Clear Spring Health Premier Rx A 2025 Medicare Part D Plan Available in Missouri
Clear Spring Health Premier Rx A 2025 Medicare Part D Plan Available in Missouri
Welcome to the 2025 Clear Spring Health Premier Rx Medicare Part D plan guide for Missouri. 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 Missouri.
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 Missouri.
Clear Spring Health Premier Rx : Part D Plan Overview | |
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Part D Plan ID: | S6946-081 |
Plan Year: | 2025 |
Total Part D Premium: | $72.90 |
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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An Overview of 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.
Premium Breakdown
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: | $47.20 |
Supplemental Part D Premium: | $25.70 |
Total Part D Premium: | $72.90 |
Low Income Premium Subsidy: | $50.99 |
Low Income Premium Subsidy CMS Pays: | $47.20 |
Low Income Subsidy Premium: | $25.70 |
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 Missouri. For more details, visit the Social Security Extra Help page.
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. |
How the CMS 5-Star Rating Works
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 |
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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 a Medicare Part D Plan
Timing your enrollment in Medicare Part D is critical. Here are the key periods when you can sign up for or make changes to your plan:
- 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 Sign Up for Clear Spring Health Premier Rx
Here are a few ways to enroll in Clear Spring Health Premier Rx or a different Medicare Part D plan:
- 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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