Clear Spring Health Premier Rx A 2025 Medicare Part D Plan Available in Kansas
Clear Spring Health Premier Rx A 2025 Medicare Part D Plan Available in Kansas
Welcome to the 2025 Clear Spring Health Premier Rx Medicare Part D plan guide for Kansas. 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 Kansas.
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 Kansas.
| Clear Spring Health Premier Rx : Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S6946-087 |
| Plan Year: | 2025 |
| Total Part D Premium: | $72.50 |
| 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 |
|---|
Understanding Medicare Part D Plan Costs
Clear Spring Health Premier Rx has various costs beyond just the monthly premium. From deductibles to copayments and coinsurance, it's essential to understand how these expenses work so you can effectively manage your prescription drug costs. The sections below break down each cost component to help you navigate these financial details with ease.
Monthly Premium Overview
The Clear Spring Health Premier 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: | $46.80 |
| Supplemental Part D Premium: | $25.70 |
| Total Part D Premium: | $72.50 |
| Low Income Premium Subsidy: | $51.73 |
| Low Income Premium Subsidy CMS Pays: | $46.80 |
| Low Income Subsidy Premium: | $25.70 |
NOTE: Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs in Kansas. Visit the Social Security Extra Help page to learn more.
Understanding the Plan’s Deductible
This plan has a Medicare Part D annual deductible of $590.00. You must pay this amount upfront at the pharmacy before Clear Spring Health begins contributing to your prescription costs.
Out-of-Pocket Expenses with this Part D Plan
Beyond the monthly premium and deductible, Clear Spring Health Premier 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 | |
|---|---|---|---|
| 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. | |||
CMS 5-Star Rating Overview
The CMS evaluates Medicare Part D plans each year and assigns a star rating from 1 to 5 based on their overall quality and performance. These ratings are determined by factors like member experiences, customer service, and how well the plan ensures prescription drug safety. Higher ratings indicate better quality, making it easier for you to choose the right plan. Below is the star rating for the Clear Spring Health Premier Rx 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 |
When to Enroll in a Medicare Part D Plan
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): This seven-month period begins three months before your 65th birthday month. Discover more about your Medicare Initial Enrollment Period.
- Annual Enrollment Period (AEP): Every year between October 15 and December 7, you can make changes to your Medicare Part D plan. Learn about the Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can switch Medicare Advantage plans or return to Original Medicare, , so long as you are currently enrolled in a Medicare Advantage plan. Learn more about the MA Open Enrollment Period.
- Special Enrollment Period (SEP): Life events such as relocating or losing coverage can trigger a Special Enrollment Period, allowing changes outside the usual enrollment windows.
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: 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 |
|---|---|
| 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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