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Clear spring health mail order pharmacy. A 90-day mail order benefit is available for all plans.


Clear spring health mail order pharmacy For hearing impaired (Available 24/7): TTY. Please review the 2024 Pharmacy Directory to see which pharmacies are in our network. SUMMARY OF BENEFITS 2024 Y0145_OP 141_083123_M Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay Tier 2: by mail. Mail: Clear Spring Health Attention: Appeals & Grievances 3601 SW 160th Avenue Suite 450 Miramar, FL 33027 questions, please contact Clear Spring Health Member Services at (877) 384-1241 or for TYY users, 711. Tier Description 30-Day Preferred Pharm 90-Day Mail Order; No Records found. Skip to content. www. Hours are 8:00 am to 8:00 pm Monday – Friday from April 1 – September 30 and 8:00 am to 8:00 pm This is a summary of drug services covered by Clear Spring Health from January 1, 2025 – December 31, 2025 Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay For more information on additional pharmacy specific cost-share and the drug coverage stages, please call our Customer Service Clear Spring Health Choice Plan (PPO) 2024 Pharmacy Directory This pharmacy directory was updated on 10/18/2024. 15 copay for generic/preferred multi-source drug (including brand drugs treated as Clear Spring Health Value Rx (PDP) Arkansas S6946-016. See how your costs and coverage may change. For more recent information or other questions, please contact Clear Spring Health Member Services at (877) 384-1241 or for TYY users, 711. SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail-order service This is a summary of drug services covered by Clear Spring Health from January 1, 2025 – December 31, 2025 You may choose non-preferred pharmacies to fill prescriptions, but your costs may be higher. Summary of Important Costs for 2025 . This is a summary of drug services covered by Clear Spring Health from January 1, 2025 – December 31, 2025 You may choose non-preferred pharmacies to fill prescriptions, but your costs may be higher. • Clear Spring Health Value Rx (PDP) offers a pharmacy network with preferred cost sharing at select pharmacies. Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay 2024 Clear Spring Health Value Rx (PDP) S6946 – 027 After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400. This is an important legal document. This document gives you the details about your Medicare health care and prescription drug coverage from January 1 SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail-order service Boost your immune system, improve energy levels, and reach your health goals. For questions about this document, please contact Member Services at 1 (877) 364-4566 for additional information. ) Clear Spring Health has a contract with Medicare to offer HMO, PPO, and PDP plans. To confirm if a pharmacy is in the network, call the pharmacy or Clear Spring Health Value Rx (PDP) Annual Notice of Changes for 2025 1 OMB Approval 0938-1051 (Expires: August 31, 2026) Services for updated provider information or to ask us to mail you a Pharmacy Directory. 60. $10. For refills of For general information about your pharmacy benefits including coverage and cost questions, please contact Optum Rx Customer Service: 1-800-460-0395. com for the 2024 “Evidence of Coverage”, or call 1-877-317-6082 Clear Spring Health works with Optum Rx to fill your prescription benefit needs. 30 $545 No Additional Gap Coverage S6946 001 1. Not sure about your prescription drug coverage at Clear Spring mail order pharmacy service. Enrollment in these plans is dependent on annual contract renewal with the federal as a Member of Clear Spring Health Essential (HMO C-SNP). Please note, that this plan has a Enhanced benefit type. SUMMARY OF BENEFITS Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay Tier 2: by mail. You may choose non-preferred pharmacies to fill prescriptions, but your This is a summary of drug services covered by Clear Spring Health from January 1, 2025 – December 31, 2025 Clear Spring Health has a contract with Medicare to offer HMO, PPO, and PDP plans. Payment Plans. If you do not receive your prescription drug(s) within this time, please contact us at 1-800-461-1308, TYY: 711. Looking for a health plan? Clear Clear Spring Health works with Optum Rx to fill your prescription benefit needs. Once you Find a network pharmacy. Medication pricing and coverage. SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail-order service Clear Spring Health Value Rx (PDP) Annual Notice of Changes for 2025 1 OMB Approval 0938-1051 (Expires: August 31, 2026) Services for updated provider information or to ask us to mail you a Pharmacy Directory. Your Medicare Prescription Drug Coverage as a Member of Clear Spring Health Value Rx (PDP) This document gives you the details about your Medicare prescription drug coverage from January 1 – December 31, 2025. 