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Important Notice


Clear Spring Health is now able to accept enrollments into our Medicare Advantage and Prescription Drug Plans. Consumers may use the following methods to apply for coverage.

Website

Log onto Medicare’s website directly or one of our health plan websites and complete the online enrollment form.

Fax

Clear Spring Health Enrollment Forms 855-382-6679

Mail

Clear Spring Health

PO Box 3206, Scranton, PA. 18505-9877


This Limited Marketing Enrollment Period is being conducted in conjunction with, and under the monitoring of the Centers for Medicare and Medicaid Services (CMS).

Who We Are

Clear Spring Health is part of Group One Thousand One, a customer-centric insurance group whose mission is to make insurance more useful, intuitive and accessible so that everyone feels empowered to achieve financial security.

Clear Spring Health is dedicated to helping seniors protect their health and well-being by providing Medicare Advantage plans in select counties of Colorado, Illinois, North Carolina, and Virginia, plus Georgia and South Carolina through our affiliate, Eon Health (redirects to Eon).

Working with experienced field marketing organizations, we serve the Medicare Advantage population, delivering high-performing products and ensuring a seamless experience with honesty and efficiency.

We’re confident you’ll love our plans and service.

If you have any questions or would like to follow up on on the status of your application please call:

(877) 384-1241

TTY users should call 711


We are open:


8:00 am to 8:00 pm Monday – Friday from April 1 – September 30

8:00 am to 8:00 pm Monday – Sunday from October 1 – March 31.

Our 2020 Medicare Plans

Clear Spring Health offers Medicare Advantage plans in select counties of Colorado, Illinois, North Carolina, and Virginia, plus Georgia and South Carolina via our affiliate Eon Health (redirects to Eon)

Need Help?

1-877-384-1241

TTY: 711

Illinois Essential HMO
Updated on 1/30/2020

Illinois Essential Plus HMO
Updated on 1/30/2020

Colorado Essential PPO
Updated on 1/30/2020

Colorado Essential Plus PPO
Updated on 1/30/2020

Colorado Essential HMO
Updated on 1/30/2020

North Carolina Essential PPO
Updated on 1/30/2020

North Carolina Essential Plus PPO
Updated on 1/30/2020

Virginia Essential PPO
Updated on 1/30/2020

Virginia Essential HMO
Updated on 1/30/2020
Illinois Essential HMO
Updated on 10/10/2019
Illinois Essential HMO (en Español)
Last Updated: 11/25/2019

Illinois Essential Plus HMO
Updated on 10/10/2019

Colorado Essential PPO
Updated on 10/10/2019

Colorado Essential Plus PPO
Updated on 10/10/2019

Colorado Essential HMO
Updated on 10/10/2019

North Carolina Essential PPO
Updated on 10/10/2019

North Carolina Essential Plus PPO
Updated on 10/10/2019

Virginia Essential PPO
Updated on 10/10/2019

Virginia Essential HMO
Updated on 11/1/2019
Prior Authorization Form
Last Updated: 10/14/2019
Admission Form
Last Updated: 10/14/2019


Utilization Management Program
Last Updated: 10/14/2019

Quality Improvement Program
Last Updated: 10/14/2019

CSH Provider Manual
Last Updated: 01/16/2020

Provider Quick Reference Guide
Last Updated: 10/31/2019

Provider Portal (Claims and Eligibility)
Last Updated: 11/18/2019

PHI Form
Last Updated: 11/18/2019

Member Reimbursement Medical Form
Last Updated: 11/18/2019

HMO Formulary Search
Updated on 12/06/2019
Illinois Essential HMO (PDF)
Last Updated: 06/08/2020
Illinois Essential Plus HMO (PDF)
Last Updated: 06/08/2020
Colorado Essential HMO (PDF)
Last Updated: 06/08/2020
Virginia Essential HMO (PDF)
Last Updated: 06/08/2020

PPO Formulary Search
Updated on 12/06/2019
Colorado Essential PPO (PDF)
Last Updated: 05/19/2020
Colorado Essential Plus PPO (PDF)
Last Updated: 05/19/2020
Virginia Essential PPO (PDF)
Last Updated: 05/22/2020
North Carolina Essential PPO (PDF)
Last Updated: 12/06/2019
North Carolina Essential Plus PPO (PDF)
Last Updated: 05/22/2020

Formulary Changes
Updated on 06/01/2020

Prior Authorization Criteria
Updated on 06/01/2020

Step Therapy Criteria
Updated on 06/01/2020

Quantity Limit Criteria
Updated on 06/01/2020

Redetermination Request Form
Last Updated: 11/1/2019
Redetermination Request Form H2020
Last Updated: 11/1/2019
Redetermination Request Form H6379
Last Updated: 11/1/2019
Redetermination Request Form H5454
Last Updated: 11/1/2019
Redetermination Request Form H8293
Last Updated: 11/1/2019

