Is Aetna a good Medicare Part D plan?

Asked by: Dr. Thora Cole  |  Last update: October 22, 2023
Score: 4.8/5 (52 votes)

Aetna's Medicare Part D plans have an overall quality rating of 3.5 out of 5 stars from the CMS. A.M. Best sets credit ratings for insurers. In December 2021, A.M. Best affirmed its A (Excellent) Financial Strength Rating (FSR) for CVS Health Corporation's Aetna subsidiaries.

What is the deductible for Aetna Part D?

Aetna Part D plans come with a maximum annual deductible of $480 in 2022. However, the deductible does not apply to all tiers of drugs for all plans. Some Medicare drug plans offer deductibles lower than $480 or deductibles as low as $0. For SilverScript SmartRx, the deductible applies to drugs in tiers 2-5.

Is SilverScript and Aetna the same?

SilverScript is now part of Aetna Medicare

Pay your premium. Check drug coverage. Locate a pharmacy.

Does Aetna Medicare include Part D?

Medicare prescription drug coverage (Part D) is offered through private insurance companies, like Aetna®. You can get Part D coverage through either: A stand-alone prescription drug plan (commonly referred to as a PDP)

What Medicare Part D does not cover?

There are many drugs that no Medicare plans will cover under the Part D benefit, based on national Medicare guidelines. Drugs for anorexia, weight loss, or weight gain (i.e., Xenical®, Meridia, phentermine HCl, etc.) Drugs that promote fertility (i.e., Clomid, Gonal-f, Ovidrel®, Follistim®, etc.)

Humana vs Aetna Medicare Plans What would I Choose?

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What is the maximum out-of-pocket for Part D?

Medicare Part D plans don't have hard out-of-pocket maximums. However, in all Part D plans, you enter what's called the catastrophic coverage phase after you hit $7,400 in out-of-pocket costs for covered drugs.

What is the best pharmacy to use with SilverScript?

Preferred Pharmacies tend to have lower copayments and coinsurance; SilverScript has over 23,000 pharmacies they consider Preferred. CVS, Publix, Walmart, and Kroger are a few preferred pharmacies.

Is SilverScript an advantage plan?

SilverScript Employer PDP sponsored by Pfizer (SilverScript) is the prescription drug plan for Medicare-eligible participants in the Pfizer Medicare Advantage Base Plan, Pfizer Medicare Advantage Buy-Up Plan and Pfizer Prescription Drug-Only Plan.

Which is better SilverScript Choice or Plus?

The SilverScript Plus (PDP) offers a $0 deductible for medications on all tiers. The policy has even more drug coverage than the SilverScript Choice (PDP), and you can get your prescription drugs delivered at no additional cost. This prescription drug plan is a fantastic option for those who take high-tier drugs.

What will SilverScript premiums be in 2023?

For the largest PDP, CVS Health's SilverScript Choice, which has a total of 3.0 million enrollees in 2022, including 1.4 million non-LIS enrollees, the average monthly premium will increase by $2 (+8%), from $31 in 2022 to $33 in 2023.

Is SilverScript only good at CVS?

The Plus plan has a more expansive formulary, which may be beneficial to you if you take several medications or specialty medications. Expert Tip: It's important to note that although SilverScript is a CVS Health company, the company's preferred pharmacies include other well-known retail locations.

What is the average deductible for Part D?

Each plan will have a deductible anywhere between $0 and the standard, which is $505 for 2023. Part D plans vary depending on your zip code. Normally, most zip codes have a plan option available that has a zero-dollar deductible.

Does SilverScript Part D cover shingles shot?

Medicare prescription drug plans (Part D) usually cover all commercially available vaccines needed to prevent illness, like the shingles shot. You can now get more vaccines under Part D at no cost to you. Contact your Medicare drug plan for more details.

Do all Part D drug plans have a deductible?

While deductibles can vary from plan to plan, no plan's deductible can be higher than $505 in 2023, and some plans have no deductible. Initial coverage period: After you meet your deductible, your plan will help pay for your covered prescription drugs.

What is the cheapest SilverScript plan?

SilverScript® SmartSaver (PDP)

Our SmartSaver (PDP) helps you get the medicine you need with: The lowest national average PDP plan premium at $5.92* $0 deductible and $2 copays for Tier 1 drugs**

What are the benefits of SilverScript?

SilverScript drugs plans include multiple coverage benefits, including: $0 copays for preferred generic drugs. Access to a network of more than 65,000 pharmacies, including thousands of preferred pharmacies with additional discounts. Potential $0 deductible for all covered drugs.

Is SilverScript considered Medicare Part D?

SilverScript is the Medicare Part D prescription drug plan for members of the State Employee Health Plan. They offer two plans, Premium and Economy. The Premier Plan has a $0 deductible. It has 5 Tiers and offers coverage through the Gap (Donut-Hole) on all tiers.

Can I use GoodRX instead of my Medicare Part D?

While you can't use GoodRx in conjunction with any federal or state-funded programs like Medicare or Medicaid, you can use GoodRx as an alternative to your insurance, especially in situations when our prices are better than what Medicare may charge. Here's how it works.

Can you use Walgreens with SilverScript?

Walgreens Boots Alliance.

Since 2021, Walgreens has focused on participation in preferred networks. For 2023, it will be preferred in nine plans. However, for 2023, Walgreens will be an out-of-network pharmacy for Aetna's SilverScript SmartSaver.

Is SilverScript connected to CVS?

SilverScript, administered by CVS Caremark, provides an Automatic Refill and Renewal program for home delivery, CVS Pharmacy Pickup and Delivery Options, CVS Specialty Pharmacy and over 66,000 pharmacies are available under the CVS Caremark network.

Does Medicare Part D cover 100%?

In the coverage gap phase, Part D enrollees pay 25% of total drug costs for both brand-name and generic drugs. Part D plans pay the remaining 75% of generic drug costs and 5% of brand drug costs, and drug manufacturers provide a 70% price discount on brands (there is no manufacturer price discount on generics).

Does Medicare Part D cover 100 percent?

Part D Financing

The monthly premium paid by enrollees is set to cover 25.5% of the cost of standard drug coverage. Medicare subsidizes the remaining 74.5%, based on bids submitted by plans for their expected benefit payments.

Is 2000 out-of-pocket maximum Part D?

Beginning in 2025, there will be a hard cap or annual limit of $2,000 for prescription medications. No one with Medicare insurance will spend more than $2000 a year for their prescription medications that are covered under Part D. In the years that follow, the cap amount will be adjusted based on inflation.