Summary: SilverScript is a subsidiary of Aetna that offers prescription drug plans to Medicare enrollees nationwide. The carrier offers several different plan options to meet the various needs of individuals. Estimated Read Time: 8 min
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SilverScript is a Medicare Part D carrier with plans available in all 50 states. The company offers comprehensive Medicare Part D prescription drug plans with extensive coverage for certain prescription drugs.
Millions of Medicare enrollees utilize SilverScript prescription drug benefits each year. With some of the most affordable prescription drug plan premiums on the market, SilverScript may be a good option for those on Medicare who want a Medicare Part D plan that won’t break the bank.
What is SilverScript?
SilverScript is a private Medicare Part D insurance company that offers prescription drug coverage to those with Original Medicare. The carrier offers coverage options in all 50 states and Washington D.C.
SilverScript offers three different coverage choices to those eligible for Medicare Part D. Each plan offers a different premium and different coverage for prescription drugs. To determine which plan best first your needs, you should compile a list of your prescription drugs and compare them to each plan’s formulary.
Medicare Part D plans through SilverScript offer a range of premiums and copays to meet almost any budget, depending on the plan you choose and the medications you require. Further, these plans provide coverage at thousands of pharmacies nationwide.
Even with changes to the SilverScript formulary each year, prescription drug plans through this carrier provide comprehensive coverage and competitive prices.
Who Owns SilverScript?
SilverScript is a Medicare Part D carrier acquired by CVS Health in 2019. CVS Health is one of the nation’s largest pharmacy innovation companies with a mission to help its clients obtain better healthcare.
With close to 10,000 retail locations and over 1,000 walk-in clinics across the country, CVS Health offers convenient healthcare close to home for many Americans. Acquiring SilverScript has allowed CVS Health to expand its reach in the healthcare industry by venturing into Medicare Part D.
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Is SilverScript Part of Aetna?
In January 2020, SilverScript Medicare Part D plans merged with Aetna. When the companies merged under the guidance of their parent company, CVS Health, members experienced plan changes in costs and benefits.
When the two companies merged, there was no interruption in coverage. Those originally on an Aetna or SilverScript Medicare Part D plan automatically transitioned to one of the three Aetna SilverScript Medicare Part D plans.
Aetna SilverScript Prescription Drug Plans
SilverScript offers three different Medicare Part D plans, each with a different level of coverage, monthly premium, and copayment amounts. When comparing SilverScript drug plans, you should know the following information.
- Your prescription medication(s) and dosage(s)
- How often you take your medication(s)
- Out-of-pocket expenses, such as copays
- How much you are willing to pay in annual deductibles
By creating a game plan at the start of your Medicare Part D plan search, you can ensure you receive the prescription drug coverage you need.
SilverScript Formulary 2023
A formulary is a master list of prescription drugs that have coverage under a specific policy. You can find the formulary for each plan on SilverScript’s website or when speaking to a licensed Medicare agent to help you make sense of plan details.
When shopping for prescription drug coverage, you should know your medications and how the available Medicare Part D plans in your area would cover them. This way, you can enroll in a plan that covers the prescriptions you need.
Sometimes a Medicare Part D plan may not cover your specific medication. However, a formulary alternative could be available. Your doctor may consider a replacement if they feel it’s appropriate. Otherwise, you could request a formulary exception, which means your drug may receive coverage from the plan with approval.
SilverScript may make occasional changes to its formularies, so reviewing your prescription drug coverage each year during the Annual Enrollment Period is essential. Doing so will ensure you receive the right coverage year after year.
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How Much Does SilverScript Cost Per Month?
Each SilverScript Medicare Part D plan has a different monthly premium. So, your monthly cost will depend on the plan you enroll in. Like other insurance options, the level of benefits directly correlates to the monthly premium of the plan. So, plans with fewer benefits have a lower monthly premium than plans with extended benefits.
Additionally, SilverScript monthly premiums may vary by ZIP Code. So, you may pay more or less than your relative on the same plan in another town or even another state. However, SilverScript Medicare Part D plans historically have low to average monthly premiums for their plan options.
What Pharmacies Does SilverScript Use?
