What is the out-of-pocket maximum for SilverScript?
Asked by: Nasir Padberg | Last update: May 21, 2025Score: 4.4/5 (6 votes)
What is the deductible for SilverScript Part D?
SilverScript Choice PDP includes:
Low cost-sharing at all network pharmacies. A $590 deductible applies to all tiers.
What is the maximum out-of-pocket for Medicare prescription drugs?
Out-of-pocket costs
Health or prescription drug costs that you must pay on your own because they aren't covered by Medicare or other insurance. will be capped at $2,000 in 2025. You'll also have the option to pay out-of-pocket costs in monthly amounts over the plan year, instead of when they happen.
Is SilverScript a good Medicare drug plan?
Best Overall, Best for Customer Satisfaction Aetna
Based on our nationwide analysis of CMS data for eight companies, Aetna's Part D SilverScript Choice plan has the highest overall Medicare star ratings.
What are the changes for SilverScript in 2024?
Most members do not reach the Coverage Gap Stage or the Catastrophic Coverage Stage. Beginning in 2024, if you reach the Catastrophic Coverage Stage, you pay nothing for covered Part D drugs. You may have cost sharing for excluded drugs that are covered under our enhanced benefit.
Health Plan Basics: Out-of-Pocket Maximum
What is the out-of-pocket limit for Medicare in 2024?
Due to a provision in the Inflation Reduction Act, there is a cap in Part D spending of around $3,300 in 2024, and in 2025, Medicare beneficiaries will pay no more than $2,000 out of pocket for prescription drugs covered under Part D.
What's the difference between SilverScript Choice and SilverScript Plus?
The SilverScript Plus plan has no deductible and more coverage during the Part D donut hole, while the SilverScript Choice and SilverScript SmartRx plans offer lower monthly premiums.
What pharmacies are preferred with SilverScript?
SilverScript has most of the same network pharmacies that are in your CVS Caremark pharmacy network. You can continue to get your prescriptions filled at your local network retail pharmacy or through a mail order pharmacy. You do not have to go to a CVS Pharmacy® — there are other pharmacies in the network.
How much is SilverScript a month?
SilverScript Choice PDP includes:
A monthly plan premium of $53.60. Tier 1 drugs for no more than $5* copay at all network pharmacies. A $590 deductible applies to all tiers.
Do you have to pay prescription copay after out-of-pocket maximum?
Do I pay a copay after the out-of-pocket maximum is met? In most plans, there is no copayment for covered medical services after you have met your out-of-pocket maximum. All plans are different though, so make sure to pay attention to plan details when buying a plan.
What is the most popular Part D drug plan?
"Based on my research, I found two top Medicare Part D companies in 2025. First, Wellcare's Value Script plan has $0 premiums in most states while also receiving good star ratings. Second, Humana stands out in government ratings of members' experience with its plans."
Why can't Medicare patients pay out-of-pocket?
In order to serve a Medicare patient, even if they want to pay out of pocket, [the clinics] have to have some sort of agreement with the patient. This law basically protects people who are sick right now and need care.
What is the new name for SilverScript?
SilverScript SmartRx (PDP) is becoming SilverScript SmartSaver (PDP)
Can SilverScript be used at any pharmacy?
SilverScript has most of the same network pharmacies that are in your CVS Caremark pharmacy network. You continue to get your prescriptions filled at your local network retail pharmacy or through a mail-order pharmacy.
How much will Medicare cost in 2025 for seniors?
The standard monthly premium for Medicare Part B enrollees will be $185.00 for 2025, an increase of $10.30 from $174.70 in 2024. The annual deductible for all Medicare Part B beneficiaries will be $257 in 2025, an increase of $17 from the annual deductible of $240 in 2024.
Do I need Medicare Part D if I have SilverScript?
SilverScript is a Medicare Part D prescription drug plan (PDP) with additional coverage provided by Pfizer. This additional coverage means that you have more coverage than the standard Medicare Part D plan. You don't have to do anything to continue your enrollment in the plan.
Who owns SilverScript?
Who Owns SilverScript? SilverScript partnered with Aetna in 2021 for fuller Medicare coverage, but Aetna (and therefore SilverScript) are owned by CVS Health.
Does Walmart accept SilverScript insurance?
Additionally, SilverScript members benefit from a large nationwide network of 65,000 well-known pharmacies like CVS, Costco, Giant Eagle, Kroger, Publix, Rite Aid, Safeway, Sam's Club, Target, Wegmans, Walgreens, Walmart, Winn Dixie, and many others.
What insurance uses SilverScript?
Aetna Medicare | SilverScript® SmartSaver.
Does SilverScript cover dental?
If you have questions about your prescriptions and the transition to the new plan, you can contact SilverScript Customer Care. The new plan includes dental coverage as part of the benefits offering.
Are CVS Caremark and SilverScript the same?
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.
What is the monthly premium for SilverScript Choice?
Enrollees in that plan will be switched into Aetna's sole PDP offering for 2025, SilverScript Choice, unless they choose a different plan, and their monthly premium will increase from $18.60 to $53.60, a $35 increase.