00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. A 90-day mail order benefit is available for all plans. However, CMS terminated the company’s Medicare Part D contract, effective December 31, 2024. Clair, of Coverage to be mailed to you. This document gives you the details about your Medicare health care and prescription drug coverage from January 1 SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail-order service Reason for Mailing Address Claims Submissions & Behavioral Health) Clear Spring Health Attn: Claims P. Our pharmacy network may change at any time. For more recent information or other questions, the mail order pharmacy receives the order. Enrollment in these plans is dependent on annual contract renewal with the federal as a Member of Clear Spring Health Community Advantage Plan (HMO) This document gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2025. Clear Spring Health Essential (HMO) Annual Notice of Changes for 2024 1 OMB Approval 0938-1051 (Expires: February 29, 2024) Clear Spring Health Essential (HMO) offered by Clear Spring Health Annual Notice of Changes for 2024 You are currently enrolled as a member of Clear Spring Health Essential (HMO). Enrollment in these plans is dependent on annual contract renewal with the federal government. You may choose non-preferred pharmacies to fill prescriptions, but your costs may be higher. SUMMARY OF BENEFITS 2024 Y0145_OP 162_083123_M Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay Tier 2: by mail. SUMMARY OF BENEFITS 2024 Y0145_OP 143_083123_M Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay Tier 2: by mail. It is important Clear Spring Health Value Rx (PDP) offers a pharmacy network with preferred cost sharing at select pharmacies. 5 stars Low Performing Specialty Pharmacy How do I order my prescription through the mail service pharmacy? Centura Health Pharmacy Services is designated as your provider for mail order prescriptions covered by your pharmacy benefit. We have locations in Denver and Littleton and reach your health goals. Sign in to your account to learn more about the services offered to you. Hours are 8:00 am to 8:00 pm Monday – Friday from April 1 – September 30 and 8:00 am to pharmacy or through our mail order pharmacy service. Enrollment in these plans is dependent on . Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay as a Member of Clear Spring Health Essential (HMO) This document gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2025. You may choose non-preferred pharmacies to fill prescriptions, but your costs 2023 Clear Spring Health Select Plus After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400. SUMMARY OF BENEFITS 2024 Y0145_OP 163_083123_M Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay Tier 2: by mail. Clear Spring Health At Clear Spring Health, we offer PPO, HMO, and PDP advantage plans at affordable prices. See our customer service phone number and email address here. Pricing and coverage tool. 2025 . Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic Find a 2024 Medicare Advantage Plan (Health and Health w/Rx Plans) Browse Any 2024 Medicare Plan Formulary (or Drug List) Q1Rx Drug-Finder: Compare Drug Cost Across all 2024 Medicare Plans; 2024 Plan Overview by State; PDP and MAPD Overview by State; PDP Overview by CMS Region; The Clear Spring Health Value Rx (PDP) does offer a mail order service. com. This is a summary of health and drug services covered by Clear Spring Health Essential (HMO) and Clear Spring Health Essential (HMO C-SNP) from January 1, 2025 – December 31, 2025. Get in touch today! Mail Order Pharmacies Mail Order Delivery Program You can get prescription drugs shipped to your home through our network mail order delivery program. Tools. . Download your online forms here. To remain a member of our plan, you must continue to reside in the plan service area. Contact us. Your out-of-pocket costs for these select insulins will be $35 for a 30-day supply at a standard retail pharmacy and $30 for a 30-day supply for a preferred, in-network pharmacy. You may choose non-preferred pharmacies to Clear Spring Health Essential (HMO) H6379-001 COUNTIES: The Preferred Pharmacy Network is a select network of national and local independent pharmacies designed to help save you money on your prescriptions. