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.
