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SilverScript Choice A 2025 Medicare Part D Plan Available in Ohio
SilverScript Choice A 2025 Medicare Part D Plan Available in Ohio
Welcome to the 2025 SilverScript Choice Medicare Part D plan guide for Ohio. Here, you’ll find all the information you need, including plan benefits, costs, and star ratings. We’ve also included enrollment options to assist you in securing the right prescription drug coverage for you in Ohio.
The SilverScript Choice plan provides valuable coverage for reducing your prescription drug costs, whether you're enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in Ohio.
SilverScript Choice : Part D Plan Overview | |
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Part D Plan ID: | S5601-028 |
Plan Year: | 2025 |
Total Part D Premium: | $40.30 |
Annual Deductible: | $590.00 |
Part D Benefit Type: | Basic |
No Deductible Drug Tier: | Not Applicable |
Low Income Subsidy: | Yes |
Insured By: | Aetna Medicare |
We're Here to Help You Enroll |
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Understanding Medicare Part D Plan Costs
SilverScript Choice has a range of costs, including monthly premiums, deductibles, copayments, and coinsurance. Understanding how each of these components impacts your overall expenses is key to managing your prescription drug costs effectively. The sections below will guide you through each cost factor.
Plan Premium Details
The SilverScript Choice plan's monthly premium is an important factor in your total costs. Some plans include extra fees or offer financial aid through the Low-Income Subsidy (LIS) program. The following table details the premium costs for this 2025 plan by Aetna Medicare.
Basic Part D Premium: | $40.30 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $40.30 |
Low Income Premium Subsidy: | $39.30 |
Low Income Premium Subsidy CMS Pays: | $39.30 |
Low Income Subsidy Premium: | $1.00 |
TIP: To learn more about the Low-Income Subsidy (LIS) program, also known as "Extra Help," and how it can assist with your prescription drug costs in Ohio, visit the Social Security Extra Help page.
Part D Prescription Drug Plan Deductible
This plan has a Medicare Part D annual deductible of $590.00. You must pay this amount upfront at the pharmacy before Aetna Medicare begins contributing to your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the monthly premium and deductible, you'll also be responsible for copayments (fixed amounts) and/or coinsurance (a percentage of the drug cost) under the SilverScript Choice plan. The following table details these out-of-pocket costs.
Drug Tier | Retail | Mail Order | |
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Preferred Generic | $5.00 | $5.00 | |
Generic | $10.00 | $10.00 | |
Preferred Brand | 19.00% | 19.00% | |
Non-Preferred Drug | 32.00% | 32.00% | |
Specialty Tier | 25.00% | 25.00% | |
*Deductible does not apply. |
What the CMS 5-Star Rating Means
Every year, the Centers for Medicare & Medicaid Services (CMS) rates Medicare Part D plans on a 5-star scale, with 5 stars representing excellent quality and performance. These ratings consider factors like customer service, member experience, and the safety of prescription drugs. A higher rating reflects better overall quality, helping you choose the best plan for your needs. The table below shows the CMS rating for the SilverScript Choice plan.
CMS Measure | Star Rating |
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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 |
Important Medicare Part D Enrollment Periods
Knowing when to enroll in a Medicare Part D plan is crucial to ensuring you have the coverage you need. Below are the main enrollment periods:
- Initial Enrollment Period (IEP): Your first chance to enroll in Medicare Part D typically starts three months before the month you turn 65 and lasts for seven months. Learn more about when your Initial Enrollment Period begins.
- Annual Enrollment Period (AEP): Every year from October 15 to December 7, you can join, switch, or drop your Medicare Part D plan. Get details about the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can change your Medicare Advantage plan or switch back to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Explore the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Certain events, like moving or losing other coverage, may qualify you for a Special Enrollment Period, allowing you to enroll or change plans outside the usual periods.
How to Enroll in SilverScript Choice
Ready to enroll in SilverScript Choice or another Medicare Part D plan? Here are your options:
- Online via MedicareEnrollment.com: Visit MedicareEnrollment.com to compare plans and enroll online quickly and securely.
- Call HealthCompare: For personalized assistance, call HealthCompare at 833-748-3201 (TTY 711) to get expert help with finding the right plan (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: Speak with a Medicare representative by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: You can also contact the plan directly using the details provided below to enroll over the phone.
Contact Aetna Medicare
Website: | Aetna Medicare Plan Page |
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Formulary: | Aetna Medicare Formulary Page |
Pharmacy: | Aetna Medicare Pharmacy Page |
Prospective Part D Members: | (833)526-2445 |
Prospective Part D TTY Users: | 711 |
Plans Offered Through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, 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.
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