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Federal employees and retirees

Call 1-800-410-7778 (TTY: 711)

Retiree Prescription drug information

SilverScript® Employer Prescription Drug Plan (PDP) for MHBP

SilverScript Employer PDP for MHBP

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 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.

*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.

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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.

SilverScript PDP Calculator/Formulary lists

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 63,000 pharmacies nationwide
  • No mandatory fill requirements
Find a Network Pharmacy

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 250 (30 days)
33% limited to $400 (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 prescription drug plan, you will continue your prescription coverage under your current MHBP plan.
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Aetna Medicare is a PPO plan with a Medicare contract. Our DSNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. Standalone Prescription Drug Plans are offered by SilverScript, a CVS Health company. The formulary, provider and/or pharmacy network may change at any time. You will receive notice when necessary. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of SilverScript. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change.

Estimated costs are not available in all markets or for all products and services. We provide an estimate for the amount you would owe for a particular product or service based on your benefit plan and status at that very point in time. It is not a guarantee. Actual costs may differ from an estimate for various reasons, including claims processing times for other products and services, providers joining or leaving the network, changes in product availability, or changes to your benefit plan.

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). This is a brief description of the features of this MHBP plan. Before making a final decision, please read the Plan’s Federal brochure(s). All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochure. A single annual $52 associate membership fee makes all MHBP plans available to you.

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