SilverScript SmartSaver A 2025 Medicare Part D Plan for Vermont
SilverScript SmartSaver A 2025 Medicare Part D Plan for Vermont
Welcome to your guide to the SilverScript SmartSaver Medicare Part D plan for 2025. This page covers key details about the plan, including its benefits, costs, and CMS star rating. We’ve also provided enrollment options to help you secure prescription drug coverage in Vermont.
The SilverScript SmartSaver plan offers valuable coverage to help reduce 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 Vermont.
SilverScript SmartSaver: Part D Plan Overview | |
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Part D Plan ID: | S5601-177 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $15.70 |
Annual Deductible: | $280.00 |
Part D Benefit Type: | Enhanced |
Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | |
Insured By: | Aetna Medicare |
Breaking Down Medicare Part D Plan Costs
When considering SilverScript SmartSaver, 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 SmartSaver 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: | $13.30 |
Supplemental Part D Premium: | $2.40 |
Total Part D Premium: | $15.70 |
Part D Premium with Full LIS Assistance: | $2.40 |
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.
Annual Deductible Information
This plan has a Medicare Part D annual deductible of $280.00. You must pay this amount upfront at the pharmacy before Aetna Medicare begins contributing to your prescription costs.
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 SmartSaver 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) | $8.00 copay (deductible does not apply) |
2 (Generic) | $5.00 copay | $12.00 copay |
3 (Preferred Brand) | 24% | 24% |
4 (Non-Preferred Drug) | 50% | 50% |
5 (Specialty Tier) | 29% | 29% |
CMS 5-Star Rating Overview
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 SmartSaver 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 SmartSaver 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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