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Aetna Medicare
Plan ID: S5601-30-0
SilverScript Choice (PDP)
2024 SilverScript Choice (PDP) S5601 — 030— 0 is a Medicare Prescription Drug plan with drug coverage. It has received a 3-out-of-5 star rating from CMS for 2024.
Learn more about SilverScript Choice (PDP) S5601 - 030 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.
3 / 5 stars for 2024
$41.60 /mo
Monthly premium
$545.00
Drug deductible
Enroll online
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1-877-649-2073 TTY 711. 8am-11pm EST. 7 days a week!
Plan Overview
2024 SilverScript Choice (PDP) S5601 — 030— 0 is a Medicare Prescription Drug Plan offered in Indiana, Kentucky by Aetna Medicare. It has a monthly premium of $41.60.
Premium Breakdown
Part D Basic Premium
$41.60
Part D Supplemental Premium
$0
Part D Total
$41.60
Monthly Premium (Parts C & D)
$41.60
Total Premium (Parts B, C, & D)
$0
Plan Organization:
Aetna Medicare
Plan Type:
Medicare Prescription Drug Plan
Location:
Indiana, Kentucky
Drugs Covered:
Yes
Drug Formulary:
Pharmacies:
Doctor Choice:
Plan Doctors for Most Services
Doctors Link:
Not yet released
Deductibles
The amount you must pay each year before your plan starts to pay for covered services or drugs.
Drug deductible
$545
Note:
This plan does not charge an annual deductible for all drugs. The $545.00 annual deductible only applies to drugs in certain tiers.
Sign up for SilverScript Choice (PDP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
SilverScript Choice (PDP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
Drug Benefit Type
Actuarially Equivalent Standard
Prescription drug deductible
$545.00
Increased initial coverage limit
No
Additional gap coverage
No
Part D Premium Reduction
This plan's premium may be reduced for you if you qualify for the low-income subsidy (also known as LIS or "Extra help"). The following is what you'll pay for with LIS.
Part D | LIS 25% | LIS 50% | LIS 75% | LIS Full |
|---|---|---|---|---|
$41.60 | $41.60 | $41.60 | $41.60 | $41.60 |
Initial Coverage Phase
After you pay your $545.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00. Once you reach that amount, you will enter the next coverage phase.
Tier | Preferred Pharmacy | Standard Pharmacy | Preferred Mail | Standard Mail |
|---|---|---|---|---|
1. Preferred Generic | $2.00 copay | $8.00 copay | $2.00 copay | $8.00 copay |
2. Standard Generic | $7.00 copay | $15.00 copay | $7.00 copay | $15.00 copay |
3. Preferred Brand | 16% | 16% | 16% | 16% |
4. Non-Preferred Drug | 40% | 40% | 40% | 40% |
5. Specialty Tier | 25% | 25% | 25% | 25% |
Catastrophic Coverage Phase
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs.
Generic Drugs
$4.15 copay or 5% (whichever costs more)
Brand-name
$10.35 copay or 5% (whichever costs more)
Get Personalized Help from a licensed insurance agent
1-877-649-2073 TTY 711. 8am-11pm EST. 7 days a week
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