HealthChoice SilverScript High and Low Medicare Supplement plans offer the same Medicare supplement medical benefits for both plans. The difference in the high and low plans is in the pharmacy coverage.
The HealthChoice pharmacy benefit manager, SilverScript, is contracted with the Centers for Medicare & Medicaid Services (CMS) to provide Medicare Part D Prescription Drug benefits. These Part D benefits are available through the HealthChoice SilverScript High and Low Option Medicare Supplement Plans. The HealthChoice Pharmacy Network includes more than 68,000 pharmacies nationwide.
| HealthChoice SilverScript High Option with Part D |
HealthChoice SilverScript Low Option with Part D |
|---|---|
| Pharmacy Deductible | Pharmacy Deductible |
| You pay the first $100 in medication costs. | You pay the first $590 in medication costs |
| Initial Coverage Limit | Initial Coverage Limit |
| Generic (Tier 1) Drugs Up to $10 copay Preferred (Tier 2) Drugs Up to $45 copay Non-Preferred (Tier 3) Drugs Up to $75 copay Specialty/High Cost (Tier 4) Drugs Up to $100 copay Preferred Tobacco Cessation (Tier 5) Drugs $0 copay Insulin No more than $35 copay. |
After the deductible, you and HealthChoice share prescription drug costs You pay 25% and HealthChoice pays 75% until you reach the $2,000 annual out-of-pocket maximums (includes the deductible). |
| Coverage Gap | Coverage Gap |
| NONE. There is an annual out-of-pocket maximum. | NONE. There is an annual out-of-pocket maximum. |
| Catastrophic Coverage | Catastrophic Coverage |
| Once you reach the $2,000 out-of-pocket maximum, you pay $0 for covered prescription drugs purchased at network pharmacies for the remainder of the calendar year. | Once you reach the $2,000 out-of-pocket maximum, you pay $0 for covered prescription drugs purchased at network pharmacies for the remainder of the calendar year. |
Last Modified on
Nov 18, 2024
