Clear Spring Health Choice Plan (PPO) in Hart, Georgia (2023)

Plan ID: H9589-003

What You Need to Know:

• Clear Spring Health Choice Plan (PPO) is a Medicare Advantage Health Maintenance Organization Local PPO plan.
• It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
• It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
• The plan's monthly premium is $0, which does not include your monthly Medicare Part B premium.
• The annual deductible for this health plan is $250 (Tier 1 and 2 excluded from the Deductible.).
• The plan includes an out-of-pocket maximum of $7,550 per year (in-network).
• Clear Spring Health Choice Plan (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $250 (Tier 1 and 2 excluded from the Deductible.).
• This plan's Part D Initial Coverage Limit is $0.