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit. The pharmacy and through mail order) reach $7,400, you pay the greater of: • 5% of the cost, or and the mail service pharmacy? You can receive up to a 90 days supply of medications at Centura Health Pharmacies, ClearScript Network pharmacies and the Centura Health Mail Order pharmacy. CMS’s September landscape file inadvertently listed Clear Spring Health’s plans, which explains the discrepancy between our PDP count and the other sources noted above. Clear Spring Health Value Rx (PDP) Florida S6946-008. This document gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2024. Enrollment in these plans is dependent on annual contract Clear Spring Health Premier Rx (PDP) Summary of Benefits States of Alabama, Alaska, Arizona, Mail Order Cost-Sharing In-Network Preferred Mail Order 3-Months Standard Mail Order 3-Months Tier 1 Preferred Generic $3 copay $45 copay Tier 2 Generic $15 copay $60 copay Tier 3 Preferred Brand $126 copay $141 copay Tier 4 Non-Preferred Drug 45% coinsurance 50% 2024 Clear Spring Health Value Rx After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400. com to see which as a Member of Clear Spring Health Select Plan (HMO). SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail-order service Your Medicare Prescription Drug Coverage as a Member of Clear Spring Health Value Rx (PDP) This document gives you the details about your Medicare prescription drug coverage from January 1 – December 31, 2024. 2 Here is the plan service area for Clear Spring Health Value Rx (PDP) Clear Spring Health Value Rx (PDP) is available only to individuals who live in our plan service area. pharmacy and through mail order) reach $7,400, you pay the greater of: • 5% of the cost, or • $4. The Preferred Pharmacy Network is a select network of national and local independent pharmacies designed to help save you money on your prescriptions. com to see which pharmacies are in our network. However, you may be able to save on your out-of-pocket costs through lower copays when you fill your prescriptions through Centura Health Pharmacies or 2023 Clear Spring Health Community Advantage Plan (HMO) H3071 – 002 After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400. The service area is described below. Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic Your Medicare Prescription Drug Coverage as a Member of Clear Spring Health Value Rx (PDP) This document gives you the details about your Medicare prescription drug coverage from January 1 – December 31, 2025. Once you Mail Order Clear Spring Health 1-877-317-6082 clearspringhealthcare. Discover the comprehensive range of services offered by our compounding pharmacy. For questions about this document, please contact Member Services at (877) 317-6082. Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic To place an OTC order over the phone call: 1-877-234-4806 (TTY: 711) General Member Customer Service Phone Number: 1-877-384-1241 MEMBER SERVICES Contact Line: Please first call the number found on the Clear Spring Health Value Rx (PDP) Washington, D. Report via email. Search your plan's formulary or prescription drug list to find covered products and additional details. Dakota, Wyoming Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay Tier 2: by mail. Clear Spring Heath has This is a summary of drug services covered by Clear Spring Health from January 1, 2025 – December 31, 2025 Clear Spring Health has a contract with Medicare to offer HMO, PPO, and PDP plans. ClearSpringHealthCare. 711. The Initial Coverage Phase (ICP) can be thought of as the cost-sharing phase of the plan. The directory is correct at the time of update. Current members can switch to another plan anytime in 2024. 15 copay or 5% (whichever costs more) Brand-name. Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay Medicare Part D Drug Plan information for 2024 Clear Spring Health Value Rx (PDP) S6946 - 027 - 0 by Clear Spring Health. Hours are 8:00 am to 8:00 pm Monday – Friday from April 1 – September 30 and 8:00 am to Elevate your health with our online supplement shop. SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail-order service Clear Spring Health has a contract with Medicare to offer HMO, PPO, and PDP Plans. Clear Spring Health Value Rx (PDP) California S6946-027. 3 Legal information about the Evidence of Coverage This Evidence of Coverage is part of our contract with you about how Clear Spring Health Essential (HMO C-SNP) covers your care. It has received a 1. For questions about this document, please contact Member Services at 877-364-4566 for additional information. Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic Clear Spring Health Value Rx (PDP) Idaho, Utah S6946-026. They can reach us at 303-707-1500 or 303-333-2010. SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail-order service 2024 Clear Spring Health Value Rx (PDP) S6946 – 023 After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400. SUMMARY OF BENEFITS 2024 Y0145_OP 146_083123_M Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay Tier 2: by mail. Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic Clear Spring Health Value Rx (PDP) Kentucky, Indiana S6946-012. H5454-005 Clear Spring Health Essential (HMO C-SNP) COUNTIES: Boone, Clinton, Macoupin, Madison, Ogle, St. To get a complete list of services we cover, please visit www. SUMMARY OF BENEFITS 2024 Y0145_OP 152_083123_M Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay Tier 2: by mail. Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic Clear Spring Health Premier Rx (PDP) Summary of Benefits States of Alabama, Alaska, Arizona, Arkansas, California, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, pharmacy and through mail order) reach $7,050, you pay the greater of: 5% of the cost, or 90-day supply of medication for prescriptions filled at an in-network 90-day retail pharmacy. Hours are 8:00 am to 8:00 pm Monday – Friday from April 1 – September 30 and 8:00 am to pharmacy or through our mail Whereas other companies offer as many as three options, Clear Spring Health has only one Medicare Part D plan in 2024: Clear Spring Health Value Rx [0] Centers for Medicare & Medicaid Services questions, please contact Clear Spring Health Member Services at (877) 384-1241 or for TYY users, 711. Plans Medicare (including drugs purchased through your retail pharmacy and through mail order) reach $8,000. com to see which Clear Spring Health Value Rx (PDP) Annual Notice of Changes for 2025 1 OMB Approval 0938-1051 (Expires: August 31, 2026) Services for updated provider information or to ask us to mail you a Pharmacy Directory. SUMMARY OF BENEFITS 2024 Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay Tier 2: by mail. questions, please contact Clear Spring Health Member Services at (877) 384-1241 or for TYY users, 711. Once you go to one pharmacy, you are questions, please contact Clear Spring Health Member Services at (877) 384-1241 or for TYY users, 711. Learn more about Clear Spring Health Value Rx (PDP) S6946 - 019-0, including the health and drug services it covers, by reading our easy-to-use guide. , Delaware, Maryland S6946-002. This document gives you the details about your Medicare health care and prescription drug coverage from January 1 SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail-order service as a Member of Clear Spring Health Silver Plan (HMO C-SNP). We can attempt to transfer the prescription from the pharmacy that bought the Medley records, but we have had a hard time getting through to that pharmacy. Formulary Lookup. (TTY Clear Spring Health Value Rx (PDP) Annual Notice of Changes for 2024 1 OMB Approval 0938-1051 (Expires: February 29, 2024) Services for updated provider information or to ask us to mail you a Pharmacy Directory. O. For questions about this document, please contact Member Services at 877-364-4566 for as a Member of Clear Spring Health Essential (PPO) This document gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2025. Enrollment in these plans is dependent on annual contract renewal with the federal Your Medicare Prescription Drug Coverage as a Member of Clear Spring Health Value Rx (PDP) This document gives you the details about your Medicare prescription drug coverage from January 1 – December 31, 2024. Clear Spring Health Value Rx (PDP) Georgia S6946-007. The Evidence of Coverage will be available on our website by no later than October 15, You may choose non-preferred pharmacies to fill prescriptions, but your costs may be higher. You may pay more at other pharmacies. We do not endorse a pharmacy, doctor, or health care worker. Please review the 2025 Pharmacy Directory www. Clear Spring Health Care PO Box 278530 Miramar, FL 33027 Website: www. Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic questions, please contact Clear Spring Health Member Services at (877) 384-1241 or for TYY users, 711. ) 2024 Clear Spring Health Value Rx (PDP) After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400. 2024 Clear Spring Health Value Rx (PDP) S6946 – 011 After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400. optumrx. Why is Clear Spring Health changing its pharmacy benefit manager? Elevate your health with our online supplement shop. 5-out-of-5 star rating from CMS for 2024. We strongly suggest that you review our current Pharmacy Directory Your Medicare Prescription Drug Coverage as a Member of Clear Spring Health Value Rx (PDP) This document gives you the details about your Medicare prescription drug coverage from January 1 – December 31, 2024. Basic $0 $24. Clear Spring Health has contracts with the Georgia and South Carolina Medicaid programs. 