HealthSpring Extra Rx A 2026 Medicare Part D Plan Available in South Carolina
HealthSpring Extra Rx A 2026 Medicare Part D Plan Available in South Carolina
Welcome to the 2025 HealthSpring Extra Rx Medicare Part D plan guide for South Carolina. 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 South Carolina.
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 South Carolina.
| HealthSpring Extra Rx: Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5617-359 |
| Plan Year: | 2026 |
| Total Part D Premium: | $71.20 |
| 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 |
|---|
Breaking Down 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.
Monthly Premium Overview
Your monthly premium for the HealthSpring Extra Rx plan is bundled into the total plan cost. Depending on the plan, you may face additional expenses or qualify for Low-Income Subsidy (LIS) support. The table below outlines the premium structure for this 2026 HealthSpring plan.
| Basic Part D Premium: | $47.60 |
| Supplemental Part D Premium: | $23.60 |
| Total Part D Premium: | $71.20 |
| Low Income Premium Subsidy: | $35.66 |
| Low Income Premium Subsidy CMS Pays: | $35.70 |
| Low Income Subsidy Premium: | $35.50 |
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 South Carolina. For more details, visit the Social Security Extra Help page.
Part D Prescription Drug Plan 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.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the monthly premium and deductible, you'll also be responsible for copayments (fixed amounts) and/or coinsurance (a percentage of the drug cost) under the HealthSpring Extra Rx plan. The following table details these out-of-pocket costs.
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic* | $0.00 | $7.00 | |
| Generic* | $5.00 | $15.00 | |
| Preferred Brand | 17.00% | 20.00% | |
| Non-Preferred Drug | 49.00% | 50.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
How the CMS 5-Star Rating Works
Every year, the Centers for Medicare & Medicaid Services (CMS) rates Medicare Part D plans on a 5-star scale, with 5 stars representing excellent quality and performance. These ratings consider factors like customer service, member experience, and the safety of prescription drugs. A higher rating reflects better overall quality, helping you choose the best plan for your needs. The table below shows 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 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): 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
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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