HealthSpring Extra Rx A 2026 Medicare Part D Plan (S5617-358)
HealthSpring Extra Rx A 2026 Medicare Part D Plan (S5617-358)
Welcome to the 2026 HealthSpring Extra Rx Medicare Part D plan guide. 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.
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.
| HealthSpring Extra Rx: Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5617-358 |
| Plan Year: | 2026 |
| Total Part D Premium: | $78.00 |
| 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
When considering HealthSpring Extra Rx, it's important to look beyond the monthly premium. There are additional costs, such as deductibles, copayments, and coinsurance, that can affect your out-of-pocket expenses. The following sections explain each cost element to help you make informed decisions about your prescription drug coverage.
Plan Premium Details
The HealthSpring Extra Rx plan's monthly premium plays a significant role in determining your overall costs. Some plans may also include supplemental charges or offer Low-Income Subsidy (LIS) options. Below is a breakdown of the premium details for this 2026 plan from HealthSpring.
| Basic Part D Premium: | $54.20 |
| Supplemental Part D Premium: | $23.80 |
| Total Part D Premium: | $78.00 |
| Low Income Premium Subsidy: | $36.17 |
| Low Income Premium Subsidy CMS Pays: | $36.20 |
| Low Income Subsidy Premium: | $41.80 |
NOTE: Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs in North Carolina. Visit the Social Security Extra Help page to learn more.
Understanding the Plan’s Deductible
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
Beyond the monthly premium and deductible, HealthSpring Extra Rx includes copayments (fixed amounts) and/or coinsurance (a percentage of the cost) that you'll need to pay when filling your prescriptions. The table below outlines these costs in detail.
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic* | $0.00 | $8.00 | |
| Generic* | $5.00 | $16.00 | |
| Preferred Brand | 18.00% | 20.00% | |
| 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 evaluates Medicare Part D plans each year and assigns a star rating from 1 to 5 based on their overall quality and performance. These ratings are determined by factors like member experiences, customer service, and how well the plan ensures prescription drug safety. Higher ratings indicate better quality, making it easier for you to choose the right plan. Below is the star 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 |
When to Enroll in a Medicare Part D Plan
Knowing when to enroll in a Medicare Part D plan is crucial to ensuring you have the coverage you need. Below are the main enrollment periods:
- Initial Enrollment Period (IEP): This seven-month period begins three months before your 65th birthday month. Discover more about your Medicare Initial Enrollment Period.
- Annual Enrollment Period (AEP): Every year between October 15 and December 7, you can make changes to your Medicare Part D plan. Learn about the Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can switch Medicare Advantage plans or return to Original Medicare, , so long as you are currently enrolled in a Medicare Advantage plan. Learn more about the MA Open Enrollment Period.
- Special Enrollment Period (SEP): Life events such as relocating or losing coverage can trigger a Special Enrollment Period, allowing changes outside the usual enrollment windows.
How to Enroll in Medicare Part D
Here are a few ways to enroll in HealthSpring Extra Rx or a different Medicare Part D plan:
- Online via MedicareEnrollment.com: Compare and get enrolled online by visiting MedicareEnrollment.com.
- Call HealthCompare: Speak with a licensed insurance agent by calling HealthCompare at 833-748-3201 (TTY 711) for personalized assistance (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: You can also call 1-800-MEDICARE (1-800-633-4227) for help with enrollment. TTY users should dial 1-877-486-2048.
- Call the Plan Directly: Contact the plan directly using the information provided below to enroll by phone.
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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