Clear Spring Health Value Rx Part D Plan S6946-007 Details
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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 $11.00 monthly premium, an initial coverage limit of $5,030, a $590.00 annual deductible, and an out-of-pocket threshold of $8,000. *This plan is rated 2 (Below Average) stars out of 5 stars by CMS.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S6946-007 |
| Plan Type: | PDP |
| Plan Year: | 2025 |
| Premium: | $11.00/mo |
| Deductible: | $590.00/yr |
| Benefit Type: | Basic |
| Low Income Subsidy: | Yes |
| Availability: | See List |
| Insured By: | Clear Spring Health |
Prescription Drug Premium with Extra Help
Although Clear Spring Health Value Rx 's monthly premium is bundled with the total plan cost, some plans may receive low-income subsidy (LIS) assistance known as Extra Help. The following table outlines the LIS available through this Clear Spring Health plan (if any).
| Low Income Premium Subsidy: | $39.99 |
| Low Income Premium Subsidy CMS Pays: | $11.00 |
| 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 | |
|---|---|---|---|
| Preferred Generic | $1.00 | $6.00 | |
| Generic | $3.00 | $8.00 | |
| Preferred Brand | 18.00% | 23.00% | |
| Non-Preferred Drug | 35.00% | 35.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
CMS 5-Star 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.
| 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 |
Every plan covers drugs differently, so it's important to look at your total cost.
Plan Availability
Clear Spring Health Value Rx is available in the following states:
Additional {misc_2} Medicare Part D Plan Options in Georgia
Here are some additional {plan_type_2} plans in your area that might be worth reviewing:
- None.
Contact Clear Spring Health
| Plan Website: | Clear Spring Health |
|---|---|
| Formulay Information: | Clear Spring Health Formulary Information |
| Pharmacy Information: | Clear Spring Health Pharmacy Information |
| Prospective Part D Members: | (877)434-4290 |
| Prospective Part D 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 at www.medicare.gov.
Citations & References
- Clear Spring Health, "http://www.clearspringhealthcare.com", Last Accessed October 13, 2024
- Medicare.gov, "How to get prescription drug coverage", Last Accessed March 2, 2024
- Benefits.gov, "Medicare Prescription Drug Plans", Last Accessed March 1, 2024
- Medicare.gov, "Catastrophic coverage", Last Accessed March 13, 2024
- SSA.gov, "Apply for Medicare Part D Extra Help program", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed October 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed October 11, 2024
- CMS.gov, "Benefits Data", Last Accessed October 9, 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.