Retiree Prescription drug information
SilverScript Employer PDP for MHBP
New for 2024 – If you have Medicare A and or B as your primary coverage and have not opted into the Medicare Advantage Plan for MHBP Standard Option, you’ll automatically be enrolled in our SilverScript® Employer Prescription Drug Plan (PDP) under Medicare Part D for MHBP.*
Your new prescription drug plan will start January 1, 2024. Your medical coverage and your Federal Employees Health Benefits (FEHB) Program premium will not change.** You are still covered under MHBP through the FEHB Program if you continue to pay your MHBP premium. Enrolling in the PDP will not result in the suspension or termination of your FEHB coverage.
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What this change means to you
For members enrolled in MHBP Standard Option, MHBP Consumer Option and MHBP Value Plan, the change could mean significant savings.
Check the cost calculators or drug formulary lists below for coverage information.
Benefits of the the SilverScript Employer PDP for MHBP:
- $0 annual deductible
- Copays for most drug tiers (except specialty drugs)
- $2,000 calendar year out-of-pocket maximum for your prescription drugs
- Access to approximately 66,000 pharmacies nationwide
- No mandatory fill requirements
SilverScript Employer PDP for MHBP plans
Please do not rely on this chart alone. Below is a summary of copays and coinsurance for MHBP plans. For more detail about definitions, limitations, and exclusions please refer to the Official Plan Brochure.
Rx Type | Standard Option | Consumer Option (HDHP) | Value Plan |
---|---|---|---|
Generic | $5 (30 days) $10 (90 days) |
$8 (30 days) $15 (90 days) |
$10 (30 days) $20 (90 days) |
Preferred brand | $45 (30 days) $55 (90 days) |
$45 (30 days) $70 (90 days) |
$47 (30 days) $140 (90 days) |
Non-preferred brand | $60 (30 days) $80 (90 days) |
$70 (30 days) $110 (90 days) |
$100 (30 days) $250 (90 days) |
Specialty | 15% limited to $225 (30 days) 15% limited to $425 (90 days) |
25% limited to $225 (30 days) 25% limited to $425 (90 days) |
33% limited to $225 (30 days) 33% limited to $425 (90 days) |
How to opt out of SilverScript PDP for MHBP
If you don’t want to be enrolled in the SilverScript Employer PDP for MHBP, you must contact Member Services at 1-833-825-6755 (TTY: 711), Monday through Friday, 8 AM to 8 PM ET.
- If you opt out of this new prescription drug plan, you will continue your prescription coverage under your current MHBP plan.
Aetna Medicare Advantage for
MHBP Standard Option
It’s easy to opt in (with Aetna).
Monday–Friday, 8 AM–8 PM ET
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Get Live Help
Have questions or need help selecting a plan? We offer multiple ways to get live help. Don’t wait, our friendly representatives are here for you.
*If you are currently enrolled in a stand-alone Medicare prescription drug plan or a Medicare Advantage (MA) HMO or PPO plan (Part C), enrolling in SIlverScript will cancel your enrollment in the other plan.
** The Social Security Administration (SSA) could require you to pay an extra amount. This is known as the Medicare Income Related Monthly Adjustment Amount (IRMAA). SSA will contact you if you have to pay Part D IRMAA, based on your income.