Plan Basics
Contract Year 2021
Medicare Type Medicare Prescription Drug Plan (Part D)
CMS Plan ID S5601-188-000
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 $6.90
Monthly Part D Basic Premium $3.60
Monthly Part D Supplemental Premium $3.30
Monthly Part D Total Premium $6.90
Monthly Part D Premium Full Assistance $3.30
Monthly Part D Premium 75% Assistance $4.20
Monthly Part D Premium 50% Assistance $5.10
Monthly Part D Premium 25% Assistance $6.00
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
Alcona County, Michigan, Alger County, Michigan, Allegan County, Michigan, Alpena County, Michigan, Antrim County, Michigan, Arenac County, Michigan, Baraga County, Michigan, Barry County, Michigan, Bay County, Michigan, Benzie County, Michigan, Berrien County, Michigan, Branch County, Michigan, Calhoun County, Michigan, Cass County, Michigan, Charlevoix County, Michigan, Cheboygan County, Michigan, Chippewa County, Michigan, Clare County, Michigan, Clinton County, Michigan, Crawford County, Michigan, Delta County, Michigan, Dickinson County, Michigan, Eaton County, Michigan, Emmet County, Michigan, Genesee County, Michigan, Gladwin County, Michigan, Gogebic County, Michigan, Grand Traverse County, Michigan, Gratiot County, Michigan, Hillsdale County, Michigan, Houghton County, Michigan, Huron County, Michigan, Ingham County, Michigan, Ionia County, Michigan, Iosco County, Michigan, Iron County, Michigan, Isabella County, Michigan, Jackson County, Michigan, Kalamazoo County, Michigan, Kalkaska County, Michigan, Kent County, Michigan, Keweenaw County, Michigan, Lake County, Michigan, Lapeer County, Michigan, Leelanau County, Michigan, Lenawee County, Michigan, Livingston County, Michigan, Luce County, Michigan, Mackinac County, Michigan, Macomb County, Michigan, Manistee County, Michigan, Marquette County, Michigan, Mason County, Michigan, Mecosta County, Michigan, Menominee County, Michigan, Midland County, Michigan, Missaukee County, Michigan, Monroe County, Michigan, Montcalm County, Michigan, Montmorency County, Michigan, Muskegon County, Michigan, Newaygo County, Michigan, Oakland County, Michigan, Oceana County, Michigan, Ogemaw County, Michigan, Ontonagon County, Michigan, Osceola County, Michigan, Oscoda County, Michigan, Otsego County, Michigan, Ottawa County, Michigan, Presque Isle County, Michigan, Roscommon County, Michigan, Saginaw County, Michigan, Saint Clair County, Michigan, Saint Joseph County, Michigan, Sanilac County, Michigan, Schoolcraft County, Michigan, Shiawassee County, Michigan, Tuscola County, Michigan, Van Buren County, Michigan, Washtenaw County, Michigan, Wayne County, Michigan, Wexford County, Michigan

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