·
Aetna is a health
insurance company that sells three distinct Medicare Part D prescription drug
plans.
·
All of Aetna’s plans
have $0 copays for generic drugs.
·
The monthly premium,
copays, and deductibles you may have with each plan will vary based on where
you live.
Aetna
is one of the largest health insurance companies in the United States. In
addition to Aetna’s Medicare Advantage and Medicare supplement plans, they also sell
three standalone Medicare Part D plans.
Each
Part D plan provides a different level of drug coverage. Copays also differ.
The Part D plans Aetna offers vary in each ZIP code throughout the country
In
this article we’ll go over Aetna’s Part D plan options for 2021.
What are the Aetna Part D plan options?
Aetna’s
three Part D plans are:
·
SilverScript Smart Rx
·
SilverScript Choice
·
SilverScript Plus
The
plans available in your area of residence, as well as the costs you’ll pay for
prescriptions, may vary.
Aetna’s
three Part D plans each have a different formulary. A formulary is a list of covered
prescription drugs. Formularies place medications into tiers, or levels. The
medications offered in each tier have different costs. Typically, drugs on
lower tiers cost less than those on higher tiers.
Here’s
a typical example of how the tier levels break down in some Medicare Part D
drug plans:
·
Tier
1: generic
medications
·
Tier
2: brand-name and generic
medications
·
Tier
3: nonpreferred
brand-name medications
·
Tier
4: higher-cost
prescription drugs and some specialty medications
·
Tier
5: highest-cost
specialty medications
Next,
we’ll look more closely at each of Aetna’s Part D plans.
SilverScript Smart Rx
This
is Aetna’s most budget-friendly prescription drug plan. It provides coverage
for a wide range of tier 1 generic drugs with a $0 copay. The monthly premium
is $7.15 on average in most ZIP codes where it is offered.
SilverScript Choice
This
plan covers a wide range of tier 1 generic and tier 2 brand-name medications.
It has a $0 copay for tier 1 drugs. Copays for tier 2 drugs and higher vary by
medication and location.
SilverScript Plus
This
plan is Aetna’s most inclusive and most expensive offering. It has a $0
deductible for all tiers, including specialty drugs. The copay for tier 1 drugs
is $0, and the copay for tier 2 drugs is $2 or less.
SilverScript
Plus also includes extras, such as discounts on supplements and vitamins.
This
plan also provides gap coverage, making it a good choice for people who need
one or more expensive medications. The coverage gap (donut hole) refers to a
temporary limit in a drug plan’s coverage. In 2021, this period begins once you
and your plan have spent a total of $4,130 on covered
medications during the year.
How much do the Part D plans from Aetna
cost?
Aetna’s
Part D plans have costs including deductibles, monthly premiums, and drug
copays. These costs vary from plan to plan and from location to location.
In
the table below, we show some of the costs you can expect to pay for the
SilverScript Smart Rx (most budget-friendly) plan in a few cities across the
country:
Brooklyn, NY |
Los Angeles, CA |
Minneapolis, MN |
Chicago, IL |
Santa Fe, NM |
|
Monthly premium |
$7.30 |
$7.20 |
$7.30 |
$7.30 |
$6.20 |
Annual deductible: tier 1 |
$0 |
$0 |
$0 |
$0 |
$0 |
Annual deductible:
tiers 2–5 |
$445 |
$445 |
$445 |
$445 |
$445 |
Copay: tier 1 |
$0 |
$0 |
$0 |
$0 |
$0 |
Copay: tier 2 |
$19 |
$19 |
$19 |
$19 |
$19 |
Copay: tier 3 |
$46 |
$46 |
$46 |
$46 |
$46 |
Copay: tier 4 |
49% of cost |
48% of cost |
46% of cost |
49% of cost |
49% of cost |
Copay: tier 5 |
25% of cost |
25% of cost |
25% of cost |
25% of cost |
25% of cost |
By
entering your ZIP code into Medicare’s plan finder tool, you can compare the various
plans available in your area.
https://www.healthline.com/health/medicare/aetna-medicare-part-d#cost
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