Silverscript Prescription Drug Plan
New for 2024 – SilverScript Employer Prescription Drug Plan (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 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.
Benefits of the PDP (the SilverScript Employer Prescription Drug Plan):
- $0 annual deductible
- Copays for most drug tiers (except specialty drugs)
- Access to approximately 66,000 pharmacies nationwide
- $2,000 calendar year out-of-pocket maximum for your prescription drugs
- No mandatory fill requirements
Formulary Lists
Cost Calculators
- Silverscript PDP for MHBP Standard Option
- Silverscript PDP for MHBP Consumer Option
- Silverscript PDP for MHBP Value Plan
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 or go online at AetnaRetireeHealth.com/MHBP and opt out of this coverage between October 23, 2023 and December 31, 2023.
If you opt out of this new prescription drug plan, you will continue your prescription coverage under your current MHBP plan.
What this means
For members enrolled in MHBP Standard Option, MHBP Consumer Option and MHBP Value Plan, the change could mean significant savings. Please check the cost calculator or drug formulary for coverage.
See below for copays and coinsurance for your plan.
MHBP Standard Option |
|
|---|---|
| SilverScript Employer Prescription Drug Plan (PDP) for MHBP Standard Option | |
| Generic | $5 (30 days) $10 (90 days) |
| Preferred brand | $45 (30 days) $55 (90 days) |
| Non-Preferred brand | $60 (30 days) $80 (90 days) |
| Specialty | 15% limited to $225 (30 days) 15% limited to $425 (90 days) |
MHBP Consumer Option |
|
|---|---|
| SilverScript Employer Prescription Drug Plan (PDP) for MHBP Consumer Option | |
| Generic | $8 (30 days) $15 (90 days) |
| Preferred brand | $45 (30 days) $70 (90 days) |
| Non-Preferred brand | $70 (30 days) $110 (90 days) |
| Specialty | 25% limited to $225 (30 days) 25% limited to $425 (90 days) |
MHBP Value Plan |
|
|---|---|
| SilverScript Employer Prescription Drug Plan (PDP) for MHBP Value Option | |
| Generic | $10 (30 days) $20 (90 days) |
| Preferred brand | $47 (30 days) $140 (90 days) |
| Non-Preferred brand | $100 (30 days) $250 (90 days) |
| Specialty | 33% limited to $250 (30 days) 33% limited to $400 (90 days) |
*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.
Need more information?
- Find a pharmacy using the pharmacy locator
- View our on demand webinar to learn about our retiree plan options
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.
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