WELCOME to SilverScript (Employer PDP)
sponsored by Blue

Blue has chosen SilverScript® Insurance Company to provide your Medicare Part D prescription drug coverage. SilverScript, an affiliate of CVS Caremark, is an approved Medicare Part D Prescription Drug Plan provider.

Service - It Is All About You!

As a plan member, you'll receive savings and service through plan features which include:

24x7 Customer Service Tools - Our plans all offer website access and our award winning customer service*–both are available to our members 24 hours a day, 7 days a week.

Large Pharmacy Network - More than 65,000** pharmacies nationwide make up the pharmacy network. These include retail, mail service, long-term care, home infusion, and Indian Health and Indian Tribal pharmacies.

Online Document Access - As a member, you can view your plan documents on our website and not have to wait for them to arrive by mail. You can STAY GREEN and environmentally friendly by downloading only the materials that you want and avoid storing printed documents.

Value-Added Services
Plan membership provides you with extra value and various ways to enjoy safety, savings, and service. Use the ExtraCare Health card and get a 20% discount on CVS/pharmacy brand health-related products available at more than 7,000*** CVS/pharmacy stores nationwide.
The value-added products and services described above are neither offered nor guaranteed under our contract with Medicare. In addition, they are not subject to the Medicare appeals process. Purchases eligible for the ExtraCare Health Card will not count toward your true-out-of-pocket expense (TrOOP) amounts. Any disputes regarding these products and services may be subject to the SilverScript Insurance grievance process.

The SilverScript (Employer PDP) Medicare Part D Plan,
sponsored by Blue Plan Features

Annual Deductible $0.00
Initial Coverage Level After you pay your yearly deductible, you pay the following until total yearly drug costs reach $2,930
Prescription Benefit Network Retail
(up to 30-day supply) 		Network Mail Service
(up to 90-day supply)
Preferred Generics $5.00 $8.00
Generic Drugs $10.00 $15.00
Preferred Brand Drugs $25.00 $56.00
Non Preferred Brand Drugs $60.00 $165.00
Specialty Drugs 33% N/A
 
Coverage After You Reach Your Initial Coverage Limit Your plan offers a reduced level of coverage through the coverage gap. You qualify for Catastrophic Coverage once you reach an out-of-pocket cost of $4,700. You stay in this stage until your out-of-pocket costs reach $4,700.
Preferred Generics $5.00 $8.00
Generic Drugs $10.00 $15.00
Preferred Brand Drugs $40.00 $102.00
Non Preferred Brand Drugs $110.00 $320.00
Specialty Drugs 64% N/A
 
Catastrophic Coverage You qualify for catastrophic coverage once your TrOOP costs reach $4,700 for the year. During catastrophic coverage you will pay the greater of the following below. The plan will pay the rest.
Generics (including brand drugs treated as generic) $2.60 or 5%
All other drugs $6.50 or 5%
Out-of-Network Plan drugs may be covered in special circumstances, for example, illness while traveling outside of the plan's service area where there is no network pharmacy. You may pay more than the co-payment if you get your drugs at an out-of-network pharmacy. In addition, you will likely have to pay the pharmacy's full charge for the drug and submit documentation to receive reimbursement from SilverScript.
 
2012 Comprehensive Formulary Download
2012 Summary of Benefits Please contact Customer Care for a copy
2012 Evidence of Coverage Please contact Customer Care for a copy

Options for Filling Your Prescription

With one of our Prescription Drug Plans, you will have access to more than 65,000** pharmacies nationwide. You also may choose to have your prescription filled and mailed directly to your home or office using our preferred mail service pharmacy. You may get your prescriptions filled at a non-preferred pharmacy; however, you may have to pay more for your prescriptions.

With mail service, you will receive up to a 90-day supply of your medication for a co-payment that is likely to be significantly less than you would pay for three 30-day co-payments at a participating retail pharmacy.

WITH THE CAREMARK MAIL SERVICE PROGRAM YOU HAVE:

  • The ease of having a prescription delivered to the location of your choice - home, office, vacation spot, etc.
  • Greater convenience with mail service of up to a 90-day supply of medication - including free standard shipping.
  • Personal service with a 24-hour, toll-free hot-line to speak with a registered pharmacist about any questions or concerns you may have.
  • Excellent quality through confidential, tamper-resistant and temperature-controlled - packaging of prescriptions.
  • Internet and refill-by-phone services to order your prescription refills 24 hours a day, 7 days a week.

The Caremark Mail Service offering also checks the availability of U.S. Food and Drug Administration-approved, generic substitutions to fill prescriptions when authorized by physicians and permissible by law. By using generics, you may reduce your prescription drug costs and avoid the coverage gap for longer if you should reach it.

If you have questions about your Blue Plan, please contact:

Prospective Members

Call Customer Care from 8:00 a.m. to 2:00 a.m. ET, 7 days a week at:

  • Please refer to your member materials for the phone number.
  • TTY/TDD users should call 1-866-552-6288

Current Members

Call Customer Care 24 hours a day, 7 days a week at:

  • Please refer to your member materials for the phone number.
  • TTY/TDD users should call 1-866-236-1069

*CVS Caremark Customer Care was honored for "Providing an Outstanding Customer Service Experience" under the J.D. Power and Associates Certified Call Center Program℠. The call centers have held this distinction since 2006.

** As of 6/2011, Caremark Network Services states that there are more than 65,000 contracted network pharmacies.

*** As of 6/2011, Caremark Network Services states there are more than 7,000 CVS pharmacies nationwide.

This site is not reviewed by Medicare.