Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) in Douglas County, Colorado — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) (H6379-002) is a $0-premium Medicare Advantage HMO C-SNP from Group 1001 available in Douglas County, Colorado in 2026, with a 3.0-star overall rating, a $6,751 in-network out-of-pocket maximum, and a $200 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationGroup 1001
Plan nameClear Spring Health Balance+ Diabetes & Heart (HMO C-SNP)
Contract IDH6379
Plan ID002
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO C-SNP
SNPYes — Chronic or Disabling Condition
Monthly consolidated premium$0.00
Part C premium$0.00
Part D basic premium$27.00
Part D total premium$0.00
Annual Part D deductible$200.00
Maximum out-of-pocket (in-network)$6751.00
Overall star rating3.0

How this plan is structured

  • $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO C-SNP plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $6,751 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Douglas County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Douglas County

The CMS CY2026 Landscape file lists 70 Medicare Advantage plans in Douglas County, Colorado, of which 6 carry a 5.0-star overall rating and 42 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $189.00 per month, and in-network out-of-pocket maximums range from $1000.00 to $9250.00.

Other 5.0-star Medicare Advantage plans in Douglas County (first three alphabetically):

PlanOrganizationPremiumMOOP
Erickson Advantage Champion (HMO-POS C-SNP)UnitedHealth Group, Inc.$182.00$3400.00
Erickson Advantage Freedom (HMO-POS)UnitedHealth Group, Inc.$89.00$4900.00
Erickson Advantage Guardian (HMO-POS I-SNP)UnitedHealth Group, Inc.$0.00$1000.00

For the full county plan directory, see all Medicare plans in Douglas County, Colorado.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H6379-002.
  2. Call the plan (Group 1001) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H6379-002 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H6379-002, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 6379 are the contract number issued to the organization, and the three-digit 002 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) an HMO or PPO?

Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) is an HMO C-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) include prescription drug coverage?

Yes — Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $200.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP)?

The 2026 in-network maximum out-of-pocket limit for Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) is $6751.00, per the CMS CY2026 Landscape file.

What counties offer Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) (H6379-002)?

Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) (H6379-002) is offered in 24 Colorado counties: Adams County, Arapahoe County, Boulder County, Broomfield County, Clear Creek County, Crowley County, Custer County, Denver County, Douglas County, El Paso County, Elbert County, Fremont County, Gilpin County, Grand County, Huerfano County, Jackson County, Jefferson County, Larimer County, Morgan County, Park County, Pueblo County, Teller County, Washington County, and Weld County.

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