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Clear Spring Health

Plan ID: S6946-12-0

Clear Spring Health Value Rx (PDP)

2023 Clear Spring Health Value Rx (PDP) S69460120 is a Medicare Prescription Drug plan with drug coverage. It has received a 1.5-out-of-5 star rating from CMS for 2023.

Learn more about Clear Spring Health Value Rx (PDP) S6946 - 012 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.

1.5 / 5 stars for 2023

$22.60 /mo

Monthly premium


Drug deductible

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Call to enroll


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Plan Overview

2023 Clear Spring Health Value Rx (PDP) S69460120 is a Medicare Prescription Drug Plan offered in Kentucky and Indiana by Clear Spring Health. It has a monthly premium of $22.60.

Premium Breakdown

Total Premium:



The standard Part B premium for 2024 is $174.70. Your Part B premium may differ based on factors including late enrollment, income, and disability status. Higher-income beneficiaries may pay an income-related monthly adjustment amount (IRMAA). The Part B premium is required to be paid by everyone enrolled in Medicare Part B.

Plan Organization:

Clear Spring Health

Plan Type:

Medicare Prescription Drug Plan


Kentucky and Indiana

Drugs Covered:


Drug Formulary:


Doctor Choice:

Plan Doctors for Most Services

Doctors Link:

Not yet released


The amount you must pay each year before your plan starts to pay for covered services or drugs.

Drug deductible



This plan does not charge an annual deductible for all drugs. The $505.00 annual deductible only applies to drugs in certain tiers.

Sign up for Clear Spring Health Value Rx (PDP)

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Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 TTY 711. 8am-11pm EST. 7 days a week

Drug Coverage Icon

Drug Coverage

Clear Spring Health Value Rx (PDP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Benefit Type

Actuarially Equivalent Standard

Prescription drug deductible


Increased initial coverage limit


Additional gap coverage


Part D Premium Reduction

This plan's premium may be reduced for you if you qualify for the low-income subsidy (also known as LIS or "Extra help"). The following is what you'll pay for with LIS.

Part D

LIS 25%

LIS 50%

LIS 75%

LIS Full






Initial Coverage Phase

After you pay your $505.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00. Once you reach that amount, you will enter the next coverage phase.

30 Days
60 Days
90 Days


Preferred Pharmacy

Standard Pharmacy

Preferred Mail

Standard Mail

1. Preferred Generic

$1.00 copay

$6.00 copay

$1.00 copay

$6.00 copay

2. Standard Generic

$3.00 copay

$8.00 copay

$3.00 copay

$8.00 copay

3. Preferred Brand

$42.00 copay

$47.00 copay

$42.00 copay

$47.00 copay

4. Non-Preferred Drug





5. Specialty Tier





Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs.

Generic Drugs

$4.15 copay or 5% (whichever costs more)


$10.35 copay or 5% (whichever costs more)

Overview Icon

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

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1-877-649-2073 TTY 711. 8am-11pm EST. 7 days a week

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Every year, Medicare evaluates plans based on a 5-star rating system.

Part B Premium give-back is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.

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