2021 Medicare Prescription Drug Plan Details | |||||
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Medicare Plan Name: | SilverScript Choice (PDP) by Aetna Medicare | ||||
State: | Mississippi | ||||
Plan ID: | S5601 - 040 - 0 Click to see other plans | ||||
Member Services: | 1-866-235-5660 TTY users 711 | ||||
— This plan information is for research purposes only. — Click here to see plans for the current plan year | |||||
Medicare Contact Information: | Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048 or contact your local SHIP for assistance |
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Email a copy of the SilverScript Choice (PDP) benefit details
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— Medicare Plan Features — | |||||
Monthly Premium: | $24.10 (see Plan Premium Details below) | ||||
Annual Deductible: | $250 (Tier 1 and 2 excluded from the Deductible.) | ||||
$0 Premium if Full LIS Benefits? | Yes, this plan does qualify for the $0 Premium. (See premiums for partial LIS subsidy below.) | ||||
Annual Initial Coverage Limit (ICL): | $4,130 | ||||
Additional Gap Coverage? | No additional gap coverage, only the Donut Hole Discount | ||||
Total Number of Formulary Drugs: | 3,109 drugs | Browse the SilverScript Choice (PDP) Formulary | |||
This plan has 5 drug tiers.
See cost-sharing for all pharmacies and tiers.
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Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
• Preferred Pharmacy Cost-Sharing during initial coverage phase: | $0.00 | $5.00 | $35.00 | 40% | 28% |
• Number of Drugs per Tier: | 95 | 440 | 1061 | 911 | 602 |
Plan Offers Mail Order? | Yes | ||||
Plan Type (Reach): | National Plan | ||||
Number of Members enrolled in this plan in Mississippi: | 68,395 members (CMS Region 20) | ||||
Number of Members enrolled in this plan nationally: | 3,455,120 members | ||||
Plan’s Summary Star Rating: | 3.5 out of 5 Stars. | ||||
• Customer Service Rating: | 5 out of 5 Stars. | ||||
• Member Experience Rating: | 3 out of 5 Stars. | ||||
• Drug Cost Accuracy Rating: | 3 out of 5 Stars. | ||||
— Plan Premium Details — | |||||
The Monthly Premium is Split as Follows: ❔ | Total Premium | Part D Base Premium | Part D Supplemental Premium | ||
$24.10 | $24.10 | $0.00 | |||
Monthly Premium with Extra Help Low-Income Subsidy (LIS): ❔ | 100% Subsidy | 75% Subsidy | 50% Subsidy | 25% Subsidy | |
Monthly Part D Premium with LIS: | $0.00 | $6.00 | $12.00 | $18.10 |