SilverScript allows you to utilize thousands of pharmacies nationwide to receive your prescription drugs. The SilverScript pharmacy network includes over 65,000 pharmacies in the United States. Most chain pharmacies will accept your SilverScript Medicare Part D coverage.
However, not all pharmacies are preferred. A preferred pharmacy allows you to receive the drug at the lowest cost possible. Standard network pharmacies still provide coverage at a slightly higher price than preferred pharmacies and out-of-network pharmacies will likely not accept your SilverScript plan.
SilverScript Preferred Pharmacy Examples:
- Walmart
- CVS
- Wegmans
- Kroger
- Publix
- Plus, local pharmacies nationwide
SilverScript Standard Pharmacy Examples:
- Walgreens (for most SilverScript plans)
- Sam’s Club
- Plus, local pharmacies nationwide
Utilizing a preferred pharmacy is vital to receive drugs at the lowest cost.
SilverScript Mail Order Pharmacy
Many people prefer utilizing mail-order pharmacy services. Mail-order can be especially beneficial when you cannot leave your house to pick up prescriptions. Depending on your prescriptions and the SilverScript plan you choose, mail-order pharmacy may be available to you.
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When you opt-in to receive your drugs through the mail-order pharmacy, you can get up to 90-day prescriptions. Thus, it allows you to reduce hassle by decreasing the number of times you must order your medications.
Anyone with a SilverScript Rx plan can utilize the mail-order pharmacy. The COVID-19 pandemic has taught us that convenience does not have to be forced. Mail-order pharmacies do just that. They allow you the comfort and peace of mind that your drugs will always arrive on time.
How To Sign Up for SilverScript
To enroll in a SilverScript Medicare Part D plan, it is essential to speak with a licensed agent who has access to the carrier and is familiar with each plan’s benefits. Before enrolling in a SilverScript plan, you’ll want to be sure the plan has the best benefits for your needs compared to other available plans in your area. While speaking with an agent, you can ensure the coverage you choose will provide your prescriptions at a low cost.
Ultimately, your prescription drugs will determine which Medicare Part D plan is best for you. Once you choose a policy, you must provide your Medicare card and other demographic information to complete the application.
If this is your first time enrolling in Medicare, your Medicare Part D plan becomes effective with your Medicare Part A and/or Part B. If you sign up during the Annual Enrollment Period, your new coverage will begin on January 1.
Remember, if you have a Medicare Advantage plan, you may not be able to enroll in a SilverScript Medicare Part D plan. In most cases, you can only enroll in Medicare Part D if you have Original Medicare, with or without a Medicare Supplement plan. This is because a majority of Medicare Advantage plans provide their own prescription drug coverage.
How Do I Pay SilverScript Online?
Paying for your SilverScript Medicare Part D plan is easily done online. Most people who enroll in Medicare Part D decide to have the monthly premium automatically deducted from their Social Security check each month. This way, they will never accidentally miss a payment and lapse their coverage.
If you do not receive Social Security or do not wish to have your payment automatically deducted, you can pay your monthly premium online. To do so, you will need to visit AetnaMedicare.com and create a log-in. From there, you can pay your bill, check your claims, and more.
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SilverScript Payment Portal
SilverScript has a unique and convenient online portal through CVS Caremark. Caremark is an online platform that allows you to check your pharmacy benefits and more.
The portal also allows you to:
- Review current prescriptions
- Check on the status of your order
- Review your drug coverage
- Check on medication costs.
The Caremark portal will let you gain valuable information with ease. In addition, the Caremark portal also lets you order drugs through the online pharmacy.
Through the portal, you can check and compare your drug costs, view your savings opportunities, understand your plan benefits, review coverage details, and find answers to SilverScript FAQs.
SilverScript Reviews
SilverScript offers 24-hour customer service and many online tools to help you successfully navigate your prescription drug plan.
SilverScript earns a B+ rating through the Better Business Bureau for customer reviews. Several customer reviews mention the low drug costs and affordable monthly premiums as selling points for this company.
How to Apply for Medicare Part D Through SilverScript
When you're ready to sign up for a SilverScript plan, we're here to help make the process as easy as possible. Our licensed Medicare agents will walk you through the online application to ensure it is correct the first time. From there, our customer care team will take care of any issue that may arise during the process or even after you are enrolled in the plan.
