Clear Spring Health Value Rx Part D Plan S6946-060 Details for Massachusetts
Many of the plans featured here are available through our partner, HealthCompare, who may compensate us when you enroll. This does not influence our evaluations. Our opinions are our own, based on our independent research. Learn more about how we make money.
Clear Spring Health Value Rx is a 2025 Medicare Part D plan from Clear Spring Health that's available to people with Medicare Part A and/or Part B or a Medicare Advantage plan that does not include prescription drug plan benefits.
Clear Spring Health Value Rx is a cost-sharing plan that has a $6.30 monthly premium, an initial coverage limit of $5,030, a $590.00 annual deductible, and an out-of-pocket threshold of $8,000. *CMS rated this plan 2 (Below Average) out of 5 stars.
See more Medicare Part D Plans in Massachusetts.
Part D Plan Basics | |
---|---|
Plan ID: | S6946-060 |
Plan Type: | PDP |
Plan Year: | 2025 |
Premium: | $6.30/mo |
Deductible: | $590.00/yr |
Benefit Type: | Basic |
Low Income Subsidy: | Yes |
Availability: | Massachusetts |
Insured By: | Clear Spring Health |
Prescription Drug Plan Premium
Although Clear Spring Health Value Rx 's monthly premium is bundled with the total plan cost, some plans have supplemental costs and/or offer low-income subsidy (LIS) assistance. The following table outlines the premium details of this Clear Spring Health plan.
Basic Part D Premium: | $6.30 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $6.30 |
Low Income Premium Subsidy: | $52.52 |
Low Income Premium Subsidy CMS Pays: | $6.30 |
Low Income Subsidy Premium: | $0.00 |
The Social Security Extra Help page has more information about the Low-Income Subsidy (“Extra Help”) program.
Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $590.00. You must pay this amount at the pharmacy before Clear Spring Health begins paying its share
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Clear Spring Health Value Rx has copayments (a fixed dollar amount) and/or coinsurances (a percentage amount) that you must pay when you pick up your prescriptions. The following table shows you those costs.
Drug Tier | Retail | Mail Order | Out of Network |
---|---|---|---|
Preferred Generic | $1.00 | $6.00 | $6.00 |
Generic | $3.00 | $8.00 | $8.00 |
Preferred Brand | 18.00% | 23.00% | 23.00% |
Non-Preferred Drug | 40.00% | 40.00% | 40.00% |
Specialty Tier | 25.00% | 25.00% | 25.00% |
*Deductible does not apply. |
CMS 5-Star Rating Marks
The following table shows the quality ratings for this Clear Spring Health plan. Each year CMS rates drug plans (Part D) in four broad categories. We do not recommend joining a plan with an overall rating of less than 3.0.
Overall, this Medicare Part D plan gets 2 out of 5 stars from CMS. Here's a quick summary of how well Clear Spring Health Value Rx performs.
CMS Measure | Star Rating |
---|---|
Overall Plan Rating | |
Drug Plan Customer Service | Not enough data available |
Complaints and Changes in the Drug Plan | |
Member Experience with the Drug Plan | |
Drug Safety and Accuracy of Drug Pricing |
You can't judge a Part D plan on its monthly premium or annual deductible. You have to look at the overall cost of your prescriptions.
Contact Clear Spring Health
Plan Website: | Clear Spring Health Plan Information |
---|---|
Formulay Information: | Clear Spring Health Formulary Information |
Pharmacy Information: | Clear Spring Health Pharmacy Information |
Prospective Members: | |
TTY Users: |
If you qualify for Original Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program at www.medicare.gov.
Citations & References
- Clear Spring Health, "http://www.clearspringhealthcare.com", Last Accessed March 11, 2024
- Medicare.gov, "How to get prescription drug coverage", Last Accessed March 2, 2024
- Medicare.gov, "How Part D works with other insurance", Last Accessed March 14, 2024
- Medicare.gov, "Catastrophic coverage", Last Accessed March 13, 2024
- SSA.gov, "Understanding the Extra Help With Your Medicare", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed January 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 3, 2024
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.