Plan Benefits
Abbreviations
Plan Designs
Enrollment Basic
Tools
100

The pre-designated dollar amount of covered expenses that are paid by the insured individual, after which insurance coverage begins.

Deductible

100

LEP

Late Enrollment Penalty

100

What is  the Deductible for the Secure and Saver Plan for 2024?

$545

100

What does Auto, Facilitated mean for enrollment?

  • The enrollment was sent by CMS

100

What Job Aid should be used if a member wants to know why there is an increase in their premium for 2025?

MS0470 - 2025 AEP TALKING POINTS.pdf

200

Amount paid for insurance coverage.

Premium

200

PDP

Prescription Drug Plan

200

Begins: immediately if your plan has no deductible. Or, when the prescription payments you have made equal your plan's deductible.

 Initial Coverage

200

What does NH mean for enrollment?

The enrollment was completed telephonically by a Telesales agent.

200

Timeframe for Invoice Generation.

The system generates invoices between the 6th and the 10th day of each month.

300

What is Cigna's motto?

Together, all the way.

300

IRMAA

Income Related Medicare Adjustment Amount

300

How much should the total out-of-pocket cost be before a customers moves to the catastrophic stage for 2025?

$2000

300

What is the phone number of Cigna Medicare PDP Enrollment?

1-800-735-1459

300

What is the local SSA phone number of the Zip code 07740? 

1-800-772-1213

400

What is Copayment and Coinsurance?

Copayment:  A fixed fee paid by the patient at the time a medical service is rendered (e.g., when a prescription is dispensed) while  Coinsurance:  A percentage of the cost of an insured service (or drug) paid by the insured individual.

400
SPAP and ADAP

State Pharmaceutical Assistance Program and Aids Drug Assistance Program

400

What are the 3 Benefit Stages for 2025?

Deductible - Initial Coverage - Catastrophic Coverage

400

What are the 3 Enrollment Periods?

IEP (Initial Enrollment Period) 

AEP (Annual Enrollment Period)

SEP (Special Enrollment Period)


400

The tools tab also known as ___ will be used to access the Formulary Search engine for medication search.

Core9 

500

For someone who needs a high level of cost protection including a robust drug list.

Cigna Extra Rx

500

CMS and MAPD

Centers for Medicare & Medicaid Services and Medicare Advantage Prescription Drug

500

Offer the standard, basic, Medicare benefits

Cigna Secure Rx

500

A great fit for someone needing moderate coverage and great value, and generic drug saving.

Cigna Saver Rx

500

What is the co-pay for a Tier 1 medication under the Saver Plan for standard cost-share for the year 2024?

$10

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