SilverScript Choice (PDP)
Contract S5601, plan 064, segment 0 · offered by SILVERSCRIPT INSURANCE COMPANY · CMS PDP Region 32 (California).
Plan features
| Monthly premium | $103.60 |
|---|---|
| Annual deductible | $615.00 |
| Drug benefit type | Actuarially Equivalent Standard (AE) |
| $0 premium with full LIS | No |
| Premium with Extra Help (LIS) | — |
| Formulary drugs | 3,380 |
| Formulary exception tier | — |
| Mail order offered | — |
| Plan reach | — |
| Members in California | — |
| Members nationally | — |
| Member services | — |
| BIN / PCN | — |
CMS star ratings
- Summary rating
- 3 out of 5 stars for Summary rating
- Customer service
- —
- Member experience
- —
- Drug pricing & patient safety
- —
Formulary tiers — preferred pharmacy, initial coverage phase
| Tier | Cost-sharing | Drugs on tier |
|---|---|---|
| Tier 1 | $0.00 | — |
| Tier 2 | $7.00 | — |
| Tier 3 | 18% | — |
| Tier 4 | 33% | — |
| Tier 5 | 25% | — |
Cost-sharing by coverage phase
| Tier | 30-day supply | 90-day supply | ||||
|---|---|---|---|---|---|---|
| Preferred | Standard | Mail Order | Preferred | Standard | Mail Order | |
| Initial coverage phase | ||||||
| Tier 1: Preferred Generic | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 2: Generic | $7.00 | $7.00 | $7.00 | $21.00 | $21.00 | $21.00 |
| Tier 3: Preferred Brand | 18% | 18% | 18% | 18% | 18% | 18% |
| Tier 4: Non-Preferred Drug | 33% | 33% | 33% | 33% | 33% | 33% |
| Tier 5: Specialty Tier | 25% | 25% | 25% | n/a | n/a | n/a |
| Catastrophic coverage phase | ||||||
| Tier 1: Preferred Generic | 0% | 0% | 0% | 0% | 0% | 0% |
| Tier 2: Generic | 0% | 0% | 0% | 0% | 0% | 0% |
| Tier 3: Preferred Brand | 0% | 0% | 0% | 0% | 0% | 0% |
| Tier 4: Non-Preferred Drug | 0% | 0% | 0% | 0% | 0% | 0% |
| Tier 5: Specialty Tier | 0% | 0% | 0% | 0% | 0% | 0% |
Star rating measures
| Measure | 2026 | 2025 |
|---|---|---|
| Overall Star Rating | 3 | 2.5 |
| Summary Rating of Prescription Drug Plan Quality | 3 | 2.5 |
| Drug Plan Customer Service | 5 | 3 |
| Call Center — Foreign Language Interpreter and TTY Availability | 5 | 3 |
| Member Complaints and Changes in the Drug Plan’s Performance | 4 | 3 |
| Complaints about the Drug Plan (higher score is better - means fewer complaints) | 4 | 4 |
| Members Choosing to Leave the Plan (higher score is better - means fewer members leaving) | 3 | 3 |
| Improvement (if any) in the Drug Plan's Performance | 4 | 1 |
| Member Experience with the Drug Plan | 2 | 3 |
| Members’s Rating of Drug Plan | 1 | 2 |
| Ease of Getting Prescriptions Filled When Using the Plan | 2 | 3 |
| Drug Safety and Accuracy of Drug Pricing | 2 | 2 |
| Medicare.gov Plan Finder Drug Price Accuracy (higher score is better) | 4 | 2 |
| Medication Adherence for Diabetes Medications | 3 | 2 |
| Medication Adherence for Hypertension (RAS antagonists) | 2 | 2 |
| Medication Adherence for Cholesterol (Statins) | 2 | 2 |
| MTM Program Completion Rate for CMR | 1 | 1 |
| Statin Use in Persons with Diabetes | 2 | 2 |
Benefits in plain text
The following Medicare Prescription Drug plan (PDP) benefits apply to the SilverScript Choice (PDP) (S5601 - 064) in CMS Region 32 , which includes all counties in CA. This plan is administered by SILVERSCRIPT INSURANCE COMPANY, a national plan provider. This means that the insurance carrier offers Medicare Part D plan in most every state. To switch to a different Medicare Prescription Drug plan or to change your location, click here. Click here to see the SilverScript Choice (PDP) prescription drug benefit details in chart format or email and view benefits chart Plan Premium The SilverScript Choice (PDP) has a monthly premium of $103.60. That is $1,243.20 for 12 months. There are a few factors that can increase or decrease this premium. If you qualify for extra help , your premium will be lower. If you have a premium penalty, your premium will be higher. Or if you have a higher income you would be subject to the Income Related Adjustment Amount (IRMAA) . Plan Membership and Plan Ratings The SilverScript Choice (PDP) (S5601 - 064) in CMS Region 32 currently has 170,816 members, and 1,898,894 members in the SilverScript Choice (PDP) nationwide. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3 stars. The detail CMS plan carrier ratings are as follows: Customer Service Rating of 5 out of 5 stars Member Experience Rating of 2 out of 5 stars Drug Cost Information Accuracy Rating of 2 out of 5 stars Prescription Drug Coverage: Deductible, Cost-sharing, Formulary This plan has a $615 deductible. So, you are 100% responsible for the first $615 in medication costs. After you have met the deductible, the SilverScript Choice (PDP) will share the costs of your medications with you -- see cost-sharing below. $615 is the maximum deductible for 2026. There are other plans with a lower deductible or even a $0 deductible for all formulary drugs. Click here to review plans with a $0 deductible . The following information is about the SilverScript Choice (PDP) formulary (or drug list). There are 3321 drugs on the SilverScript Choice (PDP) formulary. The SilverScript Choice (PDP) does offer a mail order service . Click here to browse the SilverScript Choice (PDP) Formulary . The Initial Coverage Phase (ICP) can be thought of as the cost-sharing phase of the plan. During this phase, you and the insurance company share your prescription costs. Once you have spent $615, your initial coverage phase will start. All medication are divided into tiers within the plans formulary. This helps the plan to organize and manage the prescription cost-sharing. The SilverScript Choice (PDP)’s formulary is divided into 5 tiers. Every plan can name their tiers differently, and can place medications on any tier. The cost-sharing for this plan is divided as follows: Tier 1 ( Preferred Generic ) contains 250 drugs and has a co-payment of $0.00 . Tier 2 ( Generic ) contains 556 drugs and has a co-payment of $7.00 . Tier 3 ( Preferred Brand ) contains 761 drugs and has a co-insurance of 18% of the drug cost. Tier 4 ( Non-Preferred Drug ) contains 1,009 drugs and has a co-insurance of 33% of the drug cost. Tier 5 ( Specialty Tier ) contains 804 drugs and has a co-insurance of 25% of the drug cost. All forms of insulin covered by this Medicare Part D plan will have a copay of $35 or less through all phases of coverage. Please contact the drug plan for more details. Click here to browse the SilverScript Choice (PDP) Formulary .