HealthSpring Preferred Plus (HMO) Medicare Advantage Plan H0439-006 • 2026 • Clayton County, GA

HealthSpring Preferred Plus Overview

Plan Overview for HealthSpring Preferred Plus

HealthSpring Preferred Plus is a Medicare Advantage Prescription Drug (MAPD) Health Maintenance Organization (HMO) plan that includes hospital, medical, and prescription drug coverage under Medicare Parts A and B. The monthly premium is $18.00, and services are generally covered when received from in-network providers, except in emergency situations. The annual Part D deductible is $615.00.

Primary care visits have a $0 copay, specialist visits come with a $25 copay, urgent care services carry a $40 copay, and ambulance transportation is $260 copay. These costs apply toward the maximum out-of-pocket (MOOP) limit of $6800.00. After this limit is reached, in-network services are fully covered for the remainder of the year.

This plan is listed by CMS under Plan ID H0439-006. Cost-sharing details for key services are provided below.

Out-of-Pocket Costs

Cost-sharing for HealthSpring Preferred Plus includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H0439-006.

Certain preventive services are covered 100% by HealthSpring Preferred Plus as a Part B benefit.

Prescription Drug Coverage

HealthSpring Preferred Plus includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.

This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.

Prescription Drug Plan Premium

The Part D prescription drug plan premium is included in the overall Medicare Special Needs Plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.

For more details, visit the Social Security Extra Help program .

Prescription Drug Plan Deductible

This plan has a $615.00 annual Part D deductible. You'll pay this deductible at the pharmacy before HealthSpring starts contributing towards your prescription costs.

Prescription Drug Plan Out-of-Pocket Costs

Beyond premiums and deductibles, HealthSpring Preferred Plus may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

CMS 5-Star Ratings

Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.