SilverScript Choice (PDP) By SilverScript
SilverScript Choice (PDP) is a Basic Alternative Medicare Prescription Drug Plan (PART D) by SilverScript. Stand-alone plans offer additional prescription drug coverage only and are an option if you are on Original Medicare insurance or you have a Medicare health plan that does not include Part D coverage. The SilverScript Choice (PDP) plan has a monthly drug premium of $31.30 and a $0.00 drug deductible.
2017 Medicare Prescription Supplement Plan Details
| Plan Name: | SilverScript Choice (PDP) |
|---|---|
| Provider: | SilverScript |
| Plan ID: | S5601-050 |
| Plan Year: | 2017 |
| State: |
Iowa Minnesota Montana Nebraska North Dakota South Dakota Wyoming |
| Benefit Type: | Basic |
| Monthly Drug Premium: | $31.30 |
| Drug Deductible: | $0.00 |
| Tiers with No Deductible: | 0 |
| Initial Coverage Limit: | $3700 |
| Gap Coverage: | No |
| National Plan: | Yes |
Deductible and Premium
The SilverScript Choice (PDP) plan has a monthly drug premium of $31.30 and a $0.00 drug deductible. This SilverScript plan offers a $31.30 Part D Basic Premium that is below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by SilverScript above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $31.30. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.
Premium Assistance
Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The SilverScript Choice (PDP) medicare insurance plan offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $7.80 for 75% low income subsidy $15.60 for 50% and $23.50 for 25%.
| Part D Basic Premium: | $31.30 |
|---|---|
| Benchmark: | below the regional benchmark |
| Part D Supplemental Premium | $0.00 |
| Benefit Type: | Basic Alternative |
| Total Part D Premium: | $31.30 |
| $0 Premium with Full LIS: | Yes |
| Full LIS Premium: | $0.00 |
| 75% LIS Premium: | $7.80 |
| 50% LIS Premium: | $15.60 |
| 25% LIS Premium: | $23.50 |
Gap Coverage
In 2017 once you and your plan provider have spent $3700 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will still receive a 60% discount on brand-name drugs and a 49% discount on generic drugs. Once you reach the coverage gap you will pay 40% of the plans cost for covered brand-name prescription drugs and 51% on generic drugs unless your plan offers additional coverage. This SilverScript plan does not offer additional coverage through the gap.
Ratings for SilverScript Choice (PDP) S5601
| 2017 Overall Rating | ||
|---|---|---|
| Drug Plan Customer Service | ||
| Complaints and Changes in the Drug Plan | ||
| Member Experience with the Drug Plan | ||
| Drug Safety and Accuracy of Drug Pricing |
Member Experience with the Drug Plan
| Total Rating | ||
|---|---|---|
| Rating of Drug Plan | ||
| Getting Needed Prescription Drugs |
Drug Safety and Accuracy of Drug Pricing
| Total Rating | ||
|---|---|---|
| MPF Price Accuracy | ||
| High Risk Medication | ||
| Drug Adherence for Diabetes Medications | ||
| Drug Adherence for Hypertension (RAS antagonists) | ||
| Drug Adherence for Cholesterol (Statins) | ||
| MTM Program Completion Rate for CMR |
Ratings For Member Complaints and Changes in the Drug Plans Performance
| Total Rating | ||
|---|---|---|
| Complaints about the Drug Plan | ||
| Members Choosing to Leave the Plan | ||
| Beneficiary Access | ||
| Drug Plan Quality Improvement |
SilverScript Choice (PDP) Drug Plan Customer Service ratings
| Total Rating | ||
|---|---|---|
| Appeals Auto Forward | ||
| Appeals Upheld | ||
| Call Center, TTY, Foreign Language |
Source: CMS.
Plans as of September 6, 2016.
Star Rating as of September 26, 2016.
For More Information on Ratings Please See the CMS Tech Notes Here.
Notes: Data are subject to change. All contracts for 2017 have been not finalized. For 2017, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part
Includes 2017 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.