SilverScript Plus Washington D.C. Part D Plan S5601-011 by Aetna Medicare
SilverScript Plus is a 2024 Enhanced Medicare Part D plan from Aetna Medicare that's available to people with Medicare Part A and/or Part B or a Medicare Advantage plan that does not include prescription drug plan benefits.
SilverScript Plus is a cost-sharing plan that has a $113.40 monthly premium, an initial coverage limit of $5,030, a $200.00 annual deductible, and an out-of-pocket threshold of $8,000. This plan is rated 3.0 (Average) stars by CMS.
See more Medicare Part D Plans in Washington D.C..
Part D Plan Basics | |
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Plan ID: | S5601-011 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $113.40/mo |
Deductible: | $200.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | Yes |
Low Income Subsidy: | No |
Availability: | Washington D.C. |
Insured By: | Aetna Medicare |
Prescription Drug Plan Premium
Although SilverScript Plus's monthly premium is bundled with the total plan cost, some plans have supplemental costs and/or offer low-income subsidy (LIS) assistance. The following table outlines the premium details of this Aetna Medicare plan.
Basic Part D Premium: | |
Supplemental Part D Premium: | |
Total Part D Premium: | |
Part D Premium with Full LIS Assistance: |
For more information about the Low-Income Subsidy (aka, "Extra Help") program, refer to the Social Security Extra Help page.
Prescription Drug Plan Deductible
The Medicare Part D annual deductible with this plan is $200.00. This is the amount you must pay at the pharmacy before Aetna Medicare begins paying its share.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, SilverScript Plus has copayments (a fixed dollar amount) and/or coinsurances (a percentage amount) that you must pay when you pick up your prescriptions. The following table shows you those costs.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $0.00 copay | $5.00 copay |
2 (Generic) | $0.00 copay | $10.00 copay |
3 (Preferred Brand) | $47.00 copay | $47.00 copay |
4 (Non-Preferred Drug) | 50% | 50% |
5 (Specialty Tier) | 30% | 30% |
A Brief Review and CMS 5-Star Rating Marks
Each year the Centers for Medicare & Medicaid Services (CMS) rates drug plans (Part D) in four broad categories. We do not recommend joining a plan with an overall rating of less than 3.0. Here are the most recent CMS ratings for this plan.
This Medicare Part D plan gets 3.0 out of 5 stars overall. Here's our quick summary of how well SilverScript Plus performs.
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 |
On most measures, this Part D plan performs well. But it's good to know where it could use some improvement. Solving issues when a member has a problem getting their medications is critical, and SilverScript Plus members say the plan does a good job when they call for help. When it comes to member complaints to Medicare, this plan does an average job. The member experience with this Aetna Medicare plan is about average. Drug safety and the accuracy of drug pricing with this plan are about average.
Every plan covers drugs differently, so it's important to look at your total cost. You'll find enhanced benefit plans with a lower monthly fee than this one. This is acceptable if your prescriptions are covered at a lower overall price. This plan is not like other plans with a deductible this high because it does exclude at least one tier.
Additional Enhanced Medicare Part D Plan Options in Washington D.C.
Here are some additional plans in your area that might be worth reviewing:
- Wellcare Medicare Rx Value Plus (S4802-208)
- Cigna Saver Rx (S5617-355)
- Mutual of Omaha Rx Essential (S7126-107)
- Wellcare Value Script (S4802-140)
- AARP Medicare Rx Walgreens from UHC (S5921-387)
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)- |
If you qualify for Original Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov.
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.
Citations & References
- Aetna Medicare, "http://www.aetnamedicare.com", Last Accessed March 11, 2024
- Medicare.gov, "How to get prescription drug coverage", Last Accessed March 2, 2024
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed March 1, 2024
- Medicare.gov, "Catastrophic coverage", Last Accessed March 13, 2024
- SSA.gov, "Apply for Medicare Part D Extra Help program", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed January 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 3, 2024