To get started with your SilverScript Medicare Part D plan today, give us a call at the number above, or complete our online rate form. We look forward to finding the most suitable Medicare Part D coverage for you!
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Sources:
MedicareFAQ is dedicated to providing you with authentic and trustworthy Medicare information. We have strict sourcing guidelines and work diligently to serve our readers with accurate and up-to-date content.
- Silverscript, Aetna. Accessed July 2023.
https://www.silverscript.com/ - Medicare Part D, Aetna . Accessed July 2023.
https://www.aetnamedicare.com/en/compare-plans-enroll/part-d-prescription-drug-plans.html
I work in a Nursing Home in Louisiana. Does SilverScript offer a plan with no co-pays or deductibles for Medicaid and Medicare residents.
SilverScript does not have a plan with $0 out of pocket costs. Most drug plans will have at least some coinsurance for you to pay depending on the medications.
What is the deductible for 2023 for SilverScript?
Hi Elaine, the deductible depends on the SilverScript plan you are enrolled in. Which SilverScript plan are you inquiring about?
$505 Deductible
Silver Script has given us good coverage. I must now cancel Margaret’s subscription. How do I do it?
Hi Lawerence, I am sorry to hear about your wife. To cancel, you’ll want to reach out to SilverScript directly.
I have Silver script and looking for Xarelto pricing and out of pocket cost
Belva, this will depend on the specific SilverScript plan you have. You can look up drug costs for your exact plan with the Medicare.gov plan finder tool.
Does silver script choice plan cover eliquis.
Hi Richard, SilverScript does cover Eliquis on all plan formularies. However, your copayment costs may differ between SilverScript plans.
I use Rays Pharmacy and Walgreens to fill my scripts and have a 6 mth refill how do I change if my pharmacy is not covered?
Hi Janna,
If your pharmacy is not covered by your plan, you can simply have your current pharmacy send your unfilled prescriptions to a new pharmacy and update your preferred pharmacy with your physician.
I am on Xarelto 20 mg daily. What will my co-pay be after I meet my deductible for 2023?
Hi Kevin, your copay will depend on the Medicare Part D plan you are enrolled in. Which plan do you have for 2023?
I’m trying to help a resident that moved here from Texas and has Silverscript Part D-I was told by Wellcare that I needed to cancel that because she’s now residing in Louisiana?
Hi Mary, if the enrollee moves from one state to another, they will need to enroll in a new Medicare Part D in the service area they currently live in. Moving allows the enrollee to receive a special enrollment period to switch plans with no penalty.
Does Silver Script cover Eliquis?
Hi Vicki! SilverScript does cover Eliquis as a tier 3 drug on all their drug plans.
Does the $505 deductible for 2023 cover all tiers?
Yes, $505 is the max deductible for all drug tiers.
My husband is a member of Silver Script. How do I get him a membership card?
If he has recently enrolled in a SilverScript plan, his identification card should come in the mail within 4 weeks. If you need a replacement card you’ll need to contact SilverScript customer service.
I currently take Celicoxib 100mg daily. Is this covered? what tier? what is the cost? My pharmacy is CVS and I usually get a 90 day supply
Hi Marie, this drug is covered by Silverscript. However, the coverage depends on which SilverScript plan you are enrolled in. You can compare prices here.
I need to change the payment method
Hi John, if you want to change your payment method for a silverScript plan, you will need to call the number on the back of your SilverScript card to contact customer service. If you purchased your SilcerScript plan through one of our agents, you can call the number above to speak with a customer care agent to resolve your issue.
Why does Breo Ellipta costs $415 at my CVS? My friend has Cigna and it only costs $50. I need an explanation as this is unaffordable.
Roberta, each Medicare Part D plan covers drugs differently. You may be enrolled in a plan that does not cover your Brio Ellipta drug. To review your plan, you can complete this online rate form and we will happily review your plan and see if there is another plan in your area to cover your drugs in the future.
i currently have silverscript, and have also aetna hi g……………..do i need both???????//
Grace, yes. Both forms of coverage are necessary to receive full health benefits. Silverscript is paying for your prescription drugs while Plan G is covering your healthcare costs.
