Clear Spring Health Value Rx 2024 Part D Plan S6946-011 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 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 $23.30 monthly premium, an initial coverage limit of $5,030, a $545.00 annual deductible, and an out-of-pocket threshold of $8,000. This plan has an overall rating of 1.5 (Poor) out of 5 stars.
Part D Plan Basics | |
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Plan ID: | S6946-011 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $23.30/mo |
Deductible: | $545.00/yr |
Benefit Type: | Basic |
Rx Gap Coverage: | No |
Low Income Subsidy: | Yes |
Availability: | See List |
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: | $23.30 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $23.30 |
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) | 33% | 33% |
5 (Specialty Tier) | 25% | 25% |
Our Review & 2024 CMS 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.
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. The low premium may help you save money, particularly if you don't have monthly prescriptions filled. Be aware of the deductible. This plan does not exempt any tiers from its formulary, including generics.
Plan Availability
Clear Spring Health Value Rx is available in the following states:
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, "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, "Costs for Medicare drug coverage", Last Accessed March 3, 2024
- Medicare.gov, "Help with drug costs", Last Accessed February 19, 2024
- CMS.gov, "Landscape Source Files", Last Accessed January 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 3, 2024