SilverScript Plus New Jersey Part D Plan S5601-009 by Aetna Medicare
SilverScript Plus is a Enhanced prescription drug plan from Aetna Medicare that's available to people enrolled in Original Medicare or a Medicare Advantage plan without Part D benefits.
This 2024 Medicare Part D plan has a $93.60 monthly premium, $200.00 annual deductible, $5,030 initial coverage limit, and a $8,000 out-of-pocket threshold. This plan is rated 3.0 (Average) stars by CMS.
See more Top Medicare Part D Plans in New Jersey.
Part D Plan Basics | |
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Plan ID: | S5601-009 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $93.60/mo |
Deductible: | $200.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | Yes |
Low Income Subsidy: | No |
Availability: | New Jersey |
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: | $35.50 |
Supplemental Part D Premium: | $58.10 |
Total Part D Premium: | $93.60 |
Part D Premium with Full LIS Assistance: | $58.10 |
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.
NOTE: The deductible does not apply to one or more drug tiers in this plan (see "Prescription Drug Plan Out-of-Pocket Costs" below).
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 (deductible does not apply) | $5.00 copay (deductible does not apply) |
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% |
CMS Rating Marks and Our Review
Each year Medicare rates drug plans (Part D) in several major categories. These ratings are designed to help you understand the quality of care and service you can expect if you join 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 |
In terms of quality, safety, and customer service, this New Jersey Part D plan is just average. 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.
You can't judge a Part D plan on its monthly premium or annual deductible. You have to look at the overall cost of your prescriptions. There are enhanced benefit plans with a lower monthly premium than this one. That's okay if the plan covers your prescriptions at a better overall price. This plan does have an annual deductible, but one of the formulary tiers is excluded (see table above).
Additional Enhanced Medicare Part D Plan Options in New Jersey
Here are some additional plans in your area that might be worth reviewing:
- SilverScript SmartSaver (S5601-179)
- AARP Medicare Rx Preferred from UHC (S5820-003)
- Wellcare Medicare Rx Value Plus (S4802-207)
- AARP Medicare Rx Walgreens from UHC (S5921-386)
- Humana Walmart Value Rx Plan (S5884-183)
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, "Medicare costs at a glance", Last Accessed March 11, 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