Clear Spring Health offers two Medicare Part D (or prescription drug)
plans: Value and Premier. Both include an extensive list of covered generic and brand-name prescription drugs and thousands of local
and national pharmacies.

Español

Para asistencia en español, llame al:

(877) 317-6082; 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

(877) 317-6082; 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 Premier Rx (PDP) -

Home > Clear Spring Health Premier Rx (PDP) -

Discover the Clear Spring Health Premier Rx -

Monthly Premium
Covered Prescription Drugs
Find a Covered Drug
Pharmacy
Find a Participating Pharmacy
Pharmacy Coverage
Monthly Premium
Pharmacy (PartD) Deductible
Initial Coverage Limit (ICL)
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-languages Interpreter Services
Notice of Non-Discrimination
Pharmacy Directory
Pre-Enrollment Checklist
Star Rating
Summary of Benefits
Clear Spring Health
Premier Rx -
Monthly Premium

Contract Number:

-


Enroll Now

Pharmacy option

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

Retail

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%

Covered Drug

  • *Enrollee must continue to pay the Medicare Part B premium.

  • Limitations, copayments, and restrictions may apply. See above or contact the plan for more details.

  • ** Most plans have mail order savings with $0 copay for Tier 1 drugs for a 90-day supply which, if used, may result in lower costs than displayed.

  • You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call: 1-800-MEDICARE (1 (800) 633-4227). TTY users should call 1 (877) 486-2048. 24 hours a day, 7 days a week.

  • 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.

Enroll Today!