Clear Spring Health Premier Rx A 2025 Medicare Part D Plan Available in West Virginia

CMS Rating: ☆☆☆☆☆ (2.0 out of 5 stars^*)

This guide provides an overview of the Clear Spring Health Premier 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 West Virginia. Use the sections below to explore your prescription drug coverage options.

Clear Spring Health Premier 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 West Virginia.

• Monthly Premium
• Deductible
• Copays
• CMS 5-Star Ratings
• Enrollment
• Contact the Plan

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.

Premium Breakdown

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.

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 West Virginia. 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 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.

How the CMS 5-Star Rating Works

Every year, the Centers for Medicare & Medicaid Services (CMS) rates Medicare Part D plans on a 5-star scale, with 5 stars representing excellent quality and performance. These ratings consider factors like customer service, member experience, and the safety of prescription drugs. A higher rating reflects better overall quality, helping you choose the best plan for your needs. The table below shows the CMS rating for the Clear Spring Health Premier Rx plan.

When to Enroll in Medicare Part D

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): 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 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: 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

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.

This page was last updated on October 22, 2024.