
Clear Spring Health Premier Rx A 2025 Medicare Part D Plan Available in Georgia
Clear Spring Health Premier Rx A 2025 Medicare Part D Plan Available in Georgia
Welcome to the 2025 Clear Spring Health Premier Rx Medicare Part D plan guide for Georgia. Here, you’ll find all the information you need, including plan benefits, costs, and star ratings. We’ve also included enrollment options to assist you in securing the right prescription drug coverage for you in Georgia.
The Clear Spring Health Premier Rx plan provides valuable coverage for reducing your prescription drug costs, whether you're enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in Georgia.
Clear Spring Health Premier Rx : Part D Plan Overview | |
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Part D Plan ID: | S6946-073 |
Plan Year: | 2025 |
Total Part D Premium: | $72.20 |
Annual Deductible: | $590.00 |
Part D Benefit Type: | Enhanced |
No Deductible Drug Tier: | Yes |
Low Income Subsidy: | Yes |
Insured By: | Clear Spring Health |
We're Here to Help You Enroll |
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Understanding Medicare Part D Plan Costs
When considering Clear Spring Health Premier Rx , it's important to look beyond the monthly premium. There are additional costs, such as deductibles, copayments, and coinsurance, that can affect your out-of-pocket expenses. The following sections explain each cost element to help you make informed decisions about your prescription drug coverage.
Plan Premium Details
The Clear Spring Health Premier Rx plan's monthly premium plays a significant role in determining your overall costs. Some plans may also include supplemental charges or offer Low-Income Subsidy (LIS) options. Below is a breakdown of the premium details for this 2025 plan from Clear Spring Health.
Basic Part D Premium: | $46.70 |
Supplemental Part D Premium: | $25.50 |
Total Part D Premium: | $72.20 |
Low Income Premium Subsidy: | $39.99 |
Low Income Premium Subsidy CMS Pays: | $40.00 |
Low Income Subsidy Premium: | $32.20 |
NOTE: Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs in Georgia. Visit the Social Security Extra Help page to learn more.
Annual Deductible Information
This plan's Medicare Part D annual deductible is $590.00. You will need to pay this deductible amount before Clear Spring Health begins covering your prescription drug costs at the pharmacy.
Out-of-Pocket Costs in this Drug Plan
Along with the plan's monthly premium and deductible, Clear Spring Health Premier Rx requires you to pay copayments (a set dollar amount) or coinsurance (a percentage of the drug cost) when picking up your medications. The table below provides a breakdown of these out-of-pocket expenses.
Drug Tier | Retail | Mail Order | |
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Preferred Generic* | $0.00 | $10.00 | |
Generic* | $3.00 | $20.00 | |
Preferred Brand | 15.00% | 20.00% | |
Non-Preferred Drug | 35.00% | 40.00% | |
Specialty Tier | 25.00% | 25.00% | |
*Deductible does not apply. |
What the CMS 5-Star Rating Means
Every year, the Centers for Medicare & Medicaid Services (CMS) rates Medicare Part D plans on a 5-star scale, with 5 stars representing excellent quality and performance. These ratings consider factors like customer service, member experience, and the safety of prescription drugs. A higher rating reflects better overall quality, helping you choose the best plan for your needs. The table below shows the CMS rating for the Clear Spring Health Premier Rx plan.
CMS Measure | Star Rating |
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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 |
When to Enroll in Medicare Part D
It's important to enroll in a Medicare Part D plan during specific periods to avoid penalties and ensure continuous coverage. Here are the key times to sign up:
- Initial Enrollment Period (IEP): Your first chance to enroll in Medicare Part D typically starts three months before the month you turn 65 and lasts for seven months. Learn more about when your Initial Enrollment Period begins.
- Annual Enrollment Period (AEP): Every year from October 15 to December 7, you can join, switch, or drop your Medicare Part D plan. Get details about the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can change your Medicare Advantage plan or switch back to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Explore the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Certain events, like moving or losing other coverage, may qualify you for a Special Enrollment Period, allowing you to enroll or change plans outside the usual periods.
How to Sign Up for Clear Spring Health Premier Rx
Ready to enroll in Clear Spring Health Premier Rx or another Medicare Part D plan? Here are your options:
- Online via MedicareEnrollment.com: Visit MedicareEnrollment.com to compare plans and enroll online quickly and securely.
- Call HealthCompare: For personalized assistance, call HealthCompare at 833-748-3201 (TTY 711) to get expert help with finding the right plan (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: Speak with a Medicare representative by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: You can also contact the plan directly using the details provided below to enroll over the phone.
Contact Clear Spring Health
Website: | Clear Spring Health Plan Page |
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Formulary: | Clear Spring Health Formulary Page |
Pharmacy: | Clear Spring Health Pharmacy Page |
Prospective Part D Members: | (877)248-6622 |
Prospective Part D TTY Users: | 711 |
Plans Offered Through Medicare.org
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.
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