
Clear Spring Health Value Rx A 2025 Medicare Part D Plan Available in Ohio
Clear Spring Health Value Rx A 2025 Medicare Part D Plan Available in Ohio
This guide provides an overview of the Clear Spring Health Value Rx Medicare Part D plan for 2025. You’ll find important information about the plan's benefits, costs, and star rating, along with details on how to enroll in Ohio. Use the sections below to explore your prescription drug coverage options.
Clear Spring Health Value Rx helps lower your prescription drug expenses, whether you’re enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in Ohio.
Clear Spring Health Value Rx : Part D Plan Overview | |
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Part D Plan ID: | S6946-011 |
Plan Year: | 2025 |
Total Part D Premium: | $8.00 |
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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Breaking Down Medicare Part D Plan Costs
When considering Clear Spring Health Value 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 Value 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: | $8.00 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $8.00 |
Low Income Premium Subsidy: | $39.30 |
Low Income Premium Subsidy CMS Pays: | $8.00 |
Low Income Subsidy Premium: | $0.00 |
TIP: To learn more about the Low-Income Subsidy (LIS) program, also known as "Extra Help," and how it can assist with your prescription drug costs in Ohio, 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 Expenses with this Part D Plan
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
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 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 |
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): 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 Clear Spring Health Value Rx
There are several ways to enroll in Clear Spring Health Value Rx or another Medicare Part D plan, allowing you to choose the method that works best for you:
- 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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