Cigna Preferred Medicare (HMO)
New Jersey Medicare Advantage Plan (2023 Plan)
Overall Government Star Rating3.0
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Cigna Preferred Medicare (HMO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in New Jersey and offered by the health insurance company Cigna. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cigna Preferred Medicare (HMO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $6,600 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Cigna Preferred Medicare (HMO) are defined below.
Additional Benefits and Coverage
Cigna Preferred Medicare (HMO) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Cigna Preferred Medicare (HMO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Cigna Preferred Medicare (HMO) includes coverage for the following additional benefits:
Comparing the Quality Score of Cigna Preferred Medicare (HMO) to Other Plans in New Jersey
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2023, Cigna Preferred Medicare (HMO) received an overall government quality rating of 3.0 stars out of 5 stars.
Cigna Preferred Medicare (HMO) performed worse than New Jersey’s State average overall quality score of 3.8 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Cigna Preferred Medicare (HMO) received 3.5 stars for its health plan quality score which is worse than the New Jersey State average health plan quality score of 3.9 stars.
Cigna Preferred Medicare (HMO) received 3 stars for its drug plan quality score which is worse than the New Jersey State average drug plan quality score of 3.5 stars.
Plan Benefits and Coverage Details
Tests, labs, & imaging
$0 per day for days 8 through 90
Skilled nursing facility
$196 per day for days 21 through 100
Mental health services
Opioid treatment services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
|Tiers||Initial coverage phase||Gap coverage phase1||Catastrophic coverage phase|
|Preferred Generic||$9.00 copay||$9.00 copay|
Brand-name drugs :
|Preferred Brand||$47.00 copay|
|Non-Preferred Drug||$100.00 copay|
|1 For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.|
Part B Drugs
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In this article we rank New Jersey Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
The Medicare landscape in New Jersey is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in New Jersey.