Your Medicare Part D prescription drug plan
Lower copays. Lower costs.
Members with Medicare will see lower copays and a lower limit on out-of-pocket costs with Aetna Medicare RX® offered by SilverScript®
Who is eligible
Postal Service retirees who have Medicare Parts A and/or B.
Your prescription drug coverage will automatically become a Medicare Part D plan in 2025 through Aetna Medicare Rx® offered by SilverScript®.
What this means
It could mean savings in prescription costs! Your drugs will still be covered, but copays and coinsurance are lower!
Select a plan below to view your Medicare Part D prescription drug benefits:
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Drug benefits with Medicare Aetna Medicare RX offered by SilverScript, 5 Tier plan
Table of rates. 30-day supply Retail Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(30-day supply of covered drugs)90-day supply Retail or Mail order Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(90-day supply of covered drugs)What you'll pay Tier Preferred and Standard pharmacies Preferred Retail or Preferred Mail Order Standard Retail or Standard Mail Order Tier 1 – Preferred Generic $0 $0 $0 Tier 2 – Generic Preferred $1
Standard $2$2 $4 Tier 3 – Preferred Brand $45 $75 $75 Tier 4 – Non-Preferred Brand $75 $125 $125 Tier 5 – Specialty
Includes high-cost/ unique generic and brand drugs25%; max $250 Limited to a one-month supply Out of Pocket Maximum for prescription drugs Once you reach the $2,000 max for prescription drugs, you will pay $0 for prescription drugs. This $2,000 will also apply to the medical plan’s total calendar year out-of-pocket maximum. *If you are enrolled in Medicare Part A and/or Part B
**If you do not have Medicare Parts A and B as primary please check AetnaFedsPostal.com/AetnaDirect for your correct Rx copays and coinsuranceDrug benefits with Medicare Aetna Medicare RX offered by SilverScript, 5 Tier plan
Table of rates. 30-day supply Retail Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(30-day supply of covered drugs)90-day supply Retail or Mail Order Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(90-day supply of covered drugs)What you'll pay Tier Preferred and Standard Preferred Retail or Preferred Mail Order Standard Retail or Standard Mail Order Tier 1 – Preferred Generic $0 $0 $0 Tier 2 – Generic Preferred $4
Standard $5$8 $10 Tier 3 – Preferred Brand $40 $80 $80 Tier 4 – Non-Preferred Brand $100 $200 $200 Tier 5 – Specialty
Includes high-cost/ unique generic and brand drugs25%; max $150 Limited to a one-month supply Out of Pocket Maximum for prescription drugs Once you reach the $2,000 max for prescription drugs, you will pay $0 for prescription drugs. This $2,000 will also apply to the medical plan’s total calendar year out-of-pocket maximum. *If you are enrolled in Medicare Part A and/or Part B
**If you do not have Medicare Parts A and B as primary please check AetnaFedsPostal.com/CapitalOpenAccess for your correct Rx copays and coinsuranceDrug benefits with Medicare Aetna Medicare RX offered by SilverScript, 5 Tier plan
Table of rates. 30-day supply Retail Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(30-day supply of covered drugs)90-day supply Retail or Mail Order Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(90-day supply of covered drugs)What you'll pay Tier Preferred and Standard pharmacies Preferred Retail or Preferred Mail Order Standard Retail or Standard Mail Order Tier 1 – Preferred Generic $0 $0 $0 Tier 2 – Generic Preferred $2
Standard $3$4 $6 Tier 3 – Preferred Brand $25 $50 $50 Tier 4 – Non-Preferred Brand $75 $150 $150 Tier 5 – Specialty
Includes high-cost/ unique generic and brand drugs25%; max $150 Limited to a one-month supply Out of Pocket Maximum for prescription drugs Once you reach the $2,000 max for prescription drugs, you will pay $0 for prescription drugs. This $2,000 will also apply to the medical plan’s total calendar year out-of-pocket maximum. *If you are enrolled in Medicare Part A and/or Part B
**If you do not have Medicare Parts A and B as primary please check AetnaFedsPostal.com/CapitalOpenAccess for your correct Rx copays and coinsuranceDrug benefits with Medicare Aetna Medicare RX offered by SilverScript, 5 Tier plan
Table of rates. 30-day supply Retail Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(30-day supply of covered drugs)90-day supply Retail or Mail Order Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(90-day supply of covered drugs)What you'll pay Tier Preferred and Standard pharmacies Preferred Retail or Preferred Mail Order Standard Retail or Standard Mail Order Tier 1 – Preferred Generic $0 $0 $0 Tier 2 – Generic Preferred $4
Standard $5$8 $10 Tier 3 – Preferred Brand $40 $80 $80 Tier 4 – Non-Preferred Brand $100 $200 $200 Tier 5 – Specialty
Includes high-cost/ unique generic and brand drugs25%; max $150 Limited to a one-month supply Out of Pocket Maximum for prescription drugs Once you reach the $2,000 max for prescription drugs, you will pay $0 for prescription drugs. This $2,000 will also apply to the medical plan’s total calendar year out-of-pocket maximum. *If you are enrolled in Medicare Part A and/or Part B
