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SilverScript Choice (PDP)
Health Insurance Company: Aetna Medicare
Medicare Prescription Drug Part D Plan Details
$49 /mo
monthly premium
SilverScript Choice (PDP)
Coverage
Overall Star Rating (2025)
- Rx
- Low Income
Subsidy
General Plan Details
Prescription Drug Deductible
$590
Preferred Generic copay
$5
Preferred Brand copay
$0
Eligible for Low Income Subsidy
Yes
Rx Drug Coverage - Standard Retail Cost
Tier 1: Preferred Generic
$5.00 copay (30-day supply)
$15.00 copay (90-day supply)
Tier 2: Generic
$10.00 copay (30-day supply)
$30.00 copay (90-day supply)
Tier 3: Preferred Brand
18% coinsurance (30-day supply)
18% coinsurance (90-day supply)
Tier 4: Non-Preferred Drug
31% coinsurance (30-day supply)
31% coinsurance (90-day supply)
Tier 5: Specialty Tier
25% coinsurance (30-day supply)
Rx Drug Coverage - Standard Mail Order Cost
Tier 1: Preferred Generic
$5.00 copay (30-day supply)
$15.00 copay (90-day supply)
Tier 2: Generic
$10.00 copay (30-day supply)
$30.00 copay (90-day supply)
Tier 3: Preferred Brand
18% coinsurance (30-day supply)
18% coinsurance (90-day supply)
Tier 4: Non-Preferred Drug
31% coinsurance (30-day supply)
31% coinsurance (90-day supply)
Tier 5: Specialty Tier
25% coinsurance (30-day supply)
Plan Links
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Where This Plan is Available
State:
Counties:
Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, De Soto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Grant, Iberia, Iberville, Jackson, Jefferson, Jefferson Davis, Lafayette, Lafourche, La Salle, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, Richland, Sabine, Saint Bernard, Saint Charles, Saint Helena, Saint James, Saint Landry, Saint Martin, Saint Mary, Saint Tammany, St John The Baptist, Tangipahoa, Tensas, Terrebonne, Union, Vermilion, Vernon, Washington, Webster, West Baton Rouge, West Carroll, West Feliciana, Winn
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Additional Plan Info
Plan Year:
2025
Insurance Company Website:
Aetna Medicare