• SilverScript Medicare Part D prescription drug plans are available nationwide.
  • Members have access to more than 65,000 pharmacies across the United States.
  • SilverScript offers three Medicare Part D plan options in 2021.

If you have Medicare Part A and Part B, you may be looking for additional coverage for prescription drugs. SilverScript is a private insurance company that offers Medicare Part D prescription drug plans nationwide.

In this article, we’ll explore the prescription drug benefits offered by SilverScript, including an overview of the plan options and their costs.

SilverScript is one of the largest providers offering Medicare Part D coverage in the United States, with plans in all 50 states. It became part of Aetna Medicare for the 2021 health plan year.

SilverScript offers three different plans this year, including one with a $0 deductible on all covered drugs. Members have access to a large network of more than 65,000 pharmacies around the country, as well as several thousands of preferred pharmacies for extra discounts.

What do SilverScript drug plans cover?

SilverScript Part D plans have many coverage benefits, including:

  • $0 copays for preferred generics
  • access to a network of more than 65,000 pharmacies nationwide
  • lower copays at more than 18,500 pharmacies for SilverScript SmartRx and 23,000-plus pharmacies for SilverScript Choice and SilverScript Plus
  • cost savings for 90-day mail-order refills
  • formularies that cover nearly all the drugs commonly prescribed to Medicare members

What states offer SilverScript Part D plans?

SilverScript offers three different Part D plans:

  • SilverScript SmartRx
  • SilverScript Choice
  • SilverScript Plus

SilverScript Choice and SilverScript SmartRx plans are available to residents of all 50 states. SilverScript Plus is available to residents of every state except Alaska.

SilverScript offers prescription drug coverage through three different Medicare Part D plans. Here’s an overview of each option — we’ll dive deeper into price details later in the article.

SilverScript SmartRx

The SilverScript SmartRx plan is intended for active, generally healthy adults who take generic maintenance drugs or no regular medications. Its formulary offers a substantial list of tier 1 drugs at a $0 copay at preferred pharmacies during the initial coverage phase.

SilverScript Choice

With this plan, you may be able to enroll for a $0 premium if you’re enrolled in Medicare’s Extra Help program. You’ll also pay a $0 deductible on tier 1 and 2 drugs and $0 copays for tier 1 drugs at preferred pharmacies during your initial coverage phase.

SilverScript Plus

The SilverScript Plus plan offers more covered drugs on its formulary, extras like discounts on some vitamins and minerals, and enhanced
coverage during the donut hole phase.

There can be a variety of different costs that come with Medicare Part D plans, including deductibles, premiums, copays, coinsurance, and more. Next, we’ll take a look at what these costs are with SilverScript plans in 2021.

Deductibles

Here’s a breakdown of how each plan handles annual deductibles:

  • SilverScript SmartRx: $0 deductible for tier 1 drugs and a $445 deductible for tiers 2 to 5
  • SilverScript Choice: $0 deductible for tier 1 and tier 2 drugs and a deductible from $205 to $445 for tiers 3 to 5
  • SilverScript Plus: $0 deductible on all covered drugs

Premiums

Premiums for SilverScript plans can start as low as $0 if you qualify for Extra Help. If not, here’s the range of monthly premiums you’ll pay for each plan in 2021:

  • SilverScript SmartRx: $5.70 to $7.80
  • SilverScript Choice: $18.10 to $49.70
  • SilverScript Plus: $52.20 to $88.60

These rates vary depending on where you live. You can enter your specific ZIP code to search for prices using Medicare’s plan finder tool.

As with all Part D plans, the premium for your SilverScript plan is in addition to the other costs you pay for Medicare.

There’s typically no premium for Part A, but Part B does have a monthly premium. So, if you’re using original Medicare (parts A and B together), you’ll need to pay the Part B premium and the premium for your SilverScript plan.

If you have a Medigap plan or Medicare Advantage plan without Part D coverage, you’ll also pay those premiums in addition to that of your Part D plan.

Copays and coinsurance

Your medication copays with SilverScript will depend on your plan and on your prescriptions. Here are some of the main differences between the plans.

SilverScript SmartRx

  • Tier 1: $0 at preferred pharmacies and mail-order service; $19 for a 30-day supply at nonpreferred pharmacies
  • Tiers 2 and 3: $19 to $141 (range for all pharmacies and supply amounts)
  • Tier 4: 48 percent to 50 percent coinsurance
  • Tier 5: 25 percent coinsurance for a 30-day supply

SilverScript Choice

  • Tiers 1 and 2: $0 at preferred pharmacies and mail-order service; $5 to $33 for all pharmacies and supply amounts
  • Tier 3: $35 to $141 range for all pharmacies and supply amounts
  • Tier 4: 41 percent coinsurance
  • Tier 5: 27 percent coinsurance for a 30-day supply

SilverScript Plus

  • Tier 1: $0 at preferred pharmacies and mail-order service; $5 to $15 at nonpreferred pharmacies
  • Tier 2: $0 to $2 at preferred pharmacies and mail-order service; $10 to $30 at nonpreferred pharmacies
  • Tier 3: $47 to $141 range for all pharmacies and supply amounts
  • Tier 4: 50 percent coinsurance
  • Tier 5: 33 percent coinsurance for a 30-day supply

SilverScript offers three different Medicare Part D plans nationwide. SilverScript Choice is available in all 50 states, while SilverScript Plus is available in every state except Alaska.

All plans offer no or low copays for tier 1 generics at preferred pharmacies and for mail-order supplies. With SilverScript, you have access to more than 65,000 pharmacies, as well as many preferred pharmacies.

The SilverScript Plus plan has no deductible and more coverage during the Part D donut hole, while the SilverScript Choice and SilverScript SmartRx plans offer lower monthly premiums.