Clear Spring Health has a contract with Medicare to offer PPO, HMO, and PDP Plans.
Eon Health has a contract with the Georgia Medicaid program and a contract with the
South Carolina Medicaid program. Enrollment in these plans depends on contract renewal.
Clear Spring Health Deluxe (HMO SNP): This plan is available to anyone who has both
Medicare and received assistance from the State. Clear Spring Health Silver (HMO SNP):
This plan is available to anyone with Medicare who has been diagnosed with Cardiovascular
Disorder, Chronic Heart Failure or Diabetes. Eon Health has been approved by the National
Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until
December 31, 2022 based on a review of Eon Health’s Model of Care. This information is not a
complete description of benefits. Contact the plan for more information. Limitations,
Copayments, and restrictions may apply. Benefits, formulary, pharmacy/provider network,
premium and cost sharing may change on January 1 of each year. You must continue to pay your
Medicare Part B premium. Premiums, co-pays/co-insurance may vary based on the level of Extra
Help you receive. Please contact the plan for further details. Medicare beneficiaries may
also enroll in Eon Health through the CMS Medicare Online Enrollment Center located at
www.medicare.gov. The formulary, pharmacy
network and provider network may change at any time. You will receive notice when necessary.
Clear Spring Health Choice (PPO): Out of network/non-contracted providers are under no
obligation to treat Eon Health members, except in emergency situations. For a decision about
whether we will cover an out-of-network service, we encourage you or your provider to ask
for a pre-service organization determination before you receive the service. Please call our
customer service or see your Evidence of Coverage for more information, including
cost-sharing that applies to out-of-network services.