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SilverScript Choice (PDP) - S5601-006-000
$116.00
Monthly Premium
SilverScript Choice (PDP) is a Medicare Part D Prescription Drug Plan offered by Aetna Inc.
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$116.00
Monthly Premium
Plan ID: S5601-006-000
New York Medicare beneficiaries may want to consider reviewing their Medicare prescription drug coverage options, such as a standalone Part D prescription drug plan (PDP) or a Medicare Advantage (Medicare Part C) plan that includes drug coverage.
A Part D plan can be used alongside your Original Medicare (Part A and Part B) coverage. A Medicare Advantage plan that includes drug coverage combines your Part A, Part B and Part D benefits into a single plan
Learn more about New York Medicare prescription drug plans like the one below and find a plan that offers the benefits you want at an affordable price.
SilverScript Choice (PDP) - S5601-006-000 Basic Costs and Coverage
| Coverage | Details |
|---|---|
| Monthly plan premium | $116.00 |
| Annual deductible | $615.00 |
| Preferred pharmacies? | No |
| Accepts Mail Order? | Yes |
| Star Rating | 3 out of 5 stars |
Prescription Drug Costs and Coverage
The SilverScript Choice (PDP) is a prescription drug plan which offers the following coverage:
Initial Coverage Level
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug | Tier 3 Preferred Brand Drug | Tier 4 Non-Preferred Drug | Tier 5 Specialty Tier Drug |
|---|---|---|---|---|---|
| Standard retail | $0.00 | $6.00 | 18% | 33% | 25% |
| Standard mail order | $0.00 | $6.00 | 18% | 33% | 25% |
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug | Tier 3 Preferred Brand Drug | Tier 4 Non-Preferred Drug | Tier 5 Specialty Tier Drug |
|---|---|---|---|---|---|
| Standard retail | $0.00 | $12.00 | 18% | 33% | N/A |
| Standard mail order | $0.00 | $12.00 | 18% | 33% | N/A |
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug | Tier 3 Preferred Brand Drug | Tier 4 Non-Preferred Drug | Tier 5 Specialty Tier Drug |
|---|---|---|---|---|---|
| Standard retail | $0.00 | $18.00 | 18% | 33% | N/A |
| Standard mail order | $0.00 | $18.00 | 18% | 33% | N/A |
Plan Documents
| Links to plan documents |
New York Counties Served
- Albany
- Allegany
- Bergen
- Bronx
- Broome
- Cattaraugus
- Cayuga
- Chautauqua
- Chemung
- Chenango
- Clinton
- Columbia
- Cortland
- Delaware
- Dutchess
- Erie
- Essex
- Fairfield
- Franklin
- Fulton
- Genesee
- Greene
- Hamilton
- Herkimer
- Jefferson
- Kings
- Lewis
- Livingston
- Madison
- Monroe
- Montgomery
- Nassau
- New York
- Niagara
- Oneida
- Onondaga
- Ontario
- Orange
- Orleans
- Oswego
- Otsego
- Passaic
- Putnam
- Queens
- Rensselaer
- Richmond
- Rockland
- Saint Lawrence
- Saratoga
- Schenectady
- Schoharie
- Schuyler
- Seneca
- Steuben
- Suffolk
- Sullivan
- Susquehanna
- Tioga
- Tompkins
- Ulster
- Warren
- Washington
- Wayne
- Westchester
- Wyoming
- Yates