HealthSpring Assurance Rx (PDP)
HealthSpring
What you pay for care
In-network costs for every service in this plan's CMS benefit filing. A copay is a fixed dollar amount; coinsurance is a percentage of the bill.
The benefit filing for this plan is not materialized in the current release.
Extra benefits beyond Original Medicare
Supplemental benefits this plan filed with CMS, with the cap and period exactly as filed.
No supplemental benefits are filed for this plan.
Not offered by this plan
Prescription drugs (Part D)
$615 annual drug deductible · 5 formulary tiers · mail order available. Costs shown for a 30-day supply.
Initial coverage
| Tier | Preferred retail | Standard retail | Mail order | Insulin | Deductible |
|---|---|---|---|---|---|
| 1. Preferred Generic | 5% coinsurance | 10% coinsurance | 5% coinsurance | $35 | Applies |
| 2. Generic | 10% coinsurance | 15% coinsurance | 10% coinsurance | $35 | Applies |
| 3. Preferred Brand | 25% coinsurance | 25% coinsurance | 25% coinsurance | $35 | Applies |
| 4. Non-Preferred Drug | 29% coinsurance | 29% coinsurance | 29% coinsurance | $35 | Applies |
| 5. Specialty Tier specialty | 25% coinsurance | 25% coinsurance | 25% coinsurance | $35 | Applies |
Catastrophic (after the out-of-pocket threshold)
| Tier | Preferred retail | Standard retail | Mail order | Insulin | Deductible |
|---|---|---|---|---|---|
| 1. Preferred Generic | 0% coinsurance | 0% coinsurance | 0% coinsurance | $35 | Applies |
| 2. Generic | 0% coinsurance | 0% coinsurance | 0% coinsurance | $35 | Applies |
| 3. Preferred Brand | 0% coinsurance | 0% coinsurance | 0% coinsurance | $35 | Applies |
| 4. Non-Preferred Drug | 0% coinsurance | 0% coinsurance | 0% coinsurance | $35 | Applies |
| 5. Specialty Tier specialty | 0% coinsurance | 0% coinsurance | 0% coinsurance | $35 | Applies |
Out-of-pocket threshold for the catastrophic phase: $2,100.
Is my medicine on this plan’s list?
Pharmacies near you in this plan's network
From the plan's filed Part D pharmacy network, matched to geocoded pharmacy locations. Preferred pharmacies come first: they carry the lower copay column in the tier table above. The ZIP you enter stays in this browser.
CMS star ratings
Star ratings are set by CMS for the whole contract, so every plan under this contract shares them.
Drug plan customer service
5- Call center foreign language interpreter and TTY availability5
Drug plan complaints and changes
3- Complaints4
- Members leaving2
- Quality improvement3
Member experience with the drug plan
2- Drug plan rating2
- Prescription drugs2
Drug safety and accuracy of drug pricing
3- Price accuracy5
- Statin diabetes3
- Medication therapy management comprehensive medication review completion4
- Medication adherence for diabetes medications2
- Medication adherence for hypertension RAS antagonists s1
- Medication adherence for cholesterol statins2
Why members leave this contract
Service area and network
Sold in 61 California counties.
Ask about this plan
A question box grounded in this plan's filed benefits, drug list, and pharmacy network. It reads the same records shown on this page and says so when something is not filed.