HealthSpring Extra Rx A 2026 Medicare Part D Plan (S5617-367)
HealthSpring Extra Rx A 2026 Medicare Part D Plan (S5617-367)
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: | S5617-367 |
| Plan Year: | 2026 |
| Total Part D Premium: | $66.60 |
| 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 |
|---|
Understanding Medicare Part D Plan Costs
HealthSpring Extra Rx has a range of costs, including monthly premiums, deductibles, copayments, and coinsurance. Understanding how each of these components impacts your overall expenses is key to managing your prescription drug costs effectively. The sections below will guide you through each cost factor.
Plan Premium Details
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: | $45.30 |
| Supplemental Part D Premium: | $21.30 |
| Total Part D Premium: | $66.60 |
| Low Income Premium Subsidy: | $15.20 |
| Low Income Premium Subsidy CMS Pays: | $15.20 |
| Low Income Subsidy Premium: | $51.40 |
IMPORTANT: If you qualify for the Low-Income Subsidy (LIS) program, known as "Extra Help," you could receive assistance with your prescription drug plan costs in Illinois. For more details, visit the Social Security Extra Help page.
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.
Prescription Drug Plan Out-of-Pocket Costs
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 | $10.00 | |
| Generic* | $5.00 | $20.00 | |
| Preferred Brand | 19.00% | 25.00% | |
| 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 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 |
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 Enroll in 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: 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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