SilverScript Choice A 2026 Medicare Part D Plan Available in New Mexico
SilverScript Choice A 2026 Medicare Part D Plan Available in New Mexico
Welcome to the 2025 SilverScript Choice Medicare Part D plan guide for New Mexico. Here, you’ll find all the information you need, including plan benefits, costs, and star ratings. We’ve also included enrollment options to assist you in securing the right prescription drug coverage for you in New Mexico.
The SilverScript Choice plan provides valuable coverage for reducing your prescription drug costs, whether you're enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in New Mexico.
| SilverScript Choice: Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5601-052 |
| Plan Year: | 2026 |
| Total Part D Premium: | $104.00 |
| Annual Deductible: | $615.00 |
| Part D Benefit Type: | Basic |
| No Deductible Drug Tier: | Not Applicable |
| Low Income Subsidy: | No |
| Insured By: | Aetna Medicare |
| We're Here to Help You Enroll |
|---|
An Overview of Medicare Part D Plan Costs
SilverScript Choice has a range of costs, including monthly premiums, deductibles, copayments, and coinsurance. Understanding how each of these components impacts your overall expenses is key to managing your prescription drug costs effectively. The sections below will guide you through each cost factor.
Plan Premium Details
The SilverScript Choice plan's monthly premium is an important factor in your total costs. Some plans include extra fees or offer financial aid through the Low-Income Subsidy (LIS) program. The following table details the premium costs for this 2026 plan by Aetna Medicare.
| Basic Part D Premium: | $104.00 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $104.00 |
| Low Income Premium Subsidy: | $0.00 |
| Low Income Premium Subsidy CMS Pays: | $0.00 |
| Low Income Subsidy Premium: | $104.00 |
IMPORTANT: If you qualify for the Low-Income Subsidy (LIS) program, known as "Extra Help," you could receive assistance with your prescription drug plan costs in New Mexico. For more details, visit the Social Security Extra Help page.
Annual Deductible Information
This plan has a Medicare Part D annual deductible of $615.00. You must pay this amount upfront at the pharmacy before Aetna Medicare begins contributing to your prescription costs.
Out-of-Pocket Expenses with this Part D Plan
Along with the plan's monthly premium and deductible, SilverScript Choice requires you to pay copayments (a set dollar amount) or coinsurance (a percentage of the drug cost) when picking up your medications. The table below provides a breakdown of these out-of-pocket expenses.
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $5.00 | $5.00 | |
| Generic | $10.00 | $10.00 | |
| Preferred Brand | 18.00% | 18.00% | |
| Non-Preferred Drug | 31.00% | 31.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
How the CMS 5-Star Rating Works
The CMS assigns Medicare Part D plans a star rating, ranging from 1 to 5 stars, based on several factors, including customer service, member satisfaction, and prescription drug safety. This annual rating helps you evaluate the quality of a plan before enrolling. A 5-star rating indicates top-tier performance. Below, you’ll find the CMS rating for the SilverScript Choice plan.
| CMS Measure | Star Rating |
|---|---|
| Overall Plan Rating | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
When to Enroll in a Medicare Part D Plan
Knowing when to enroll in a Medicare Part D plan is crucial to ensuring you have the coverage you need. Below are the main enrollment periods:
- Initial Enrollment Period (IEP): Your first chance to enroll in Medicare Part D typically starts three months before the month you turn 65 and lasts for seven months. Learn more about when your Initial Enrollment Period begins.
- Annual Enrollment Period (AEP): Every year from October 15 to December 7, you can join, switch, or drop your Medicare Part D plan. Get details about the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can change your Medicare Advantage plan or switch back to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Explore the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Certain events, like moving or losing other coverage, may qualify you for a Special Enrollment Period, allowing you to enroll or change plans outside the usual periods.
How to Sign Up for SilverScript Choice
There are several ways to enroll in SilverScript Choice or another Medicare Part D plan, allowing you to choose the method that works best for you:
- Online via MedicareEnrollment.com: Easily compare and enroll in plans by visiting MedicareEnrollment.com.
- Call HealthCompare: Get expert help from HealthCompare by calling 833-748-3201 (TTY 711). They can assist you in finding the right plan for your needs (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: For additional guidance, contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: Alternatively, reach out to the plan directly using the contact information provided below.
Contact Aetna Medicare
| Website: | Aetna Medicare Plan Page |
|---|---|
| Formulary: | Aetna Medicare Formulary Page |
| Pharmacy: | Aetna Medicare Pharmacy Page |
| Prospective Part D Members: | (833)526-2445 |
| Prospective Part D TTY Users: | 711 |
Plans Offered Through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint
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