HealthSpring Extra Rx A 2026 Medicare Part D Plan Available in Kentucky
HealthSpring Extra Rx A 2026 Medicare Part D Plan Available in Kentucky
Welcome to the 2025 HealthSpring Extra Rx Medicare Part D plan guide for Kentucky. Here, you’ll find all the information you need, including plan benefits, costs, and star ratings. We’ve also included enrollment options to assist you in securing the right prescription drug coverage for you in Kentucky.
The HealthSpring Extra Rx plan provides valuable coverage for reducing your prescription drug costs, whether you're enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in Kentucky.
| HealthSpring Extra Rx: Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5617-365 |
| Plan Year: | 2026 |
| Total Part D Premium: | $78.20 |
| Annual Deductible: | $615.00 |
| Part D Benefit Type: | Enhanced |
| No Deductible Drug Tier: | Yes |
| Low Income Subsidy: | Yes |
| Insured By: | HealthSpring |
| We're Here to Help You Enroll |
|---|
An Overview of Medicare Part D Plan Costs
HealthSpring Extra Rx has various costs beyond just the monthly premium. From deductibles to copayments and coinsurance, it's essential to understand how these expenses work so you can effectively manage your prescription drug costs. The sections below break down each cost component to help you navigate these financial details with ease.
Monthly Premium Overview
The HealthSpring Extra Rx plan's monthly premium is an important factor in your total costs. Some plans include extra fees or offer financial aid through the Low-Income Subsidy (LIS) program. The following table details the premium costs for this 2026 plan by HealthSpring.
| Basic Part D Premium: | $55.90 |
| Supplemental Part D Premium: | $22.30 |
| Total Part D Premium: | $78.20 |
| Low Income Premium Subsidy: | $38.44 |
| Low Income Premium Subsidy CMS Pays: | $38.40 |
| Low Income Subsidy Premium: | $39.80 |
NOTE: Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs in Kentucky. Visit the Social Security Extra Help page to learn more.
Annual Deductible Information
The annual Medicare Part D deductible for this plan is $615.00. You are responsible for paying this amount before HealthSpring starts sharing the cost of your prescriptions.
Out-of-Pocket Expenses with this Part D Plan
Along with the plan's monthly premium and deductible, HealthSpring Extra Rx requires you to pay copayments (a set dollar amount) or coinsurance (a percentage of the drug cost) when picking up your medications. The table below provides a breakdown of these out-of-pocket expenses.
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic* | $0.00 | $8.00 | |
| Generic* | $5.00 | $17.00 | |
| Preferred Brand | 17.00% | 21.00% | |
| Non-Preferred Drug | 50.00% | 50.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
What the CMS 5-Star Rating Means
The CMS assigns Medicare Part D plans a star rating, ranging from 1 to 5 stars, based on several factors, including customer service, member satisfaction, and prescription drug safety. This annual rating helps you evaluate the quality of a plan before enrolling. A 5-star rating indicates top-tier performance. Below, you’ll find the CMS rating for the HealthSpring Extra Rx plan.
| CMS Measure | Star Rating |
|---|---|
| Overall Plan Rating | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Important Medicare Part D Enrollment Periods
It's important to enroll in a Medicare Part D plan during specific periods to avoid penalties and ensure continuous coverage. Here are the key times to sign up:
- Initial Enrollment Period (IEP): Your first opportunity to join Medicare Part D typically begins three months before you turn 65 and continues for seven months. Find out more about the Initial Enrollment Period.
- Annual Enrollment Period (AEP): From October 15 to December 7 each year, you can change your Medicare Part D plan. Get details on the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): Between January 1 and March 31, you can change your Medicare Advantage plan or return to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Learn more about the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Specific situations, like moving or losing other coverage, may allow you to use a Special Enrollment Period to enroll or switch plans.
How to Sign Up for HealthSpring Extra Rx
Ready to enroll in HealthSpring Extra Rx or another Medicare Part D plan? Here are your options:
- Online via MedicareEnrollment.com: Easily compare and enroll in plans by visiting MedicareEnrollment.com.
- Call HealthCompare: Get expert help from HealthCompare by calling 833-748-3201 (TTY 711). They can assist you in finding the right plan for your needs (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: For additional guidance, contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: Alternatively, reach out to the plan directly using the contact information provided below.
Contact HealthSpring
| Website: | HealthSpring Plan Page |
|---|---|
| Formulary: | HealthSpring Formulary Page |
| Pharmacy: | HealthSpring Pharmacy Page |
| Prospective Part D Members: | (800)735-1459 |
| Prospective Part D TTY Users: | (877)843-6493 |
Plans Offered Through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, HealthSpring℠, 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
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