Speak with a licensed insurance agent
Cigna Healthcare Assurance Rx (PDP) - S5617-148-000
$0.00
Monthly Premium
Cigna Healthcare Assurance Rx (PDP) is a Medicare Part D Prescription Drug Plan offered by Cigna
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$0.00
Monthly Premium
Washington and Oregon Medicare beneficiaries may want to consider reviewing their Medicare prescription drug coverage options, such as a standalone Part D prescription drug plan (PDP) or a Medicare Advantage (Medicare Part C) plan that includes drug coverage.
A Part D plan can be used alongside your Original Medicare (Part A and Part B) coverage. A Medicare Advantage plan that includes drug coverage combines your Part A, Part B and Part D benefits into a single plan
Learn more about Washington and Oregon Medicare prescription drug plans like the one below and find a plan that offers the benefits you want at an affordable price.
Cigna Healthcare Assurance Rx (PDP) - S5617-148-000 Basic Costs and Coverage
| Coverage | Details |
|---|---|
| Monthly plan premium | $0.00 |
| Annual deductible | $590.00 |
| Preferred pharmacies? | Yes |
| Accepts Mail Order? | Yes |
| Star Rating | 2.5 out of 5 stars |
Prescription Drug Costs and Coverage
The Cigna Healthcare Assurance Rx (PDP) is a prescription drug plan which offers the following coverage:
Initial Coverage Level
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug | Tier 3 Preferred Brand Drug | Tier 4 Non-Preferred Drug | Tier 5 Specialty Tier Drug |
|---|---|---|---|---|---|
| Preferred retail | $0.00 | $2.00 | 17% | 50% | 25% |
| Standard retail | $4.00 | $13.00 | 19% | 50% | 25% |
| Preferred mail order | $0.00 | $2.00 | 17% | 50% | 25% |
| Standard mail order | $4.00 | $13.00 | 19% | 50% | 25% |
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug | Tier 3 Preferred Brand Drug | Tier 4 Non-Preferred Drug | Tier 5 Specialty Tier Drug |
|---|---|---|---|---|---|
| Preferred retail | $0.00 | $4.00 | 17% | 50% | N/A |
| Standard retail | $8.00 | $26.00 | 19% | 50% | N/A |
| Preferred mail order | $0.00 | $4.00 | 17% | 50% | N/A |
| Standard mail order | $8.00 | $26.00 | 19% | 50% | N/A |
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug | Tier 3 Preferred Brand Drug | Tier 4 Non-Preferred Drug | Tier 5 Specialty Tier Drug |
|---|---|---|---|---|---|
| Preferred retail | $0.00 | $6.00 | 17% | 50% | N/A |
| Standard retail | $12.00 | $39.00 | 19% | 50% | N/A |
| Preferred mail order | $0.00 | $3.00 | 17% | 50% | N/A |
| Standard mail order | $12.00 | $39.00 | 19% | 50% | N/A |
Plan Documents
| Links to plan documents |
Washington Counties Served
- Adams
- Asotin
- Benewah
- Benton
- Chelan
- Clallam
- Clark
- Columbia
- Cowlitz
- Douglas
- Ferry
- Franklin
- Garfield
- Grant
- Grays Harbor
- Island
- Jefferson
- King
- Kitsap
- Kittitas
- Klickitat
- Kootenai
- Lewis
- Lincoln
- Mason
- Okanogan
- Pacific
- Pend Oreille
- Pierce
- San Juan
- Skagit
- Skamania
- Snohomish
- Spokane
- Stevens
- Thurston
- Umatilla
- Wahkiakum
- Walla Walla
- Whatcom
- Whitman
- Yakima