If I discontinue my enrollment with Silverscript will it effect my other Medicare plans I have?
Walter, disenrolling from your Silverscript Part D plan will not affect your other plans in any way. However, if you disenroll without creditable drug coverage, you may be responsible for the Medicare Part D late enrollment penalty if you decide to reenroll in the future.
I am experiencing high deductibles for my prescriptions. I take Trulicity and changed to Victoza at Silver Scripts suggestion and that was way wrong. Now trying to get answers on how to afford the “new” costs associated with the revised plans.
Karen, I am sorry to hear about your high drug costs. Have you tried applying for Part D Extra Help? If you meet certain income requirements, you could receive help paying for your Medicare Part D costs. If not, you can also contact your plan and ask for a tier exception which lowers the prescription tier and may help with cost, however there is no guarantee the plan will accept this request.
Cvs is Charging me a Copay but Walmart does not. Why? I’ve been disabled since 2009 and have Medicare with Part D and Medicaid.
Each Medicare Part D plan has different copays depending on the pharmacy you use.
Why is it so darn hard to find my co-pay for a tier 3 drug? I have silver-script choice. Have made several calls today and have received different answers! I’ve paid my $480 deductible….so what’s my co-pay?
Hi Sharen, if you have already met your $480 deductible for the year on the SilverScript Choice plan, your copayment for a Tier 3 drug would be 17% of the drugs retail cost. You can find the retail cost of the drug by calling your preferred pharmacy.
Have been on the choice plan for three years, this year the deductible doubled to $480 and tier 3 went from $47 to 17% of cost of medication. So now before deductible my medication will cost almost $500 and after deductible will cost almost $90 per month. So just explain to me how this is a good plan?
Lorraine, unfortunately drug plan costs change annually as do the plan formularies. Therefore, it is important to review your plan each year during the Annual Enrollment Period(link) to ensure the plan you are on is still the best for your needs.
How much is the Solver Script Plus Plan—non-smoker age 67, male?
Victoria, thank you for reaching out! Drug plan cost depends on the area you live in as well as the prescription medications you are taking. To find the silverscript plan cost for your needs, our licensed agents can walk you through the process by completing this online form.
I am on Silverscript and have been using local CVS pharmacy. But customer service there has fallen terribly and I would like to switch my pharmacy to Safeway or Walgreens. How do I do this? Thank you
Daniel, I am sorry to hear about your negative experience at the pharmacy. Changing pharmacies is simple. All you need to do is request an Rx transfer for prescriptions at your current pharmacy and notify your doctors for future scripts. However, it is very important to be sure the pharmacy you are switching to is covered under your drug plan. To do this, you can contact Silverscript directly or use the Part D plan finder on Medicare.gov.
need a full list of pharmacy that Aetna silverscrip drug plan administered by cvc caremart Medicare RX covers
Barbara, Silverscript offers multiple Part D plans that each have a formulary of their own. Meaning each plan covers drugs differently. If you need information about your specific plan, it is best to call the number listed on the back of your RX card to receive a full list of drugs covered by your plan
I currently have Silverscript. I can not find my new premium rate for 2022. where do I go to find this rate?
Hi Wendy – you’ll find this information in your Annual Notice of Change letter that you should have received from your plan in September. You can also contact your plan for the information.
I currently have Silverscript Choice PDP plan, I’m paying so much more then in 2020 since Aetna became a part of the plan. I was looking at AARP Medicare Saver Plus, do you suggest I change since it is so much lower in cost. Is there a hidden secret?
Hi Dorothy – what you pay for Medicare Advantage depends upon your location. We would advise you to make sure you choose a plan that includes your preferred providers and has your medications and dosages on its formulary. That is the best way to keep costs down, as well as taking note of the maximum out-of-pocket amount as well as the premium.
What is the cost of generic duesix
Hi Brenda. I would need to know which generic you’re referring to in order to answer your question.
I had SilverScript and I had to pay for my shingles shot.
Hi Judy! I would reach out to the billing department to have this corrected. All Part D plans are required to cover the Shingles vaccine.
Does Silverscript part D cover the full cost of a shingles shot ?
