
Clear Spring Health Premier Rx A 2025 Medicare Part D Plan Available in Texas
Clear Spring Health Premier Rx A 2025 Medicare Part D Plan Available in Texas
Welcome to the 2025 Clear Spring Health Premier Rx Medicare Part D plan guide for Texas. 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 Texas.
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 Texas.
Clear Spring Health Premier Rx : Part D Plan Overview | |
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Part D Plan ID: | S6946-085 |
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
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: | $46.30 |
Supplemental Part D Premium: | $25.40 |
Total Part D Premium: | $71.70 |
Low Income Premium Subsidy: | $18.30 |
Low Income Premium Subsidy CMS Pays: | $18.30 |
Low Income Subsidy Premium: | $53.40 |
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 Texas. For more details, visit the Social Security Extra Help page.
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.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the monthly premium and deductible, you'll also be responsible for copayments (fixed amounts) and/or coinsurance (a percentage of the drug cost) under the Clear Spring Health Premier Rx plan. The following table details these out-of-pocket costs.
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. |
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 |
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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
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 chance to enroll in Medicare Part D typically starts three months before the month you turn 65 and lasts for seven months. Learn more about when your Initial Enrollment Period begins.
- Annual Enrollment Period (AEP): Every year from October 15 to December 7, you can join, switch, or drop your Medicare Part D plan. Get details about the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can change your Medicare Advantage plan or switch back to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Explore the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Certain events, like moving or losing other coverage, may qualify you for a Special Enrollment Period, allowing you to enroll or change plans outside the usual periods.
How to Enroll in 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: 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 |
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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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