Clear Spring Health Value Rx Hawaii Part D Plan S6946-028 by Clear Spring Health
Clear Spring Health Value Rx is a 2024 Basic Medicare Part D plan from Clear Spring Health that's available to individuals enrolled in a Medicare Advantage plan without prescription drug plan benefits or Medicare Part A and/or Part B.
This plan has a monthly premium of $21.50, an initial coverage limit of $5,030, an out-of-pocket threshold of $8,000, and a $545.00 deductible that must be paid before cost-sharing begins. CMS rated this plan 1.5 (Poor) out of 5 stars.
See more 2024 Medicare Part D Plans in Hawaii.
Part D Plan Basics | |
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Plan ID: | S6946-028 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $21.50/mo |
Deductible: | $545.00/yr |
Benefit Type: | Basic |
Rx Gap Coverage: | No |
Low Income Subsidy: | Yes |
Availability: | Hawaii |
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: | $21.50 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $21.50 |
Part D Premium with Full LIS Assistance: | $0.00 |
For more information about the Low-Income Subsidy (aka, "Extra Help") program, refer to the Social Security Extra Help page.
Prescription Drug Plan Deductible
The Medicare Part D annual deductible with this plan is $545.00. This is the amount you must pay 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.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $1.00 copay | $6.00 copay |
2 (Generic) | $3.00 copay | $8.00 copay |
3 (Preferred Brand) | $42.00 copay | $47.00 copay |
4 (Non-Preferred Drug) | 35% | 35% |
5 (Specialty Tier) | 25% | 25% |
Our Review & 2024 CMS Rating Marks
Each year the Centers for Medicare & Medicaid Services (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. Here are the most recent CMS ratings for this plan.
This Medicare Part D plan gets 1.5 out of 5 stars overall. Here's our quick summary of how well Clear Spring Health Value Rx performs.
CMS Measure | Star Rating |
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Overall Plan Rating | |
Drug Plan Customer Service | |
Complaints and Changes in the Drug Plan | |
Member Experience with the Drug Plan | |
Drug Safety and Accuracy of Drug Pricing |
Think twice before joining this sub-par Medicare Part D plan. Clear Spring Health Value Rx does a poor job at customer service. Medicare's complaint score on this plan is below average . Members report that their experience with this plan is below average. When it comes to drug safety and the accuracy of drug pricing, this plan is below average.
Every plan covers drugs differently, so it's important to look at your total cost. With its low monthly premium, if you don't have regular prescriptions to fill, this plan can save you money. Watch out for the plan's deductible. Unlike some other plans, this plan does not exempt any tiers in its formulary.
Additional Basic Medicare Part D Plan Options in Hawaii
Here are some additional plans in your area that might be worth reviewing:
- Wellcare Classic (S4802-095)
- Mutual of Omaha Rx Plus (S7126-032)
- SilverScript Choice (S5601-066)
- Cigna Secure Rx (S5617-163)
- AARP Medicare Rx Basic from UHC (S5921-381)
Contact Clear Spring Health
Plan Website: | Clear Spring Health Plan Information |
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Formulay Information: | Clear Spring Health Formulary Information |
Pharmacy Information: | Clear Spring Health Pharmacy Information |
Prospective Members: | (877) 317-6082 |
TTY Users: | -711 |
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 on www.medicare.gov.
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
Citations & References
- Clear Spring Health, "http://www.clearspringhealthcare.com", Last Accessed March 11, 2024
- Medicare.gov, "Explore your Medicare coverage options", Last Accessed March 2, 2024
- Medicare.gov, "How Part D works with other insurance", Last Accessed March 14, 2024
- Medicare.gov, "Costs for Medicare drug coverage", Last Accessed March 3, 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