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Clear Spring Health Value Rx A 2025 Medicare Part D Plan Available in Illinois
Clear Spring Health Value Rx A 2025 Medicare Part D Plan Available in Illinois
Welcome to your guide to the Clear Spring Health Value Rx Medicare Part D plan for 2025. This page covers key details about the plan, including its benefits, costs, and CMS star rating. We’ve also provided enrollment options to help you secure prescription drug coverage in Illinois.
The Clear Spring Health Value Rx plan offers valuable coverage to help reduce 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 Illinois.
Clear Spring Health Value Rx : Part D Plan Overview | |
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Part D Plan ID: | S6946-014 |
Plan Year: | 2025 |
Total Part D Premium: | $0.00 |
Annual Deductible: | $590.00 |
Part D Benefit Type: | Basic |
No Deductible Drug Tier: | Not Applicable |
Low Income Subsidy: | Yes |
Insured By: | Clear Spring Health |
We're Here to Help You Enroll |
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An Overview of Medicare Part D Plan Costs
Clear Spring Health Value Rx has a range of costs, including monthly premiums, deductibles, copayments, and coinsurance. Understanding how each of these components impacts your overall expenses is key to managing your prescription drug costs effectively. The sections below will guide you through each cost factor.
Premium Breakdown
The Clear Spring Health Value Rx plan's monthly premium is an important factor in your total costs. Some plans include extra fees or offer financial aid through the Low-Income Subsidy (LIS) program. The following table details the premium costs for this 2025 plan by Clear Spring Health.
Basic Part D Premium: | $0.00 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $0.00 |
Low Income Premium Subsidy: | $22.77 |
Low Income Premium Subsidy CMS Pays: | $0.00 |
Low Income Subsidy Premium: | $0.00 |
IMPORTANT: If you qualify for the Low-Income Subsidy (LIS) program, known as "Extra Help," you could receive assistance with your prescription drug plan costs in Illinois. For more details, visit the Social Security Extra Help page.
Annual Deductible Information
The annual Medicare Part D deductible for this plan is $590.00. You are responsible for paying this amount before Clear Spring Health starts sharing the cost of your prescriptions.
Prescription Drug Plan Out-of-Pocket Costs
Beyond the monthly premium and deductible, Clear Spring Health Value Rx includes copayments (fixed amounts) and/or coinsurance (a percentage of the cost) that you'll need to pay when filling your prescriptions. The table below outlines these costs in detail.
Drug Tier | Retail | Mail Order | |
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Preferred Generic | $1.00 | $6.00 | |
Generic | $3.00 | $8.00 | |
Preferred Brand | 18.00% | 23.00% | |
Non-Preferred Drug | 39.00% | 39.00% | |
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 Value 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 |
Important Medicare Part D Enrollment Periods
Knowing when to enroll in a Medicare Part D plan is crucial to ensuring you have the coverage you need. Below are the main enrollment periods:
- Initial Enrollment Period (IEP): Your first opportunity to join Medicare Part D typically begins three months before you turn 65 and continues for seven months. Find out more about the Initial Enrollment Period.
- Annual Enrollment Period (AEP): From October 15 to December 7 each year, you can change your Medicare Part D plan. Get details on the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): Between January 1 and March 31, you can change your Medicare Advantage plan or return to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Learn more about the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Specific situations, like moving or losing other coverage, may allow you to use a Special Enrollment Period to enroll or switch plans.
How to Enroll in Medicare Part D
Ready to enroll in Clear Spring Health Value Rx or another Medicare Part D plan? Here are your options:
- Online via MedicareEnrollment.com: Compare and get enrolled online by visiting MedicareEnrollment.com.
- Call HealthCompare: Speak with a licensed insurance agent by calling HealthCompare at 833-748-3201 (TTY 711) for personalized assistance (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: You can also call 1-800-MEDICARE (1-800-633-4227) for help with enrollment. TTY users should dial 1-877-486-2048.
- Call the Plan Directly: Contact the plan directly using the information provided below to enroll by 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)434-4290 |
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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