HealthSpring Assurance Rx (PDP)
Contract S5715, plan 033, segment 0 · offered by MEDCO CONTAINMENT LIFE & MEDCO CONTAINMENT NY & HEALTH CARE SERVICE CORPORATION · CMS PDP Region 12 (Tennessee).
2027 drug-by-drug coverage is not published by CMS yet. The drug lookup covers 2026, whose formulary is live.
Consolidated into another plan for 2027. CMS crosswalks 2026’s HealthSpring Assurance Rx (PDP) (S5617-220-0) into this plan, along with 1 other plan, so its members move here unless they choose otherwise. See every 2026 → 2027 change.
Plan features
| Monthly premium | $110.40 |
|---|---|
| — basic (standard) part | $110.40 |
| — supplemental (enhanced) part | $0.00 |
| Annual deductible | $700.00 |
| Out-of-pocket threshold | $2,400.00 |
| Drug benefit type | Actuarially Equivalent Standard |
| $0 premium with full LIS | No |
| Premium with Extra Help (LIS) | $96.70 |
| LIS benchmark status | Above the regional benchmark |
| Formulary tiers | 5 |
| Formulary exception tier | 4 |
| Plan reach | National plan |
| Member services | (877)213-1817TTY 711 |
The plan’s own pages: Plan website · Formulary · Pharmacy directory
CMS star ratings
- Part D summary rating
- 2.5 out of 5 stars for Part D summary rating
Published per contract, which is how CMS scores them — every plan under contract S5715 shares this rating.
Formulary tiers — preferred pharmacy, initial coverage phase
| Tier | Cost-sharing |
|---|---|
| Tier 1 · Preferred Generic | $0.00 |
| Tier 2 · Generic | $3.00 |
| Tier 3 · Preferred Brand | 22% |
| Tier 4 · Non-Preferred Drug | 34% |
| Tier 5 · Specialty Tier | 25% |
Cost-sharing by coverage phase
| Tier | 30-day supply | 90-day supply | ||||
|---|---|---|---|---|---|---|
| Preferred | Standard | Mail Order | Preferred | Standard | Mail Order | |
| Initial coverage phase | ||||||
| Tier 1: Preferred Generic | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 2: Generic | $3.00 | $3.00 | $3.00 | $9.00 | $9.00 | $9.00 |
| Tier 3: Preferred Brand | 22% | 22% | 22% | 22% | 22% | 22% |
| Tier 4: Non-Preferred Drug | 34% | 34% | 34% | 34% | 34% | 34% |
| Tier 5: Specialty Tier | 25% | 25% | 25% | n/a | n/a | n/a |
These are the initial coverage phase amounts, as the plan filed them in its benefit package. The deductible and post-threshold phases are not stated per tier in that filing, so they are not shown here rather than being inferred; the plan's annual out-of-pocket threshold is $2,400.00.
Star rating measures
| Measure | 2027 | 2026 |
|---|---|---|
| DD1: Drug Plan Customer Service | ||
| Call Center – Foreign Language Interpreter and TTY Availability · D01 | 5 out of 5 stars for Call Center – Foreign Language Interpreter and TTY Availability | 4 out of 5 stars for Call Center – Foreign Language Interpreter and TTY Availability |
| DD2: Member Complaints and Changes in the Drug Plan’s Performance | ||
| Complaints about the Drug Plan · D02 | 4 out of 5 stars for Complaints about the Drug Plan | 4 out of 5 stars for Complaints about the Drug Plan |
| Members Choosing to Leave the Plan · D03 | 1 out of 5 stars for Members Choosing to Leave the Plan | 2 out of 5 stars for Members Choosing to Leave the Plan |
| Drug Plan Quality Improvement · D04 | not enough data | 1 out of 5 stars for Drug Plan Quality Improvement |
| DD3: Member Experience with the Drug Plan | ||
| Rating of Drug Plan · D05 | 1 out of 5 stars for Rating of Drug Plan | 1 out of 5 stars for Rating of Drug Plan |
| Getting Needed Prescription Drugs · D06 | 2 out of 5 stars for Getting Needed Prescription Drugs | 1 out of 5 stars for Getting Needed Prescription Drugs |
| DD4: Drug Safety and Accuracy of Drug Pricing | ||
| MPF Price Accuracy · D07 | 4 out of 5 stars for MPF Price Accuracy | 5 out of 5 stars for MPF Price Accuracy |
| Medication Adherence for Diabetes Medications · D08 | 2 out of 5 stars for Medication Adherence for Diabetes Medications | 2 out of 5 stars for Medication Adherence for Diabetes Medications |
| Medication Adherence for Hypertension (RAS antagonists) · D09 | 2 out of 5 stars for Medication Adherence for Hypertension (RAS antagonists) | 2 out of 5 stars for Medication Adherence for Hypertension (RAS antagonists) |
| Medication Adherence for Cholesterol (Statins) · D10 | 2 out of 5 stars for Medication Adherence for Cholesterol (Statins) | 2 out of 5 stars for Medication Adherence for Cholesterol (Statins) |
| Statin Use in Persons with Diabetes (SUPD) · D11 | 3 out of 5 stars for Statin Use in Persons with Diabetes (SUPD) | 3 out of 5 stars for Statin Use in Persons with Diabetes (SUPD) |
| Concurrent Use of Opioids and Benzodiazepines (COB) · D12 | 3 out of 5 stars for Concurrent Use of Opioids and Benzodiazepines (COB) | new measure |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) · D13 | 1 out of 5 stars for Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) | new measure |
Measures are paired between the two years by name, not by the C/D number: CMS reuses those numbers, and in 2027 nineteen of them refer to a different measure than they did in 2026. A measure introduced for 2027 has no 2026 score to show. Published per contract — every plan under S5715 shares it.
Plan facts come from the CMS plan Landscape file and the CMS plan benefit package (PBP) files.