Arnold, all Medicare Part D plans are required to cover the Shingles vaccine, however, you could be responsible for a deductible or copayment. It is best to contact your plan directly for exact information.
CVS wanted almost $100. For my shingles vaccination x 2 last year. Are you saying the vaccination is free now?
Nancy, this is completely dependent upon the Part D plan you are enrolled in. Deductible and copayment amounts vary from plan to plan.
My husband has just enrolled in SilverScript Plus (PDP). He takes an expensive Rx for Rybelsus, but with no deductible, the monthly cost is very reasonable in this plan. I don’t understand what costs contribute to him reaching the coverage gap stage and what it will cost him next year if/when he hits that stage. Could you help with that answer?
Hi Patricia! We have a great video that explains how the donut hole works and goes over all four phases in detail.
Will Silverscript choice cover hormone replacement prescription my Dr has suggested that I start taking it.
Hi Brenda! You would want to check your drug plan formulary to see if your specific prescription is covered.
My father has been prescribed Eliquis. At CVS today, the cost is $531. He is unable to pay for this every month. What can be done to lower this cost???
Thank you so much
Hi Michelle! I would reach out to SilverScript directly to find out why it cost so much now. It could be the deductible has not been met for the calendar year. Eliquis is covered by 99% of Part D plans.
I couldn’t afford it either and Coumadin did not work for me. My cardiologist put a Workman filter in my heart and I now take a baby aspirin. I love modern medical technology. I was so tired of begging for samples every month.
how do I change from picking up my prescriptions at Wallgreens to ordering them by mail
Hi Margaret! If you contact Walgreens they should be able to help you set it up.
I’m trying to find out if Vons pharmacy is accepted by SilverScript and there is no where for me to access a list of participating pharmacy.
Hi D! I would ask your pharmacy if they accept SilverScript.
I have only approx $24 left to fulfill my deductible, and I am paying more, especially for one, the price doubled since 2020. On 4/1/2020 I paid $201, on 3/23/2021 that price doubled to $422. I understand about the deductible, but double in price?. I am being charged the full yearly cost of this med, it is a 90day supply every 3 months, I don’t expect to be charged for any auto-refills for the remainder of 2021. I also note that the plan I am enrolled in, I am paying more than the plan is paying, this is not a very good plan, and I am strongly considering finding another company to enroll with.
Hi Lou! We’re so sorry you’re not happy with your current Part D plan. You are not the first to voice your concerns. It sounds like you should not have to pay that much once you hit the deductible. If there is a generic available, I would ask your doctor if you can switch. Unfortunately, unless you qualify for a Special Enrollment Period, you will have to wait until the Fall Annual Enrollment Period to change your Part D plan. You should be able to go onto Medicares plan finder tool and put in what Part D plan you have to see what your estimated costs will be out of pocket for all your medications for the entire year.
My local pharmacy recently changed ownership and is no longer a preferred pharmacy with Silver Script. What a shock when I went to get my latest prescriptions. They were almost 10 times more money than when I got them in December. I’m 76 and on a fixed income and the preferred pharmacy closest to me is a Walmart 25 miles away. In addition to the normal blood pressure and other heart drugs I take Entresto and Pradaxa both very high priced drugs. I guess I’ll be doing some traveling. Bummer.
Hi Gary! I’m so sorry you’re dealing with this issue. Is there a chance you’re now in the deductible phase of your prescription drug plan, and that’s why you’re paying more for your prescriptions? The plans reset annually at the beginning of the year. Also, have you looked into mail-order pharmacies? You may be able to get your prescription mailed to you.
do you have a page where i can type in our medication and it will tell m what you will pay on each, if so where do i find it,
Hi Sharon! We do not, however, Medicare has a comparison tool. You would just need to select your SilverScript plan and input your medications.
Does Sikver Script cover the Shingles shots?
Hi Carolyn! Yes, your Part D plan will cover the Shingles vaccine.
I have friends that have silver script and they had to pay for their shingles shots. I also have Silver Script and need to get the shots, but can’t afford to pay $200 for each shot.
Hi Shirley! Part D plans do come with an annual deductible, it sounds like in both scenarios that deducible may not have been met yet. We have more information on coverage for the Shingles vaccine that may help answer your question.