available in Pennsylvania
CMS 5-Star Rating: (2.5 out of 5 stars*)
2025 Cigna Healthcare Assurance Rx Part D plan (S5617-215) is a CMS-listed PDP available in Pennsylvania, with published data on costs and benefits.
* The Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
| Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5617-215 |
| Plan Year: | 2025 |
| Total Part D Premium: | $64.40 |
| Annual Deductible: | $590.00 |
| Part D Benefit Type: | Basic |
| No Deductible Drug Tier: | Not Applicable |
| Low Income Subsidy: | Yes |
| Insured By: | Cigna Healthcare |
Plan Costs
Premium Details
| Basic Part D Premium: | $64.40 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $64.40 |
| Low Income Premium Subsidy: | $48.36 |
| Low Income Premium Subsidy CMS Pays: | $48.40 |
| Low Income Subsidy Premium: | $16.00 |
IMPORTANT: If you qualify for the Low-Income Subsidy (LIS) program, also called "Extra Help," you may get help paying your Medicare Part D plan costs in Pennsylvania. Learn more at the Social Security Extra Help page.
Deductible
The deductible for the 2025 Cigna Healthcare Assurance Rx PDP (S5617-215) is $590.00, based on the CMS Landscape dataset.
Out-of-Pocket Costs
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $0.00 | $4.00 | |
| Generic | $2.00 | $12.00 | |
| Preferred Brand | 16.00% | 20.00% | |
| Non-Preferred Drug | 48.00% | 48.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
CMS 5-Star Rating Data for Plan S5617-215
CMS assigns Medicare Part D plans a 1–5 star rating each year, based on service, satisfaction, and drug safety. Higher stars reflect stronger performance.
| 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: .