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HealthSpring Preferred Savings (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HealthSpring Preferred Savings (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HealthSpring Preferred Savings (HMO) in 2026, please refer to our full plan details page.
This summary reflects 2026 plan information. Where this plan continues in 2027, the full plan details page links to its 2027 benefits and costs.
HealthSpring Preferred Savings (HMO) is a HMO plan offered by Healthspring Life & Health Insurance Company, Inc. available for the 2026 plan year to people living in Chicago. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that HealthSpring Preferred Savings (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about HealthSpring Preferred Savings (HMO).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For HealthSpring Preferred Savings (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $135.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
Health deductible: information not available.
This plan has a $200.00 drug deductible that applies only to drugs in certain tiers. You pay this amount toward covered prescriptions in those tiers before the plan's cost sharing begins; drugs in the other tiers are not subject to the deductible. See the full plan details page for the tier table.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $4000.00 for in-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $4000.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The HealthSpring Preferred Savings (HMO) Medicare plan features an annual drug deductible of $200. For Tier 1 preferred generic and Tier 2 generic drugs, beneficiaries pay no copay when using a preferred retail pharmacy or preferred mail-order service. If standard pharmacies or standard mail-order services are used, Tier 1 copays start at $5 and Tier 2 copays start at $10 for a one-month supply. Tier 3 preferred brand drugs carry a flat $47 copay for a one-month supply regardless of whether you use preferred or standard pharmacies and mail services. Higher-tier prescriptions require coinsurance, with Tier 4 non-preferred drugs carrying a 50% coinsurance and Tier 5 specialty drugs requiring a 30% coinsurance. This clear pricing structure allows you to easily estimate your prescription costs under this plan.
Additional Benefits
The HealthSpring Preferred Savings (HMO) plan features robust medical coverage with no copay and no coinsurance for primary care visits, preventive services, and home health care. For specialist visits, physical therapy, and occupational therapy, members will pay a 40 dollar copay with no coinsurance. Inpatient hospital stays require a 345 dollar daily copay for the first six days and no copay thereafter, while emergency room visits carry a 150 dollar copay that is waived if admitted. This plan also includes essential supplemental benefits, offering dental preventive care, home infusion services, and over-the-counter items with no copay and no coinsurance. Routine vision exams range from no copay to a 40 dollar copay, alongside no copay for annual eyewear up to a 250 dollar limit, while routine hearing exams require a 25 dollar copay. For specialized care like dialysis and medical equipment, members are responsible for a 20 percent coinsurance with no copay.
Inpatient Hospital See details
HealthSpring Preferred Savings (HMO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $345 daily copay for days 1 to 6 and no copay for days 7 to 90. This benefit is partially covered, as unlimited additional acute days are included, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
HealthSpring Preferred Savings (HMO) covers outpatient services with no coinsurance, featuring a $0 to $315 copay for outpatient hospital services and a $315 copay per stay for observation services. Ambulatory surgical center and blood services are covered with no copay and no coinsurance, while outpatient substance abuse sessions require a $40 copay.
Partial Hospitalization See details
HealthSpring Preferred Savings (HMO) covers partial hospitalization services with a $105.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
HealthSpring Preferred Savings (HMO) covers ground ambulance services with a $250 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay, with prior authorization required. While transportation services are technically covered, some services are covered but transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
Emergency services are covered under the HealthSpring Preferred Savings (HMO) plan with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $65 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered up to a $50,000 maximum with a $150 copay and no coinsurance.
Primary Care See details
HealthSpring Preferred Savings (HMO) covers primary care physician services with no copay and no coinsurance, while specialists, physical therapy, and occupational therapy require a $40 copay and no coinsurance. Chiropractic services are partially covered with a $20 copay and no coinsurance, excluding other chiropractic services, and while some psychiatric and mental health services are covered with no copay and no coinsurance, individual and group sessions are not covered.
Preventive Services See details
HealthSpring Preferred Savings (HMO) offers partial coverage for preventive services with no copay and no coinsurance for covered options like annual physical exams, fitness benefits, and kidney disease education. However, several additional services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, and weight management programs.
Hearing Services See details
HealthSpring Preferred Savings (HMO) covers routine hearing exams and fitting evaluations for a $25 copay and no coinsurance, as well as over-the-counter hearing aids for a $399 copay and no coinsurance. Prescription hearing aids are partially covered with copays ranging from $399 to $1,800 and no coinsurance, though inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Vision services are partially covered by HealthSpring Preferred Savings (HMO) because other eye exam services are not covered. Covered benefits feature no deductibles or coinsurance, offering one annual routine eye exam with a $0 to $40 copay and annual eyewear up to a $250 maximum with no copay.
Dental Services See details
HealthSpring Preferred Savings (HMO) partially covers dental services, providing preventive care with no copay and no coinsurance, and Medicare-covered dental services for a $40 copay and no coinsurance. Covered comprehensive services have copays ranging from $0 to $675 with no coinsurance up to a $20,000 annual maximum, though maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
HealthSpring Preferred Savings (HMO) covers home infusion bundled services with no copay and no coinsurance, subject to prior authorization. Under this benefit, Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the HealthSpring Preferred Savings (HMO) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
HealthSpring Preferred Savings (HMO) partially covers medical equipment with no copay and a 20% coinsurance, though prior authorization is required. Covered items include durable medical equipment, prosthetics, and diabetic therapeutic shoes, but diabetic supplies are not covered.
Diagnostic and Radiological Services See details
HealthSpring Preferred Savings (HMO) covers diagnostic and radiological services, with prior authorization required for both. Diagnostic services feature no coinsurance, with no copay for lab services and a copay of $0 to $100 for diagnostic procedures. Radiological services include no copay for outpatient X-rays (coinsurance applies), a copay starting at $0 for diagnostic radiology, and a copay plus a minimum 20% coinsurance for therapeutic radiology.
Home Health Services See details
HealthSpring Preferred Savings (HMO) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered by HealthSpring Preferred Savings (HMO) with no coinsurance and prior authorization required, though only some services are covered. Standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered and require a $15 copay.
Skilled Nursing Facility (SNF) See details
HealthSpring Preferred Savings (HMO) partially covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization and a daily copay of $20 for days 1 to 20 and $218 for days 21 to 100. While a prior three-day hospital stay is not required for admission, additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by HealthSpring Preferred Savings (HMO), as acupuncture is not covered. Covered benefits include Over-the-Counter (OTC) items up to $140 every three months and limited-duration meal benefits, both of which are available with no copay and no coinsurance.
Plan Providers
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
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1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
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Part B premium reduction 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.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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