2023 SilverScript Choice (PDP) By Aetna Medicare



SilverScript Choice (PDP) S5601-010 is a Actuarially Equivalent Standard 2023 Medicare (Part-D) Prescription Plan by Aetna Medicare. 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 $35.60 and a $505.00 drug deductible.



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S5601-010 Part-D Summary of Bennefits

Plan Name:SilverScript Choice (PDP)
Provider:Aetna Medicare
Plan ID:S5601-010
Plan Year:2023
State: Delaware

Maryland

Washington D.C.

Benefit Type:Basic
Monthly Drug Premium:$35.60
Drug Deductible: $505.00
Tiers with No Deductible:0
Gap Coverage:No
National Plan:Yes
Similar Plan:S5601-011


Deductible and Premium for SilverScript Choice (PDP)

The SilverScript Choice (PDP) plan has a monthly drug premium of $35.60 and a $505.00 drug deductible. This Aetna Medicare plan offers a $35.60 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 $- this Premium covers any enhanced plan benefits offered by Aetna Medicare above and beyond the standard PDP benefits. This can include additional help in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $35.60. The Part D Total Premium is the combined total of the supplemental and basic premiums for some plans this amount can be lower due to negative premiums.



Part D Basic Premium:$35.60
Benchmark:below the regional benchmark
Part D Supplemental Premium$-
Benefit Type: Actuarially Equivalent Standard
Total Part D Premium:$35.60


Aetna Medicare 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 $- premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $8.90 for 75% low income subsidy $17.80 for 50% and $26.70 for 25%.



$0 Premium with Full LIS:Yes
Full LIS Premium:$-
75% LIS Premium:$8.90
50% LIS Premium:$17.80
25% LIS Premium:$26.70


S5601-010 Gap Coverage

In 2023 once you and your plan provider have spent $4660 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will still receive a 75% discount on covered brand-name drugs and a discount on generic drugs. Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage. This Aetna Medicare plan does not offer additional coverage through the gap.



S5601-010 Formulary or Drug Prices

SilverScript Choice (PDP) formulary is divided into tiers or levels of coverage based on usage and according to the medication costs. Each tier will have a defined copay that you must pay to receive the drug. Drugs in lower tiers will usually cost less than those in higher tiers. By reviewing different Medicare Drug formularies, you can pick a Medicare Advantage plan that covers your medications. Additionally, you can choose a plan that has your drugs listed at a lower price.

Drug Tier Copay
Preferred
Pharmacy
Copay
Nonpreferred
Pharmacy
Tier 1 $0 $19
Tier 2 $5 $20
Tier 3 17% 17%
Tier 4 37% 37%
Tier 5 25% 25%
The complete SilverScript Choice (PDP) Formulary.
*Initial Coverage Phase and 30 day supply





SilverScript Choice (PDP) Plan Reviews

2022 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
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
Drug Plan Quality Improvement


SilverScript Choice (PDP) Drug Plan Customer Service Ratings

Total Rating
Call Center, TTY, Foreign Language


Last updated on
Source: CMS.gov
For More Information on Ratings Please See the CMS Tech Notes.

Plans as of October 1, 2022.
Notes: Data are subject to change. All contracts for 2020 have been not finalized. For 2020, 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 2020 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.

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*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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