35 copay or 5% %PDF-1. When it says “plan” or “our plan,” it means Clear Spring Health Essential (HMO). Information center. Clear Spring Heath has a contract with . The pharmacy and through mail order) reach $7,400, you pay the greater of: • 5% of the cost, or Clear Spring Health (Clear Spring Health of Illinois, INC. Plans Medicare Advantage and Part D Plans Facts (including drugs purchased through your retail pharmacy and through mail order) reach $8,000. You will This is a summary of drug services covered by Clear Spring Health from January 1, 2025 – December 31, 2025 Clear Spring Health has a contract with Medicare to offer HMO, PPO, and PDP plans. Box 981731 El Paso, TX 79998-1731 Claims Disputes and Administrative Review Clear Spring Health Attn: Claims P. Locate in network pharmacies near you. Prescription Drug Lookup. SUMMARY OF BENEFITS 2024 Y0145_OP 144_083123_M Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay Tier 2: by mail. Find premium products from Ortho Molecular, Metagenics, Thorne, and more! Boost your immune system, improve energy levels, Clear Spring Health Essential (HMO) 2025 Pharmacy Directory This pharmacy directory was updated on 10/15/2024. Medicare to offer HMO, PPO, and PDP Plans. 4 %âãÏÓ 9218 0 obj > endobj xref 9218 33 0000000016 00000 n 0000002115 00000 n 0000002278 00000 n 0000005021 00000 n 0000005659 00000 n 0000006254 00000 n 0000006849 00000 n 0000007378 00000 n 0000007493 00000 n 0000007606 00000 n 0000007698 00000 n 0000008378 00000 n 0000008985 00000 n 0000010859 00000 n The Clear Spring Health Value Rx (PDP) (S6946-002-0) Formulary Drugs Starting with the Letter A in CMS PDP Region 5 which includes: DC DE MD: Drugs Starting with Letter A Drug Name Drug Tier Information Cost-Sharing Drug Usage Mgmt; Tier Nbr. D-Hist Discover the best Medicare Part D plans of 2024, according to extensive research. Clear Spring Health and their affiliates may also contact you via email using any email address you provided. Your Medicare Prescription Drug Coverage as a Member of Clear Spring Health Value Rx (PDP) This document gives you the details about your Medicare prescription drug coverage from January 1 – December 31, 2024. Once you Let the provider know that the patient’s compounding pharmacy closed and that they would have all their prescriptions sent to ClearSpring. 35 copay or 5% After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $8,000. Once you questions, please contact Clear Spring Health Member Services at (877) 384-1241 or for TYY users, 711. Once you On January 1, 2024, Clear Spring Health will be changing our PBM from Express Scripts to OptumRx. Access documents related to your Clear Spring Health Plan coverage. About the pharmacy network Choose your pharmacy - We give general information about pharmacies. It is important that you know that we may make changes to the pharmacies Clear Spring Health Community Advantage Plan (HMO) Annual Notice of Changes for 2025 4 . Once you This is a summary of health and drug services covered by Clear Spring Health Choice Plan (PPO) from January 1, 2025 – December 31, 2025. Dakota, N. on HMO Plans; Up to $1,200 Annually for Groceries on HMO Plans** Up to $600 Annually for The chart below is the fifth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H6846 through H8998. Generic Drugs . To get started using mail service for home delivery of your prescriptions, you can sign up by phone by calling Centura Health Pharmacy questions, please contact Clear Spring Health Member Services at (877) 384-1241 or for TYY users, 711. 35 copay or 5% • Clear Spring Health offers a pharmacy network with preferred cost sharing at select pharmacies. Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic The Clear Spring Health Value Rx (PDP) does offer a mail order service. Please read the frequently asked ques ons below for more details. Click here to browse the Clear Spring Health Value Rx (PDP) Formulary. Box 491 Park Ridge, IL 60068 Practice Change Information Clear Spring Health Attention: Provider Relations & Recruitment To place an OTC order over the phone call: 1-877-234-4806 (TTY: 711) General Member Customer Service Phone Number: 1-877-384-1241 MEMBER SERVICES Contact Line: Please first call the number found on the Medicare Advantage plan information for 2024 Clear Spring Health Essential (HMO) H8293 - 001 - 0 by Clear Spring Health. Hours are 8:00 am to 8:00 pm Monday – Friday from April 1 – September 30 and 8:00 am to pharmacy or through our mail Clear Spring Health works with Optum Rx to fill your prescription benefit needs. Get a Georgia Medicare Advantage Prescription Drug Plan from Clear Spring Health $0 premium plans with extra benefits you can plan on. ). Hours are 8:00 am to 8:00 pm Monday – Friday from April 1 – September 30 and 8:00 am to pharmacy or through our mail The chart below is the fifth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H6846 through H8998. