S5617-261: Cigna Healthcare Extra Rx – 2025 Medicare Part D Plan
S5617-261: Cigna Healthcare Extra Rx – 2025 Medicare Part D Plan
CMS 5-Star Rating: (2.5 out of 5 stars*)
For 2025, the Cigna Healthcare Extra Rx Part D plan (S5617-261) appears in the CMS Landscape dataset with details on premiums, deductibles, and star ratings.
* The Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
| Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5617-261 |
| Plan Year: | 2025 |
| Total Part D Premium: | $76.90 |
| 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: | $49.30 |
| Supplemental Part D Premium: | $27.60 |
| Total Part D Premium: | $76.90 |
| Low Income Premium Subsidy: | $43.51 |
| Low Income Premium Subsidy CMS Pays: | $43.50 |
| Low Income Subsidy Premium: | $33.40 |
TIP: Extra Help, formally known as the Low-Income Subsidy (LIS), provides financial support to lower prescription drug costs for qualified Medicare beneficiaries in Wisconsin. Visit the Social Security Extra Help page for details.
Deductible
In 2025, the Cigna Healthcare Extra Rx Part D plan (S5617-261) has a published deductible of $175.00.
Out-of-Pocket Costs
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic* | $2.00 | $12.00 | |
| Generic* | $10.00 | $19.00 | |
| Preferred Brand | 20.00% | 23.00% | |
| Non-Preferred Drug | 50.00% | 50.00% | |
| Specialty Tier | 31.00% | 31.00% | |
| *Deductible does not apply. | |||
CMS 5-Star Rating Data for Plan S5617-261
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: .