Clear Spring Health Premier Rx A 2025 Medicare Part D Plan Available in Louisiana
Clear Spring Health Premier Rx A 2025 Medicare Part D Plan Available in Louisiana
Welcome to your guide to the Clear Spring Health Premier 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 Louisiana.
The Clear Spring Health Premier 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 Louisiana.
| Clear Spring Health Premier Rx : Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S6946-084 |
| Plan Year: | 2025 |
| Total Part D Premium: | $71.70 |
| 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.
Monthly Premium Overview
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: | $46.40 |
| Supplemental Part D Premium: | $25.30 |
| Total Part D Premium: | $71.70 |
| Low Income Premium Subsidy: | $55.63 |
| Low Income Premium Subsidy CMS Pays: | $46.40 |
| Low Income Subsidy Premium: | $25.30 |
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 Louisiana. For more details, visit the Social Security Extra Help page.
Part D Prescription Drug Plan 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 Costs in this Drug 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. | |||
What the CMS 5-Star Rating Means
The CMS assigns Medicare Part D plans a star rating, ranging from 1 to 5 stars, based on several factors, including customer service, member satisfaction, and prescription drug safety. This annual rating helps you evaluate the quality of a plan before enrolling. A 5-star rating indicates top-tier performance. Below, you’ll find the CMS 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 |
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): 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: Easily compare and enroll in plans by visiting MedicareEnrollment.com.
- Call HealthCompare: Get expert help from HealthCompare by calling 833-748-3201 (TTY 711). They can assist you in finding the right plan for your needs (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: For additional guidance, contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: Alternatively, reach out to the plan directly using the contact information provided below.
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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