HealthSpring Extra Rx A 2026 Medicare Part D Plan (S5617-364)
HealthSpring Extra Rx A 2026 Medicare Part D Plan (S5617-364)
This guide provides an overview of the HealthSpring Extra Rx Medicare Part D plan for 2026. You’ll find important information about the plan's benefits, costs, and star rating, along with details on how to enroll. Use the sections below to explore your prescription drug coverage options.
HealthSpring Extra Rx helps lower your prescription drug expenses, 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: | S5617-364 |
| Plan Year: | 2026 |
| Total Part D Premium: | $65.70 |
| 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.
Premium Breakdown
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: | $43.00 |
| Supplemental Part D Premium: | $22.70 |
| Total Part D Premium: | $65.70 |
| Low Income Premium Subsidy: | $31.38 |
| Low Income Premium Subsidy CMS Pays: | $31.40 |
| Low Income Subsidy Premium: | $34.30 |
NOTE: Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs in Ohio. Visit the Social Security Extra Help page to learn more.
Part D Prescription Drug Plan Deductible
This plan has a Medicare Part D annual deductible of $615.00. You must pay this amount upfront at the pharmacy before HealthSpring begins contributing to your prescription costs.
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 | $7.00 | |
| Generic* | $5.00 | $16.00 | |
| Preferred Brand | 18.00% | 24.00% | |
| Non-Preferred Drug | 50.00% | 50.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
How the CMS 5-Star Rating Works
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 Medicare Part D
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): 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
Here are a few ways to enroll in HealthSpring Extra Rx or a different Medicare Part D plan:
- Online via MedicareEnrollment.com: Visit MedicareEnrollment.com to compare plans and enroll online quickly and securely.
- Call HealthCompare: For personalized assistance, call HealthCompare at 833-748-3201 (TTY 711) to get expert help with finding the right plan (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: Speak with a Medicare representative by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: You can also contact the plan directly using the details provided below to enroll over the 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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