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®
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, we will automatically enroll you in the Aetna Medicare Rx® offered by SilverScript® (EGWP) PDP for your plan. Your premium does not change, and prescription drug benefits are 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 are lower. Plus, your annual out of pocket maximum for prescriptions will be lower!
IMPORTANT NOTICE: If you choose this plan and have Medicare, please call us at (833) 251-9749 to make sure your Medicare Part D prescription drug coverage begins on 1/1/25.
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 coinsurance2025 Aetna Direct PSHBP Formularies
Download 2025 PSHB plan summary for Aetna Direct with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Formulary for Aetna Direct with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Evidence of Coverage for Aetna Direct with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Supplemental Benefit (PDF) -
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 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 coinsurance2025 Open Access HMO Basic Option PSHBP Formularies
Download 2025 PSHB plan summary for Open Access HMO Basic option with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Formulary for Open Access HMO Basic option with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Evidence of Coverage for Open Access HMO Basic option with Aetna Medicare Rx offered by SilverScript (PDF))
Download 2025 PSHB Prescription Drug Supplemental Benefit (PDF) -
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 $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 coinsurance2025 Open Access HMO High Option PSHBP Formularies
Download 2025 PSHB plan summary for Open Access HMO High option with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Formulary for Open Access HMO High option with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Evidence of Coverage for Open Access HMO High option with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Supplemental Benefit (PDF) -
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 $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 coinsurance2025 Aetna CDHP Plan PSHBP Formularies
Download 2025 PSHB plan summary for Aetna CDHP Plan with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Formulary for Aetna CDHP Plan with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Evidence of Coverage for Aetna CDHP Plan with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Supplemental Benefit (PDF) -
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 $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 coinsurance2025 Aetna HDHP Plan PSHBP Formularies
Download 2025 PSHB plan summary for Aetna HDHP Plan with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Formulary for Aetna HDHP Plan with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Evidence of Coverage for Aetna HDHP Plan with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Supplemental Benefit (PDF) -
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 $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 coinsurance2025 Aetna Value Plan PSHBP Formularies
Download 2025 PSHB plan summary for Aetna Value Plan with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Formulary for Aetna Value Plan with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Evidence of Coverage for Aetna Value Plan with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Supplemental Benefit (PDF) -
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 $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 coinsurance2025 Aetna Saver Plan PSHBP Formularies
Download 2025 PSHB plan summary for Aetna Saver Plan with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Formulary for Aetna Saver Plan with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Evidence of Coverage for Aetna Saver Plan with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Supplemental Benefit (PDF) -
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 $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 coinsurance2025 Aetna Advantage PSHBP Formularies
Download 2025 PSHB plan summary for Aetna Advantage with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Formulary for Aetna Advantage with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Evidence of Coverage for Aetna Advantage with Aetna Medicare Rx offered by SilverScript (PDF)
Download 2025 PSHB Prescription Drug Supplemental Benefit (PDF)-
Pharmacy Cost Calculators
Aetna Direct Cost calculator
Open Access HMO Basic Option Cost calculator
Open Access HMO High Option Cost calculator
Aetna CDHP Cost calculator
Aetna HDHP Cost calculator
Aetna Value Cost calculator
Aetna Saver Cost calculator
Aetna Advantage (when not opted into MAPD) Cost calculator
Below 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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SilverScript (EGWP) Employer Prescription Drug Plan (PDP)
If you’re a retiree enrolled in Medicare Parts A and/or B, your Postal Service Health Benefits (PSHB) plan will offer Medicare Part D plans to help pay for your prescriptions. You’ll automatically be enrolled in a Medicare Part D prescription drug plan (PDP) for 2025. It’s Aetna Medicare Rx® offered by SilverScript®. Generally, this means your prescriptions costs can be lower.
If you do not wish to be enrolled in Aetna Medicare Rx® offered by SilverScript®, you will NOT have prescription drug coverage through your PSHB plan. You will have the opportunity to reenroll only during the next Open Season or after 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 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 Disenrollment
If 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
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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.
©2024 Aetna Inc.
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©2024 Aetna Inc.
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