SilverScript Plus Part D Plan S5601-003 Details
SilverScript Plus is a 2024 Enhanced Medicare Part D plan from Aetna Medicare that's available to individuals enrolled in a Medicare Advantage plan without prescription drug plan benefits or Medicare Part A and/or Part B.
This plan has a monthly premium of $111.90, an initial coverage limit of $5,030, an out-of-pocket threshold of $8,000, and a $200.00 deductible that must be paid before cost-sharing begins. This plan is rated 3.0 (Average) stars by CMS.
2025 SilverScript Plus Cost and Coverage
The 2025 cost and coverage information for SilverScript Plus will not be available until early October. We'll notify you when it is available from CMS.
Sign-Up for 2025 Medicare Part D Plan Notification. The 2025 Annual Enrollment Period starts October 15.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S5601-003 |
| Plan Type: | PDP |
| Plan Year: | 2024 |
| Premium: | $111.90/mo |
| Deductible: | $200.00/yr |
| Benefit Type: | Enhanced |
| Rx Gap Coverage: | Yes |
| Low Income Subsidy: | No |
| Availability: | See List |
| 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: | $48.80 |
| Supplemental Part D Premium: | $63.10 |
| Total Part D Premium: | $111.90 |
| Part D Premium with Full LIS Assistance: | $75.90 |
The Social Security Extra Help page has more information about the Low-Income Subsidy (“Extra Help”) program.
Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $200.00. You must pay this amount 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 |
|---|---|---|
| 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 5-Star Rating Marks
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.
Overall, this Medicare Part D plan gets 3.0 out of 5 stars from CMS. Here's a quick summary of how well SilverScript Plus performs.
| CMS Measure | Star Rating |
|---|---|
| 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 |
The true value of any Medicare Part D plan can only be judged by how well it covers your medications. 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 does have an annual deductible, but one of the formulary tiers is excluded (see table above).
Plan Availability
SilverScript Plus is available in the following states:
Additional Enhanced Medicare Part D Plan Options in
Here are some additional plans in your area that might be worth reviewing:
- AARP Medicare Rx Walgreens from UHC (S5921-384)
- Cigna Saver Rx (S5617-351)
- Cigna Extra Rx (S5617-246)
- Wellcare Value Script (S4802-136)
- Mutual of Omaha Rx Essential (S7126-104)
Contact Aetna Medicare
| Plan Website: | Aetna Medicare Plan Information |
|---|---|
| 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 at www.medicare.gov.
Citations & References
- Aetna Medicare, "http://www.aetnamedicare.com", Last Accessed March 11, 2024
- Medicare.gov, "Drug coverage (part D)", Last Accessed March 2, 2024
- Benefits.gov, "Medicare Prescription Drug Plans", 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
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.