Clear Spring Health Value Rx (PDP) is a Medicare Part D Prescription Drug Plan by Clear Spring Health.
This page features plan details for 2024 Clear Spring Health Value Rx (PDP) S6946 – 026 – 0.
IMPORTANT: This page has been updated with plan and premium data for 2024.
Clear Spring Health Value Rx (PDP) is offered in the following locations.
Clear Spring Health Value Rx (PDP) offers the following coverage and cost-sharing.
Insurer: | Clear Spring Health |
Drugs Covered: | Yes |
Ready to sign up for Clear Spring Health Value Rx (PDP) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
8am – 11pm EST. 7 days a week
Clear Spring Health Value Rx (PDP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
Drug Deductible: | $545.00 |
Initial Coverage Limit: | $5,030.00 |
Catastrophic Coverage Limit: | $8,000.00 |
Drug Benefit Type: | Basic |
Additional Gap Coverage: | No |
Formulary Link: | Formulary Link |
The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.
The table below shows how the LIS impacts the Part D premium of this plan.
Part D | LIS Full |
---|---|
$29.30 | $0.00 |
NOTE: The Inflation Reduction Act of 2022 has expanded full subsidy eligibility under the LIS program to individuals with incomes up to 150% of the Federal Poverty Level. People who qualify for Extra Help generally will pay no more than $4.50 for each generic drug and $11.20 for each brand-name drug.
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 $5,030.00. Once you reach that amount, you will enter the next coverage phase.
Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
---|---|---|---|---|
1 (Preferred Generic) | $1.00 copay | $6.00 copay | $1.00 copay | $6.00 copay |
2 (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) | 39% | 39% | 39% | 39% |
5 (Specialty Tier) | 25% | 25% | 25% | 25% |
Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
---|---|---|---|---|
1 (Preferred Generic) | ||||
2 (Generic) | ||||
3 (Preferred Brand) | ||||
4 (Non-Preferred Drug) | ||||
5 (Specialty Tier) |
Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
---|---|---|---|---|
1 (Preferred Generic) | $3.00 copay | $18.00 copay | $3.00 copay | $18.00 copay |
2 (Generic) | $9.00 copay | $24.00 copay | $9.00 copay | $24.00 copay |
3 (Preferred Brand) | $126.00 copay | $141.00 copay | $126.00 copay | $141.00 copay |
4 (Non-Preferred Drug) | 39% | 39% | 39% | 39% |
5 (Specialty Tier) |
After your total drug costs (including what this plan has paid and what you have paid) reach $5,030.00, you will pay no more than the amounts below for any drug tier until you reach $8,000.00.
Tier | Cost |
---|---|
All other tiers (Generic) | 25% |
All other tiers (Brand-name) | 25% |
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $8,000.00, you pay nothing for Medicare Part D covered drugs.
Ready to sign up for Clear Spring Health Value Rx (PDP) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
8am – 11pm EST. 7 days a week
Get help enrolling in a Medicare Advantage or Medicare Prescription Drug Plan by calling a licensed insurance agent today.
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