Clear Spring Health Premier Rx (PDP) By Clear Spring Health

Clear Spring Health Premier Rx (PDP) is a Enhanced Alternative Medicare Prescription Drug Plan (PART D) by Clear Spring Health. Stand-alone plans offer additional prescription drug coverage only and are an option if you are on Original Medicare insurance or you have a Medicare health plan that does not include Part D coverage. The Clear Spring Health Premier Rx (PDP) plan has a monthly drug premium of $14.40 and a $435.00 drug deductible.

2020 Medicare Part-D Plan Details

Plan Name:
Clear Spring Health Premier Rx (PDP)
Provider: Clear Spring Health
Plan ID:
Plan Year:2020
State: Iowa
North Dakota
South Dakota
Benefit Type: Enhanced
Monthly Drug Premium: $14.40
Drug Deductible: $435.00
Tiers with No Deductible: 1
Gap Coverage: No
National Plan: No

Deductible and Premium

The Clear Spring Health Premier Rx (PDP) plan has a monthly drug premium of $14.40 and a $435.00 drug deductible. This Clear Spring Health plan offers a $0.60 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $13.80 this Premium covers any enhanced plan benefits offered by Clear Spring Health above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $14.40. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.

Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The Clear Spring Health Premier Rx (PDP) medicare insurance plan offers a $13.80 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $13.90 for 75% low income subsidy $14.10 for 50% and $14.20 for 25%.

Part D Basic Premium: $0.60
Benchmark: not below the regional benchmark
Part D Supplemental Premium $13.80
Benefit Type: Enhanced Alternative
Total Part D Premium: $14.40
$0 Premium with Full LIS: No
Full LIS Premium: $13.80
75% LIS Premium: $13.90
50% LIS Premium: $14.10
25% LIS Premium: $14.20

Gap Coverage

In 2020 once you and your plan provider have spent $4020 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will still receive a 75% discount on covered brand-name drugs and a discount on generic drugs. Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage. This Clear Spring Health plan does not offer additional coverage through the gap.

Clear Spring Health Drug Coverage and Formulary

A formulary is divided into tiers or levels of coverage based on the type or usage of your medication or benefit categories, according to drug costs. Each tier will have a defined out-of-pocket cost that you must pay before receiving the drug. You can see complete 2020 Clear Spring Health Premier Rx (PDP) S6946-051 Formulary here.

Drug Tier Copay
1 $1 $10
2 $3 $20
3 $40 $47
4 40% 50%
5 25% 25%
*Initial Coverage Phase and 30 day supply

See the 2020 Clear Spring Health Formulary

Source: CMS.
Plans as of September 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Notes: Data are subject to change. All contracts for 2020 have been not finalized. For 2020, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part Includes 2020 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.

*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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