SilverScript Plus A 2025 Medicare Part D Plan for Oregon
SilverScript Plus A 2025 Medicare Part D Plan for Oregon
Welcome to the 2025 SilverScript Plus Medicare Part D plan guide for Oregon. 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 Oregon.
The SilverScript Plus 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 Oregon.
SilverScript Plus: Part D Plan Overview | |
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Part D Plan ID: | S5601-061 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $89.40 |
Annual Deductible: | $200.00 |
Part D Benefit Type: | Enhanced |
Gap Coverage: | Yes |
Low Income Subsidy: | No |
Availability: | |
Insured By: | Aetna Medicare |
Breaking Down Medicare Part D Plan Costs
When considering SilverScript Plus, it's important to look beyond the monthly premium. There are additional costs, such as deductibles, copayments, and coinsurance, that can affect your out-of-pocket expenses. The following sections explain each cost element to help you make informed decisions about your prescription drug coverage.
Monthly Premium Overview
The SilverScript Plus 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: | $33.30 |
Supplemental Part D Premium: | $56.10 |
Total Part D Premium: | $89.40 |
Part D Premium with Full LIS Assistance: | $56.10 |
If you qualify for the Low-Income Subsidy (LIS) program, known as "Extra Help," you could receive assistance with your prescription drug plan costs. For more details, visit the Social Security Extra Help page.
Part D Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $200.00. You will need to meet this deductible before Aetna Medicare begins covering your prescription drug costs at the pharmacy.
NOTE: The deductible does not apply to one or more drug tiers in this plan (see "Prescription Drug Plan Out-of-Pocket Costs" below).
Out-of-Pocket Costs in this Drug Plan
Along with the plan's monthly premium and deductible, SilverScript Plus requires you to pay copayments (a set dollar amount) or coinsurance (a percentage of the drug cost) when picking up your medications. The table below provides a breakdown of these out-of-pocket expenses.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $0.00 copay (deductible does not apply) | $5.00 copay (deductible does not apply) |
2 (Generic) | $0.00 copay | $10.00 copay |
3 (Preferred Brand) | $47.00 copay | $47.00 copay |
4 (Non-Preferred Drug) | 50% | 50% |
5 (Specialty Tier) | 30% | 30% |
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 Plus 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
It's important to enroll in a Medicare Part D plan during specific periods to avoid penalties and ensure continuous coverage. Here are the key times to sign up:
- 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 Medicare Part D
Ready to enroll in SilverScript Plus or another Medicare Part D plan? Here are your options:
- Call HealthCompare: Speak with a licensed agent by calling HealthCompare at 877-388-0596 (TTY 711) for personalized assistance.
- Online via MedicareEnrollment.com: Compare and enroll in plans online by visiting MedicareEnrollment.com.
- Call 1-800-MEDICARE: You can also call 1-800-MEDICARE (1-800-633-4227) for help with enrollment. TTY users should dial 1-877-486-2048.
- Call the Plan Directly: Contact the plan directly using the information provided below to enroll by phone.
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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