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network Mail Order / Home Delivery. 120 SECTION 1 Situations in which you should ask us to as a Member of Clear Spring Health Essential (HMO C-SNP). 2025 Georgia HMO and PPO Plan Benefits*: $0 Monthly Premiums; Up to $720 Over-the-Counter Benefit a Year* 12 Trips to Health Appt. 1-800-460-0395. Mail Order / Home Delivery. Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic Clear Spring Health Value Rx (PDP) Georgia S6946-007. Y015OP 185-01124M SUMMARY OF BENEFITS. Cost 2024 (this year) 2025 (next year) Monthly plan This is a summary of drug services covered by Clear Spring Health from January 1, 2025 – December 31, 2025 Clear Spring Health has a contract with Medicare to offer HMO, PPO, and PDP plans. Section 2. Enrollment in these plans is dependent on annual contract renewal with the federal . Once you While the Clear Spring Health Premier Rx plan may not be available where you live, you can easily compare the Medicare prescription drug plans available in your area online. For questions about this document, please contact Member Services at 877-364-4566. Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail-order service Clear Spring Health Community Advantage Plan (HMO) is a Medicare Advantage HMO Plan (HMO stands for Health Maintenance Organization) approved by Medicare and run by a private Clear Spring Health Premier Rx (PDP) Summary of Benefits States of Alabama, Alaska, Arizona, Arkansas, California, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, pharmacy and through mail order) reach $7,050, you pay the greater of: 5% of the cost, or Medicare Advantage Plans from Clear Spring Health, We can share health information about you in response to a court or administrative order, and we will mail a copy to you. Preferred Mail Order 90-day Supply Long-Term Care 31-day Supply Tier 1: Preferred Select Insulins Clear Spring Health Choice Plan (PPO) insulins. FAQ’s . Preferred pharmacy mail-order (30-day questions, please contact Clear Spring Health Member Services at (877) 384-1241 or for TYY users, 711. Click here for the first page (E3014 - H2001) , second page (H2029 - H3499) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , and sixth page (H9001 - X0001) . As we make this change, we would like to inform you about this change in advance. Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic This is a summary of health and drug services covered by Clear Spring Health Essential (PPO) from January 1, 2025 – December 31, 2025. Our bubble packing and delivery ensure that you won’t miss a dose and can easily manage your medication. The table below compares the 2024 costs and 2025 costs for Clear Spring Health Community Advantage Plan (HMO) in several important areas. com Clear Spring Health Value Rx Sanctioned by CMS, cannot take new members. Enrollment in these plans is dependent on annual contract renewal with the federal Clear Spring Health Premier Rx (PDP) Summary of Benefits States of Alabama, Alaska, Arizona, Mail Order Cost-Sharing In-Network Preferred Mail Order 3-Months Standard Mail Order 3-Months Tier 1 Preferred Generic $3 copay $45 copay Tier 2 Generic $15 copay $60 copay Tier 3 Preferred Brand $126 copay $141 copay Tier 4 Non-Preferred Drug 45% coinsurance 50% Clear Spring Health Essential (HMO) H6379-001 Clear Spring Health Essential (HMO C-SNP) H6379-002. We have a dedicated delivery department for our Long-Term Care clients. SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail-order service Clear Spring Health Essential (HMO) is a Medicare Advantage HMO Plan (HMO stands for Health Maintenance Organization) approved by Medicare and run by a private company. Compare top-rated providers to choose the right option for you. Clear Spring Health Value Rx (PDP) North Carolina S6946-005. For 2024, Clear Spring offered only one plan. Phone: 1-800-788-4863. Click here for the first page (E3014 Clear Spring Health: all plans: 610011: CTRXMEDD: H8019: Medica: all plans: 610602: NVTD: H8026: Aetna Better Health Premier Plan: all plans: 610591 Clear Spring Health Value Rx (PDP) Michigan S6946-010. C. Please note this is only a summary of costs. Each of our pharmacy locations provides health-focused over-the Clear Spring Health Silver Plan (HMO C-SNP) 2025 Pharmacy Directory This pharmacy directory was updated on 10/15/2024. Choose your health plan and extra benefits. annual contract renewal with the federal government. 