Clear Spring Health Premier Rx (PDP)

Clear Spring Health Premier Rx (PDP) is a PDP plan offered by Group 1001 available for the 2025 plan year to people living in . CMS star rating not available for 2025.

It's important to know that Clear Spring Health Premier Rx (PDP) is a Prescription Drug (PDP) Plan. That means that this plan does cover prescription drugs, but doesn't cover medical services. If you are looking for a plan with medical service coverage, please search for Medicare Advantage Plans offered in your area.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Clear Spring Health Premier Rx (PDP).

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.

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.

Drug Coverage

The Clear Spring Health Premier Rx (PDP) plan has a $590 deductible for prescription drugs. After the deductible is met, you will pay the costs for your drugs in each tier until your total drug costs reach $2,000. Once your yearly out-of-pocket drug costs reach $2,000, you will enter the catastrophic coverage phase, where you pay nothing for Medicare Part D covered drugs. If you qualify for the low-income subsidy, your monthly premium will be reduced to $25.90.

Additional Benefits

As a Prescription Drug (PDP) plan, health services are not covered by Clear Spring Health Premier Rx (PDP).

This includes doctor visits, hospital stays, and other medical services generally covered by other Medicare Advantage (MA) plans.

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, HealthSpring^SM, 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.