Retiree Prescription drug information
SilverScript (EGWP) Employer Prescription Drug Plan (PDP) for RCBP
SilverScript (EGWP) Employer Prescription Drug Plan (PDP) for RCBP
All Postal Service Health Benefits (PSHB) health plans are required to have a Medicare Part D PDP for retirees. If you’re enrolled in Medicare Part A and/or Part B, your RCBP plan will automatically enroll you in the SilverScript (EGWP) Employer PDP for RCBP. Your premium does not change, and prescription drug benefits are equal or better for members with Medicare.
What this means
It could mean savings in prescription costs. Your drugs will still be covered, but copays and coinsurance may be lower. And you’ll receive a separate ID card to use for prescriptions.
Please note: if you are a Medicare-eligible PSHB participant and make the decision to opt out of or disenroll from the PDP included in your PSHB plan, you will NOT have prescription drug benefits through your PSHB plan. If you opt out or disenroll from the PDP, you can only reenroll in the PDP through your PSHB plan during the next Open Season or with a qualifying life event (QLE). Also, if you have a higher income, you may be responsible for a surcharge on your Medicare Part D benefit. Refer to the Part D-IRMAA section at Medicare.gov to see if you would be subject to an additional premium.
If you don’t want to be enrolled in the SilverScript (EGWP) Employer PDP for RCBP, you must contact Member Services at 1-833-825-6754 (TTY: 711) Monday through Friday, 8 AM to 8 PM ET.
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SilverScript PDP member tools and drug lists
Check the cost calculators or drug formulary lists below for coverage information.
Benefits of the PDP for RCBP
- $0 annual deductible
- Copays for most drug tiers (except specialty drugs)
- $2,000 calendar year out-of-pocket maximum for your prescription drugs
- Access to approximately 63,000 pharmacies nationwide
- No mandatory fill requirements
SilverScript Employer PDP for RCBP plan
Please do not rely on this chart alone.
Rx Type | SilverScript Employer Prescription Drug Plan (PDP) for Rural Carrier Benefit Plan – You pay | Medicare Advantage for RCBP – You pay |
---|---|---|
Preferred Generic | N/A | Preferred pharmacies: $0 (30 days) Standard pharmacies: $2 (30 days) Preferred pharmacies: $0 (90 days) Standard pharmacies: $4 (90 days) |
Generic | $5 (30 days) $10 (90 days) |
$5 (30 days) $10 (90 days) |
Preferred Brand | $40 (30 days) $40 (90 days) |
$35 (30 days) $35 (90 days) |
Non- Preferred Brand | $50 (30 days) $70 (90 days) |
$40 (30 days) $40 (90 days) |
Specialty Generic | $70 (30 days) $100 (90 days) |
$70 (30 days) $100 (90 days) |
Specialty preferred brand | ||
Specialty nonpreferred brand |
How to opt out of SilverScript PDP for RCBP
If you don’t want to be enrolled in the SilverScript Employer PDP for RCBP, you must contact Member Services at 1-833-825-6755 (TTY: 711), Monday through Friday, 8 AM to 8 PM ET.
- If you opt out of this new prescription drug plan, you will continue your prescription coverage under your current RCBP plan.
Cost calculator, Documents and Formulary lists
Aetna Medicare Advantage for
RCBP High Option
It’s easy to opt in (with Aetna).
Monday–Friday, 8 AM–8 PM ET
Get Live Help
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Aetna Medicare is a PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal. Standalone Prescription Drug Plans are offered by SilverScript, a CVS Health company. The formulary, provider and/or pharmacy network may change at any time. You will receive notice when necessary. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of SilverScript. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change.
Estimated costs are not available in all markets or for all products and services. We provide an estimate for the amount you would owe for a particular product or service based on your benefit plan and status at that very point in time. It is not a guarantee. Actual costs may differ from an estimate for various reasons, including claims processing times for other products and services, providers joining or leaving the network, changes in product availability, or changes to your benefit plan.