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Clear Spring Health

Plan ID: S6946-27-0

Clear Spring Health Value Rx (PDP)

2024 Clear Spring Health Value Rx (PDP) S69460270 is a Medicare Prescription Drug plan with drug coverage. It has received a 1.5-out-of-5 star rating from CMS for 2024.

Learn more about Clear Spring Health Value Rx (PDP) S6946 - 027 - 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 2024

$22.70 /mo

Monthly premium

$545.00

Drug deductible

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Plan Overview

2024 Clear Spring Health Value Rx (PDP) S69460270 is a Medicare Prescription Drug Plan offered in California by Clear Spring Health. It has a monthly premium of $22.70.

Premium Breakdown

Total Premium:

$0

Note:

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

Location:

California

Drugs Covered:

Yes

Drug Formulary:

Pharmacies:

Doctor Choice:

Plan Doctors for Most Services

Doctors Link:

Not yet released

Deductibles

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

Drug deductible

$545

Note:

This plan does not charge an annual deductible for all drugs. The $545.00 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

$545.00

Increased initial coverage limit

No

Additional gap coverage

No

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

$22.70

$22.70

$22.70

$22.70

$22.70

Initial Coverage Phase

After you pay your $545.00 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

Tier

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

35%

35%

35%

35%

5. Specialty Tier

25%

25%

25%

25%

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)

Brand-name

$10.35 copay or 5% (whichever costs more)

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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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Get Personalized Help from a licensed insurance agent

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

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