Plan Basics
Contract Year 2021
Medicare Type Medicare Prescription Drug Plan (Part D)
CMS Plan ID S5601-178-000
Plan Organization Aetna Medicare
Plan Type Medicare Prescription Drug Plan
Plan Name SilverScript SmartRx (PDP)
Plan Organization Type PDP
Drugs Covered Prescription Drugs are covered by the prescription drug plan
Doctors Choice Plan Doctors for Most Services
National PDP Y
Benefit Type Enhanced
Special Needs Plan No
Overall Star Rating 3.5
Plan Cost Sharing
Premium $7.30
Monthly Part D Basic Premium $3.80
Monthly Part D Supplemental Premium $3.50
Monthly Part D Total Premium $7.30
Monthly Part D Premium Full Assistance $3.50
Monthly Part D Premium 75% Assistance $4.40
Monthly Part D Premium 50% Assistance $5.40
Monthly Part D Premium 25% Assistance $6.30
Part D Drug Deductible $445.00
Annual Drug Deductible $445.00
Tiers Excluded From Deductible 1
Part D Initial Coverage Limit $4130.00
Part D Catastrophic Coverage Threshold $6550.00
Gap Coverage No
Plan Drug Info
Formulary Link Drug Formulary Directory
Official Medicare Contact
Medicare Phone 1-800-MEDICARE (1-800-633-4227)
Medicare TTY User 1-877-486-2048
Plan Available in these Counties
Albany County, New York, Allegany County, New York, Bronx County, New York, Broome County, New York, Cattaraugus County, New York, Cayuga County, New York, Chautauqua County, New York, Chemung County, New York, Chenango County, New York, Clinton County, New York, Columbia County, New York, Cortland County, New York, Delaware County, New York, Dutchess County, New York, Erie County, New York, Essex County, New York, Franklin County, New York, Fulton County, New York, Genesee County, New York, Greene County, New York, Hamilton County, New York, Herkimer County, New York, Jefferson County, New York, Kings County, New York, Lewis County, New York, Livingston County, New York, Madison County, New York, Monroe County, New York, Montgomery County, New York, Nassau County, New York, New York County, New York, Niagara County, New York, Oneida County, New York, Onondaga County, New York, Ontario County, New York, Orange County, New York, Orleans County, New York, Oswego County, New York, Otsego County, New York, Putnam County, New York, Queens County, New York, Rensselaer County, New York, Richmond County, New York, Rockland County, New York, Saint Lawrence County, New York, Saratoga County, New York, Schenectady County, New York, Schoharie County, New York, Schuyler County, New York, Seneca County, New York, Steuben County, New York, Suffolk County, New York, Sullivan County, New York, Tioga County, New York, Tompkins County, New York, Ulster County, New York, Warren County, New York, Washington County, New York, Wayne County, New York, Westchester County, New York, Wyoming County, New York, Yates County, New York

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