- The benefit information provided is a brief summary, not a complete description
For more information, contact the plan.
- You must continue to pay your Medicare Part B premium.
- Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may
change on January 1 of each year.
- Limitations, copayments and restrictions may apply.
This information is available for free in other languages. Please contact Customer
Service toll-free at 1-866-235-5660, 24 hours a day, 7 days a week. TTY users call
Esta información está disponible gratuitamente en otros idiomas. Comuníquese con
nuestro Servicio al Cliente, al, 1-866-362-6212 las 24 horas del día, los 7 días
de la semana. Los usuarios de TTY deben llamar al 1-866-236-1069.
Potential for Contract Termination
In the unlikely event SilverScript Insurance Company leaves the Medicare program,
or no longer offers prescription drug coverage in the service area where you live,
you will be notified in writing.
If this happens, your membership in SilverScript will end, and you will need to
enroll in another Medicare Prescription Drug Plan to continue your prescription
drug coverage. All benefits and rules under your SilverScript plan will continue
until the last day of your SilverScript membership. You will also continue to receive
your prescription drugs in the usual way from SilverScript network pharmacies.
If SilverScript Insurance Company leaves the Medicare program or your service area,
you would need to select and enroll in another Medicare Prescription Drug Plan.
Your choices will include joining another Medicare Prescription Drug Plan or a Medicare
Advantage Plan with prescription drug coverage (MA-PD) if these plans are available
in your area and are accepting new members. As soon as SilverScript Insurance Company
has notified you in writing that it is leaving the Medicare program or is no longer
servicing the area where you live, you may begin to enroll in another plan.
SilverScript Insurance Company is contracted with the Centers for Medicare & Medicaid
Services (CMS), the government agency that administers Medicare. This contract is
subject to renewal each year. However, SilverScript Insurance Company or CMS can
decide to end the contract at any time. You will be notified in writing up to 90
days in advance if the contract is discontinued. However, your advance notice may
be as little as 30 days or fewer if CMS discontinues the contract during a plan