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By Ryan Kennelly

November 19, 2016

Topics:

  • Medicare
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What Silverscript Part D Plans are available in Colorado?

November 19, 2016

  • Medicare

Plan Design – SilverScript Choice

 

StageSilverScript Choice
Premium$32.00 
Annual Deductible$0 applies to all tiers
Initial Coverage (ICL)SilverScript Choice is a $0 deductible plan meaning members’ initial coverage stage begins the day the plan takes effect.
 Standard Retail PharmacyPreferred Mail Service Pharmacy
 30-day90-day90-day
   Tier 1$3$7.50$7.50
   Tier 2$20$50$50
   Tier 3$47$117.50$117.50
   Tier 450%50%50%
   Tier 533%N/AN/A
Coverage Gap(donut hole)Members leave the ICL stage and enter the Medicare Coverage Gap when they have reached $3,700 in total yearly drug costs (not including monthly premiums)
Generic drugs: Members pay 51% of the cost
Brand drugs: Members pay 40% of the cost
Catastrophic Coverage(after donut hole)Members enter the catastrophic coverage stage when they have spent $4,950 out of pocket (not including monthly premiums)
Generic drugs: Members pay the greater of 5% coinsurance or $3.30 copay
All other drugs: Members pay the greater of 5% coinsurance or $8.25 copay

* Not all Tier 5 drugs may be available through mail

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