Coverage Determinations
Last Updated: 11/15/2019

Medication Therapy Management
Last Updated: 11/1/2019

List of Covered Drugs
Last Updated: 01/03/2020
Comprehensive with GC
Last Updated: 02/04/2020
Comprehensive without GC
Last Updated: 02/04/2020

Pharmacy Information
Last Updated: 10/4/2019

Formulary Transition
Last Updated: 11/1/2019

Provider Directory

Colorado HMO Provider Directory
Last Updated: 02/05/2020

Illinois HMO Provider Directory
Last Updated: 02/05/2020

Virginia HMO Provider Directory
Last Updated: 02/05/2020

Colorado PPO Provider Directory
Last Updated: 02/05/2020

North Carolina PPO Provider Directory
Last Updated: 02/05/2020

Virginia PPO Provider Directory
Last Updated: 02/05/2020

Pharmacy Directory


Low Income Subsidy Illinois
Last Updated: 10/10/2019

Low Income Subsidy Colorado
Last Updated: 10/10/2019

Low Income Subsidy North Carolina
Last Updated: 10/10/2019

Low Income Subsidy Virginia
Last Updated: 10/10/2019

Appointment of Representative
Last Updated: 11/18/2019

Disenrollment Form
Last Updated: 11/05/2019

Member Rights and Responsibilities
Last Updated: 11/05/2019
Colorado Essential PPO
Last Updated: 11/05/2019
North Carolina Essential PPO
Last Updated: 11/05/2019
Virginia Essential PPO
Last Updated: 11/05/2019
Illinois Essential HMO
Last Updated: 11/05/2019
Virginia Essential HMO
Last Updated: 11/05/2019
Colorado Essential HMO
Last Updated: 11/05/2019

Silver Sneakers
Last Updated: 10/10/2019
Colorado Essential PPO
Last Updated: 10/10/2019
North Carolina Essential PPO
Last Updated: 10/10/2019
Virginia Essential PPO
Last Updated: 10/10/2019
Illinois Essential HMO
Last Updated: 10/10/2019
Virginia Essential HMO
Last Updated: 10/10/2019
Colorado Essential HMO
Last Updated: 10/10/2019

Getting the Care You Need
Last Updated: 10/4/2019
Coming Soon!!

Over the Counter
Last Updated: 10/10/2019
Illinois Essential HMO
Last Updated: 10/10/2019
Virginia Essential HMO
Last Updated: 10/10/2019
Colorado Essential HMO
Last Updated: 10/10/2019

Hearing
Last Updated: 10/10/2019
Colorado Essential PPO
Last Updated: 10/10/2019
North Carolina Essential PPO
Last Updated: 10/10/2019
Virginia Essential PPO
Last Updated: 10/10/2019
Illinois Essential HMO
Last Updated: 10/10/2019
Virginia Essential HMO
Last Updated: 10/10/2019
Colorado Essential HMO
Last Updated: 10/10/2019

Telehealth
Last Updated: 10/10/2019
Colorado Essential PPO
Last Updated: 10/10/2019
North Carolina Essential PPO
Last Updated: 10/10/2019
Virginia Essential PPO
Last Updated: 10/10/2019
Illinois Essential HMO
Last Updated: 10/10/2019
Virginia Essential HMO
Last Updated: 10/10/2019
Colorado Essential HMO
Last Updated: 10/10/2019

Appeals and Grievance Process
Last Updated: 10/4/2019
Coming Soon!!
Colorado Essential PPO
Last Updated: 10/14/2019

Virginia Essential PPO
Last Updated: 10/14/2019

North Carolina Essential PPO
Last Updated: 10/14/2019

Colorado Essential Plus PPO
Last Updated: 10/14/2019

North Carolina Essential Plus PPO
Last Updated: 10/14/2019

Illinois Essential HMO
Last Updated: 10/14/2019
Illinois Essential HMO (en Español)
Last Updated: 11/25/2019

Illinois Essential HMO
Last Updated: 11/25/2019
Illinois Essential HMO (en Español)
Last Updated: 11/25/2019

Illinois Essential Plus HMO
Last Updated: 11/25/2019
Illinois Essential HMO (en Español)
Last Updated: 11/25/2019

Illinois Essential Plus HMO
Last Updated: 11/25/2019
Illinois Essential HMO (en Español)
Last Updated: 11/25/2019

Member Events

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View Our PDP Plans

Looking for just prescription drug coverage? Check out our new PDP plans.

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You want a SMART All-Inclusive Health Plan...

Clear Spring Health has the Medicare Advantage Prescription Drug plan for you that's packed with exceptional value and simple to use.

Our Medicare Advantage plans provide all the benefits of original Medicare... and more. We'll help you embrace health and enjoy life by providing important extra benefits. Plus, we provide services that help you manage your healthcare wisely, like our Nursing Hotline, Care Management Programs, and more.

On a fixed income? You'll appreciate our competitive copays and deductibles. They'll make it less daunting to get the healthcare and prescription drugs you need - without derailing your budget.

Enrollment is Easy!

Call 1-877-384-1241 and a trained sales representative will answer any questions and enroll you right over the phone

Or Enroll Now and complete a simple online application