**If you do not have Medicare Parts A and B as primary please check AetnaFedsPostal.com/CDHP for your correct Rx copays and coinsuranceDrug benefits with Medicare Aetna Medicare RX offered by SilverScript, 5 Tier plan
Table of rates. 30-day supply Retail Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(30-day supply of covered drugs)90-day supply Retail or Mail Order Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(90-day supply of covered drugs)What you'll pay Tier Preferred and Standard pharmacies Preferred Retail or Preferred Mail Order Standard Retail or Standard Mail Order Tier 1 – Preferred Generic $0 $0 $0 Tier 2 – Generic Preferred $4
Standard $5$8 $10 Tier 3 – Preferred Brand $40 $80 $80 Tier 4 – Non-Preferred Brand $100 $200 $200 Tier 5 – Specialty
Includes high-cost/ unique generic and brand drugs25%; max $150 Limited to a one-month supply Out of Pocket Maximum for prescription drugs Once you reach the $2,000 max for prescription drugs, you will pay $0 for prescription drugs. This $2,000 will also apply to the medical plan’s total calendar year out-of-pocket maximum. *If you are enrolled in Medicare Part A and/or Part B
**If you do not have Medicare Parts A and B as primary please check AetnaFedsPostal.com/HDHP for your correct Rx copays and coinsuranceDrug benefits with Medicare Aetna Medicare RX offered by SilverScript, 5 Tier plan
Table of rates. 30-day supply Retail Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(30-day supply of covered drugs)90-day supply Retail or Mail Order Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(90-day supply of covered drugs)What you'll pay Tier Preferred and Standard pharmacies Preferred Retail or Preferred Mail Order Standard Retail or Standard Mail Order Tier 1 – Preferred Generic $0 $0 $0 Tier 2 – Generic Preferred $5
Standard $6$10 $12 Tier 3 – Preferred Brand $45 $90 $90 Tier 4 – Non-Preferred Brand $100 $200 $200 Tier 5 – Specialty
Includes high-cost/ unique generic and brand drugs25%; max $600 Limited to a one-month supply Out of Pocket Maximum for prescription drugs Once you reach the $2,000 max for prescription drugs, you will pay $0 for prescription drugs. This $2,000 will also apply to the medical plan’s total calendar year out-of-pocket maximum. *If you are enrolled in Medicare Part A and/or Part B
**If you do not have Medicare Parts A and B as primary please check AetnaFedsPostal.com/Value for your correct Rx copays and coinsuranceDrug benefits with Medicare Aetna Medicare RX offered by SilverScript, 5 Tier plan
Table of rates. 30-day supply Retail Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(30-day supply of covered drugs)90-day supply Retail or Mail Order Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(90-day supply of covered drugs)What you'll pay Tier Preferred and Standard pharmacies Preferred Retail or Preferred Mail Order Standard Retail or Standard Mail Order Tier 1 – Preferred Generic $0 $0 $0 Tier 2 – Generic Preferred $5
Standard $6$10 $12 Tier 3 – Preferred Brand $45 $90 $90 Tier 4 – Non-Preferred Brand $100 $200 $200 Tier 5 – Specialty
Includes high-cost/ unique generic and brand drugs25%; max $600 Limited to a one-month supply Out of Pocket Maximum for prescription drugs Once you reach the $2,000 max for prescription drugs, you will pay $0 for prescription drugs. This $2,000 will also apply to the medical plan’s total calendar year out-of-pocket maximum. *If you are enrolled in Medicare Part A and/or Part B
**If you do not have Medicare Parts A and B as primary please check AetnaFedsPostal.com/Saver for your correct Rx copays and coinsuranceDrug benefits with Medicare Aetna Medicare RX offered by SilverScript, 5 Tier plan
Table of rates. 30-day supply Retail Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(30-day supply of covered drugs)90-day supply Retail or Mail Order Aetna Medicare Rx* offered by SilverScript, 5 Tier plan**
(90-day supply of covered drugs)What you'll pay Tier Preferred and Standard pharmacies Preferred Retail or Preferred Mail Order Standard Retail or Standard Mail Order Tier 1 – Preferred Generic $5 $10 $10 Tier 2 – Generic Preferred $15
Standard $15$25 $25 Tier 3 – Preferred Brand $45 $90 $90 Tier 4 – Non-Preferred Brand $80 $160 $160 Tier 5 – Specialty
Includes high-cost/ unique generic and brand drugs25%; max $350 Limited to a one-month supply Out of Pocket Maximum for prescription drugs Once you reach the $2,000 max for prescription drugs, you will pay $0 for prescription drugs. This $2,000 will also apply to the medical plan’s total calendar year out-of-pocket maximum. *If you are enrolled in Medicare Part A and/or Part B
**If you do not have Medicare Parts A and B as primary please check Aetna Advantage Plan Brochure for your correct Rx copays and coinsuranceBelow are some frequently asked questions about Medicare Part D prescription drug plans.
