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Cigna Healthcare

HealthSpring Extra Rx (PDP)

Medicare plan ID S5617-377-000 · 2026 benefits. Every benefit the plan filed with Medicare, from the same data as the comparison grid.

These are this plan's 2026 benefits; you're comparing 2027 plans.

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Benefit HealthSpring Extra Rx (PDP)
The plan What the plan costs before any drug is dispensed.
Monthly premium $70.70/mo
Yearly drug deductible $615Applies to tiers 3, 4, 5
Star rating (2026) 2.5 out of 5
Drugs on the plan's list 3,348
After the yearly cap $0 for covered drugs
Every tier What each tier costs in the initial coverage phase, at a one-month supply and a three-month supply.
Tier 1 Preferred Generic: $0 preferred · $6 standard$0 for 3 months by mail
Tier 2 Generic: $5 preferred · $12 standard$3 for 3 months by mail
Tier 3 Preferred Brand: 17% preferred · 20% standard17% for 3 months by mail
Tier 4 Non-Preferred Drug: 31% preferred · 32% standard31% for 3 months by mail
Tier 5 (specialty) Specialty Tier: 25% preferred · 25% standard

Add your drugs on the plan list to see how this plan covers them. Figures are what the plan filed with Medicare for 2026; check the plan's Evidence of Coverage before you enroll.