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Para asistencia en español, llame al:

(877) 364-4566; TTY: 711 y oprima el número 2

Nuestro horario es

de 8:00 a.m. a 8:00 p.m., hora local, los 7 días de la semana.
Si llama del 1ro de abril al 30 de septiembre, se usará sistema
automatizado de voz (correo de voz) durante los fines de semana
y los días feriados.

Our Contacts

To learn more, please call
1 (877) 364-4566; TTY: 711
Clear Spring Health,

PO Box 278530
Miramar, FL 33027

Hours of Operation

8:00 a.m. – 8:00 p.m., 7 days a week

(Between April 1 – September 30, voicemail will be available on Saturday, Sunday and federal holidays.)

Clear Spring Health Choice (PPO) -

Home > Clear Spring Health Choice (PPO) -

Discover Clear Spring Health Choice (PPO) -

Overview

Additional Information

Keep your costs low with a Health Maintenance Organization (HMO) plan that has a SO or low monthly premium.

Monthly Premium

Provider
Find a Participating Provider
Covered Prescription Drug
Find a Covered Drug
Pharmacy
Find a Participating Pharmacy

Medical Coverage

Medical Deductible

Maximum Out-of-Pocket

Primary Care Physician (PCP) Visit

Specialist Office Visit

Inpatient Hospital Care

Outpatient Services/Surgery

Ambulatory Surgery Center

Emergency Room

Ambulance Services

Urgently Needed Care

Diagnostic Tests, Lab & Radiology Services and X-rays

Skilled Nursing Facility (SNF)

Home Health Care

Durable Medical Equipment (DME)

Outpatient Mental Health

Chiropractic Services

Podiatry Services

Dental

Vision

Hearing

Over the Counter (OTC) Items

Transportation

Telehealth Services

Fitness

Prescription Drug Deductible

Initial Coverage Limit

Covered Prescription Drug Benefits
Pharmacy Option
Edit
.
Tier 1: Preferred Generic
Tier 2: Generic
Tier 3: Preferred Brand
Tier 4: Non-Preferred Drug
Tier 5: Specialty
Retail – Preferred Pharmacy
Edit
30-day supply
Edit
90-Day Supply
Mail-Order
Edit
30-day supply
Edit
90-Day Supply
Covered Prescription Drug Benefits (cont.)
Pharmacy Option
Edit
.
Tier 1: Preferred Generic
Tier 2: Generic
Tier 3: Preferred Brand
Tier 4: Non-Preferred Drug
Tier 5: Specialty
Retail – Standard Pharmacy
Edit
30-day supply
Edit
90-Day Supply
Mail-Order
Edit
30-day supply
Edit
90-Day Supply
Disenrollment Form
Enrollment Form
Evidence of Coverage
Formulary
LIS Premium Chart
Multi language Interpreter Services
Notice of Non-Discrimination
Over-the-Counter Catalog
Pharmacy Directory
Pre-Enrollment Checklist
Provider Directory
Star Rating
Summary of Benefits

Clear Spring Health
Choice (PPO) -

Monthly Premium

Contract Number:

Enroll Now
  • Enrollee must continue to pay their Medicare Part B premium. This information is not a complete description of benefits. Call 1-877-364-4566 (TTY: 711) for more information.

  • Clear Spring Health’s pharmacy network includes limited lower-cost, preferred pharmacies. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call or consult the online Pharmacy Locator.

  • Other pharmacies and other providers are available in our network.

  • Out-of-network/non-contracted providers are under no obligation to treat Clear Spring Health plan members, except in emergency situations. Please call Member Service or review the Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

Provider

Additional Information

Keep your c

Additional Information

Keep your c

Additional Information

Keep your c

Preferred Pharmacy Cost-Sharing

Pharmacy Option

Edit
.
Tier 1: Preferred Generic
Tier 2: Generic
Tier 3: Preferred Brand
Tier 4: Non-Preferred Drug
Tier 5: Specialty

Retail – Standard Pharmacy

Edit
30-day supply
$1
$3
$40
40%
25%

Edit
90-Day Supply
$3
$9
$120
40%
25%

Mail-Order

Edit
30-day supply
$1
$3
$40
40%
25%

Edit
90-Day Supply
$3
$9
$120
40%
25%

Enrollment is Easy!