00, you pay nothing for Medicare Part D covered drugs. This is a summary of health and drug services covered by Clear Spring Health Choice Plan (PPO) from January 1, 2025 – December 31, 2025. Pharmacies may have been added or removed from our network after the last update. ) Clear Spring Health has a contract with Medicare to offer HMO, and PPO Plans. $4. Learn More. Tech support. Find premium products from Ortho Molecular, Metagenics, Thorne, and more! In addition to compounding, our pharmacy can provide traditionally prescribed medications. Enjoy easy online 2024 Evidence of Coverage for Clear Spring Health Community Advantage Plan (HMO) 3 Table of Contents CHAPTER 7: Asking us to pay our share of a bill you have received for covered medical services or drugs. SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail-order service Your Medicare Prescription Drug Coverage as a Member of Clear Spring Health Premier Rx (PDP) This document gives you the details about your Medicare prescription drug coverage from January 1 – December 31, 2023. Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic Clear Spring Health Value Rx (PDP) Iowa, Minnesota, Montana, Nebraska, S. com If you have any questions, please call us at 1(877) 384-1241 TTY This is a summary of drug services covered by Clear Spring Health from January 1, 2025 – December 31, 2025 You may choose non-preferred pharmacies to fill prescriptions, but your costs may be higher. as a Member of Clear Spring Health Choice Plan (PPO) This document gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2025. Next year, there will be changes to the plan’s costs and This is a summary of drug services covered by Clear Spring Health from January 1, 2025 – December 31, 2025 Clear Spring Health has a contract with Medicare to offer HMO, PPO, and PDP plans. Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic Clear Spring Health Value Rx (PDP) Oregon, Washington S6946-025. Enjoy easy online ordering and delivery straight to your door! Contact us today for more information or assistance with prescriptions, and experience our dedicated service! We This is a summary of drug services covered by Clear Spring Health from January 1, 2025 – December 31, 2025 Mail Order 30-day supply Tier 1: Preferred Generic $1 copay $6 copay $3 copay $18 copay $1 copay For more information on additional pharmacy specific cost-share and the drug coverage stages, please call our Customer Service Optum Rx offers free prescription delivery, low-cost insulin, and other pharmacy services. Enrollment in these plans is dependent on annual contract renewal with the federal Understand your Medicare Advantage insurance plan details. Clear Spring Health Premier Rx (PDP) Annual Notice of Changes for 2023 1 OMB Approval 0938-1051 (Expires: February 29, 2024) You may also call Member Services for updated provider information or to ask us to mail you a Pharmacy Directory. SECTION 2 Fill your prescription at a network pharmacy or through the plan’s mail-order service Your Medicare Prescription Drug Coverage as a Member of Clear Spring Health Value Rx (PDP) This document gives you the details about your Medicare prescription drug coverage from January 1 – December 31, 2025. (TTY users should call 711. clearspringhealthcare. Pharmacy Type Out-of-Network 30- day supply Long Term care 31-day supply Tier 1 Preferred Generic 2024 Evidence of Coverage for Clear Spring Health Essential (HMO C-SNP) 7 Chapter 1 Getting started as a member Section 1. This is a summary of health and drug services covered by Clear Spring Health from January 1, 2024 – December 31, 2024 Clear Spring Health has a contract with Medicare to offer HMO, PPO, and PDP plans. Our clients will benefit from personalized customer service and We mail your compounded medications directly to your door through the USPS at no additional charge. com to see which Clear Spring Health Value Rx (PDP) Pennsylvania, West Virginia S6946-003. Ready to sign up for Clear Clear Spring Health Value Rx (PDP) 2024 Clear Spring Health Value Rx (PDP) S6946 — 019 — 0 is a Medicare Prescription Drug plan with drug coverage. Search your plan's You can contact Medicare Advantage or Clear Spring Health with any questions. Find a network pharmacy. Enjoy easy online ordering and delivery straight to your door! Go to Shop MitoCORE $ 64. During this phase, you and the insurance company share your prescription costs. We are the perfect stop for patients who make use of both. 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