SilverScript Choice A 2025 Medicare Part D Plan for New York
SilverScript Choice A 2025 Medicare Part D Plan for New York
Welcome to the 2025 SilverScript Choice Medicare Part D plan guide for New York. Here, you’ll find all the information you need, including plan benefits, costs, and star ratings. We’ve also included enrollment options to assist you in securing the right prescription drug coverage in New York.
The SilverScript Choice plan provides valuable coverage for reducing your prescription drug costs, whether you're enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in New York.
SilverScript Choice: Part D Plan Overview | |
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Part D Plan ID: | S5601-006 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $66.10 |
Annual Deductible: | $545.00 |
Part D Benefit Type: | Basic |
Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | |
Insured By: | Aetna Medicare |
An Overview of Medicare Part D Plan Costs
SilverScript Choice has a range of costs, including monthly premiums, deductibles, copayments, and coinsurance. Understanding how each of these components impacts your overall expenses is key to managing your prescription drug costs effectively. The sections below will guide you through each cost factor.
Plan Premium Details
The SilverScript Choice plan's monthly premium plays a significant role in determining your overall costs. Some plans may also include supplemental charges or offer Low-Income Subsidy (LIS) options. Below is a breakdown of the premium details for this 2024 plan from Aetna Medicare.
Basic Part D Premium: | $66.10 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $66.10 |
Part D Premium with Full LIS Assistance: | $17.40 |
Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs. Visit the Social Security Extra Help page to learn more.
Part D Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $545.00. You will need to meet this deductible before Aetna Medicare begins covering your prescription drug costs at the pharmacy.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the monthly premium and deductible, you'll also be responsible for copayments (fixed amounts) and/or coinsurance (a percentage of the drug cost) under the SilverScript Choice plan. The following table details these out-of-pocket costs.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $2.00 copay | $8.00 copay |
2 (Generic) | $7.00 copay | $15.00 copay |
3 (Preferred Brand) | 16% | 16% |
4 (Non-Preferred Drug) | 36% | 36% |
5 (Specialty Tier) | 25% | 25% |
What the CMS 5-Star Rating Means
The CMS evaluates Medicare Part D plans each year and assigns a star rating from 1 to 5 based on their overall quality and performance. These ratings are determined by factors like member experiences, customer service, and how well the plan ensures prescription drug safety. Higher ratings indicate better quality, making it easier for you to choose the right plan. Below is the star rating for the SilverScript Choice plan.
CMS Measure | Star Rating |
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Overall Plan 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 |
When to Enroll in Medicare Part D
Timing your enrollment in Medicare Part D is critical. Here are the key periods when you can sign up for or make changes to your plan:
- Initial Enrollment Period (IEP): Your first opportunity to join Medicare Part D typically begins three months before you turn 65 and continues for seven months. Find out more about the Initial Enrollment Period.
- Annual Enrollment Period (AEP): From October 15 to December 7 each year, you can change your Medicare Part D plan. Get details on the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): Between January 1 and March 31, you can change your Medicare Advantage plan or return to Original Medicare (with or without Part D). Learn more about the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Specific situations, like moving or losing other coverage, may allow you to use a Special Enrollment Period to enroll or switch plans.
How to Enroll in SilverScript Choice
Here are a few ways to enroll in SilverScript Choice or a different Medicare Part D plan:
- Call HealthCompare: Get expert help from HealthCompare by calling 877-388-0596 (TTY 711). They can assist you in finding the right plan for your needs.
- Online via MedicareEnrollment.com: Easily compare and enroll in plans by visiting MedicareEnrollment.com.
- Call 1-800-MEDICARE: For additional guidance, contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: Alternatively, reach out to the plan directly using the contact information provided below.
Contact Aetna Medicare
Plan Website: | Aetna Medicare Plan Information |
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Formulay Information: | Aetna Medicare Formulary Information |
Pharmacy Information: | Aetna Medicare Pharmacy Information |
Prospective Members: | (866)552-6106 |
TTY Users: | (711)- |
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
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