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The Office of Personnel Management requires all Postal Service Health Benefits (PSHB) Program health plans to offer Medicare Part D prescription drug plans. If you’re enrolled in Medicare Part A and/or Part B, your Aetna PSHB plan will automatically enroll you in Aetna Medicare Rx® offered through SilverScript®, a Medicare Part D prescription drug plan (PDP). This could mean saving on your prescription costs. The same drugs are covered under the Aetna Medicare Rx plan offered through SilverScript, but copays and coinsurance can be lower. So, depending on your prescriptions, this could offer you a great opportunity to save while still enrolled in your current health plan.
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The Medicare Part D PDP is a Medicare approved prescription drug plan that is governed by CMS. When you have Aetna Medicare Rx offered by SilverScript your prescription costs will generally be lower.
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No. Your FEHB premiums will not increase.
However, some members may be required to pay an extra charge, known as the Part D Income-Related Monthly Adjustment Amount (IRMAA). The extra charge is figured out using your modified adjusted gross income as reported on your IRS tax return from 2 years ago. If this amount is above a certain amount, you’ll pay your FEHB premium and the additional IRMAA. For more information on IRMAA, visit the Medicare website.
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Yes.
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No. Your out-of-pocket costs for prescription drugs should decrease with Aetna Medicare Rx offered by SilverScript.
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Yes. You will receive an additional card for your Medicare Part D PDP coverage. Starting January 1, 2025, you will need to present your new card at the pharmacy.
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You can use our provider search tool to find standard and preferred pharmacies near you.
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If you want to opt out of the Aetna Medicare RX offered by SilverScript, please complete and return the SilverScript Group Disenrollment Form (PDF) to:
Group Aetna Medicare
PO Box 7082
London, KY 40742
or, you can fax to 1-833-806-0689 Attn: Group DisenrollmentIf you have any questions, please call Member Services at 1-833-251-9749 (TTY: 711), Monday through Friday, 8 AM to 8 PM ET or go online at AetnaRetireeHealth.com/PSHBP
For Guest access follow these steps:- Step 1: Find Pharmacy for Employer Plans
- Step 2: Enter your home zip code,
- Step 3: Select ‘plan year’
- Step 4: Select Employer or group-sponsored retiree plan and select See Plans
- Step 5: Under Prescription Drugs, ‘Plan year’ Medicare Group Pharmacy Plans, select Medicare Group Part D ‘Plan Year’ P1 Network (except for Aetna Advantage plan select Medicare Group Part D ‘Plan Year’ S2 Network)
- Step 6: Select View Care Options at the bottom of page to search for pharmacies in your area
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Sign up for a live webinar to learn about our health plan options or view on-demand anytime.Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Aetna Medicare Rx offered by SilverScript is a standalone Prescription Drug Plan offered by SilverScript® Insurance Company, a CVS Health company. This is a brief description of the features of this Aetna health benefits plan. Before making a decision, please read the Plan's applicable Federal brochure(s). All benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure. 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. The formulary, provider and/or pharmacy network may change at any time. You will receive notice when necessary. For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 7-10 days. You can call the number on the back of your ID card if you do not receive your mail-order drugs within this timeframe. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change.
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