S5617-222: Cigna Healthcare Assurance Rx – 2025 Medicare Part D Plan
S5617-222: Cigna Healthcare Assurance Rx – 2025 Medicare Part D Plan
CMS 5-Star Rating: (2.5 out of 5 stars*)
The Cigna Healthcare Assurance Rx (PDP ID: S5617-222) is a Medicare Part D prescription drug plan available for 2025, listed in the official CMS Landscape dataset.
* The Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
| Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5617-222 |
| Plan Year: | 2025 |
| Total Part D Premium: | $87.60 |
| 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: | $87.60 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $87.60 |
| Low Income Premium Subsidy: | $49.58 |
| Low Income Premium Subsidy CMS Pays: | $49.60 |
| Low Income Subsidy Premium: | $38.00 |
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 Indiana. Learn more at the Social Security Extra Help page.
Deductible
CMS data lists the deductible for the 2025 Cigna Healthcare Assurance Rx PDP (S5617-222) as $590.00.
Out-of-Pocket Costs
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $0.00 | $4.00 | |
| Generic | $3.00 | $15.00 | |
| Preferred Brand | 17.00% | 20.00% | |
| Non-Preferred Drug | 50.00% | 50.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
CMS 5-Star Rating Data for Plan S5617-222
Each year CMS rates Medicare Part D plans from 1 to 5 stars. Ratings cover customer service, complaints, member experience, and drug pricing accuracy.
| 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: .