SilverScript Choice A 2025 Medicare Part D Plan for Texas
SilverScript Choice A 2025 Medicare Part D Plan for Texas
This guide provides an overview of the SilverScript Choice Medicare Part D plan for 2025. You’ll find important information about the plan's benefits, costs, and star rating, along with details on how to enroll in Texas. Use the sections below to explore your prescription drug coverage options.
SilverScript Choice helps lower your prescription drug expenses, whether you’re enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in Texas.
SilverScript Choice: Part D Plan Overview | |
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Part D Plan ID: | S5601-044 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $40.50 |
Annual Deductible: | $545.00 |
Part D Benefit Type: | Basic |
Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | |
Insured By: | Aetna Medicare |
Breaking Down Medicare Part D Plan Costs
When considering SilverScript Choice, 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
Your monthly premium for the SilverScript Choice plan is bundled into the total plan cost. Depending on the plan, you may face additional expenses or qualify for Low-Income Subsidy (LIS) support. The table below outlines the premium structure for this 2024 Aetna Medicare plan.
Basic Part D Premium: | $40.50 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $40.50 |
Part D Premium with Full LIS Assistance: | $12.10 |
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.
Annual Deductible Information
The annual Medicare Part D deductible for this plan is $545.00. You are responsible for paying this amount before Aetna Medicare starts sharing the cost of your prescriptions.
Prescription Drug Plan Out-of-Pocket Costs
Beyond the monthly premium and deductible, SilverScript Choice includes copayments (fixed amounts) and/or coinsurance (a percentage of the cost) that you'll need to pay when filling your prescriptions. The table below outlines these costs in detail.
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) | 40% | 40% |
5 (Specialty Tier) | 25% | 25% |
How the CMS 5-Star Rating Works
Every year, the Centers for Medicare & Medicaid Services (CMS) rates Medicare Part D plans on a 5-star scale, with 5 stars representing excellent quality and performance. These ratings consider factors like customer service, member experience, and the safety of prescription drugs. A higher rating reflects better overall quality, helping you choose the best plan for your needs. The table below shows the CMS 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 chance to enroll in Medicare Part D typically starts three months before the month you turn 65 and lasts for seven months. Learn more about when your Initial Enrollment Period begins.
- Annual Enrollment Period (AEP): Every year from October 15 to December 7, you can join, switch, or drop your Medicare Part D plan. Get details about the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can change your Medicare Advantage plan or switch back to Original Medicare (with or without Part D). Explore the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Certain events, like moving or losing other coverage, may qualify you for a Special Enrollment Period, allowing you to enroll or change plans outside the usual periods.
How to Enroll in SilverScript Choice
Ready to enroll in SilverScript Choice or another Medicare Part D plan? Here are your options:
- Call HealthCompare: For personalized assistance, call HealthCompare at 877-388-0596 (TTY 711) to get expert help with finding the right plan.
- Online via MedicareEnrollment.com: Visit MedicareEnrollment.com to compare plans and enroll online quickly and securely.
- Call 1-800-MEDICARE: Speak with a Medicare representative by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: You can also contact the plan directly using the details provided below to enroll over the 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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