WELCOME TO SILVERSCRIPT
California’s Valued Trust has chosen SilverScript® Insurance Company to provide your Medicare Part D prescription drug coverage. SilverScript, an affiliate of CVS Caremark, is an approved Medicare Part D Prescription Drug Plan provider.
Service – It Is All About You!
As a plan member, you’ll receive savings and service through plan features which include:
24x7 Customer Service Tools – Our plans all offer website access and our award winning customer service*–both are available to our members 24 hours a day, 7 days a week.
Co-Payments vs. Co-Insurance – To make budgeting for your prescription medications easier, we offer a co-payment versus a co-insurance amount, which means fewer confusing calculations on most of your prescription drugs. You always know what you will pay for your medications before you go to the pharmacy.
Large Pharmacy Network – More than 65,000** pharmacies nationwide make up the pharmacy network. These include retail, mail service, long-term care, home infusion, and Indian Health and Indian Tribal pharmacies.
Online Document Access – As a member, you can view your plan documents on our website and not have to wait for them to arrive by mail. You can STAY GREEN and environmentally friendly by downloading only the materials that you want and avoid storing printed documents.
Value-Added Services
Plan membership provides you with extra value and various ways to enjoy safety, savings, and service. Use the ExtraCare Health card and get a 20% discount on CVS/pharmacy brand health-related products available at more than 7,000*** CVS/pharmacy stores nationwide.
The value-added products and services described above are neither offered nor guaranteed under our contract with Medicare. In addition, they are not subject to the Medicare appeals process. Purchases eligible for the ExtraCare Health Card will not count toward your true-out-of-pocket expense (TrOOP) amounts. Any disputes regarding these products and services may be subject to the SilverScript Insurance grievance process.
The SilverScript Medicare Part D Plan brought to you by
California’s Valued Trust Features
|
Annual Deductible |
$0 |
|
Initial Coverage Level |
After you pay your yearly deductible, you pay the following until total yearly drug costs reach $2,830 for the remainder of 2010 and $2,840 in 2011: |
|
Prescription
Benefit |
Network Retail
(up to 30-day supply) |
Network Mail Service
(up to 90-day supply) |
|
Value Generics |
$4.00 |
$7.00 |
|
Generic Drugs |
$5.00 |
$10.00 |
|
Preferred Brand Drugs |
$22.00 |
$44.00 |
|
Non Preferred
Brand Drugs |
$22.00 |
$44.00 |
|
Specialty Drugs |
$22.00 |
N/A |
|
Coverage After You Reach Your Initial Coverage Limit |
Your plan does not have a “donut hole.” You will continue to pay the co-payments below until you reach a yearly out of pocket drug cost of $4,550: |
|
Value Generics |
$4.00 |
$7.00 |
|
Generic Drugs |
$5.00 |
$10.00 |
|
Preferred Brand Drugs |
$22.00 |
$44.00 |
|
Non Preferred
Brand Drugs |
$22.00 |
$44.00 |
|
Specialty Drugs |
$22.00 |
N/A |
|
Catastrophic Coverage |
After your yearly out-of-pocket drug costs reach $4,550, you pay the greater of: |
|
Generics (including brand drugs treated as generic) |
$2.50 or 5% (no greater than $10.00) |
|
All other drugs |
$6.30 or 5% (no greater than $44.00) |
|
Out-of-Network |
Plan drugs may be covered in special circumstances, for example, illness while traveling outside of the plan's service area where there is no network pharmacy. You may pay more than the co-payment if you get your drugs at an out-of-network pharmacy. In addition, you will likely have to pay the pharmacy’s full charge for the drug and submit documentation to receive reimbursement from SilverScript. |
|
Comprehensive Formulary |
Coming Soon |
|
Summary of Benefits |
Coming Soon |
|
Evidence of Coverage |
Coming Soon |
Options for Filling Your Prescription
With your Prescription Drug Plan, you will have access to more than 65,000** pharmacies nationwide. You also may choose to have your prescription filled and mailed directly to your home or office using our preferred mail service pharmacy. You may get your prescriptions filled at a non-preferred pharmacy; however, you may have to pay more for your prescriptions.
With mail service, you will receive up to a 90-day supply of your medication for a co-payment that is likely to be significantly less than you would pay for three 30-day co-payments at a participating retail pharmacy.
WITH THE CAREMARK MAIL SERVICE PROGRAM YOU HAVE:
- The ease of having a prescription delivered to the location of your choice - home, office, vacation spot, etc.
- Greater convenience with mail service of up to a 90-day supply of medication - including free standard shipping.
- Personal service with a 24-hour, toll-free hot-line to speak with a registered pharmacist about any questions or concerns you may have.
- Excellent quality through confidential, tamper-resistant and temperature-controlled - packaging of prescriptions.
- Internet and refill-by-phone services to order your prescription refills 24 hours a day, 7 days a week.
The Caremark Mail Service offering also checks the availability of U.S. Food and Drug Administration-approved, generic substitutions to fill prescriptions when authorized by physicians and permissible by law. By using generics, you may reduce your prescription drug costs and avoid the coverage gap for longer if you should reach it.
If you have questions about your California’s Valued Trust Plan, please contact:
Prospective Members
Call Enrollment Support from 8:00 a.m. to 2:00 a.m. ET, 7 days a week at:
- 1-866-832-9020
- TTY/TDD users should call 1-866-552-6288
Current Members
Call Customer Care 24 hours a day, 7 days a week at:
- 1-888-620-1756
- TTY/TDD users should call 1-866-236-1069
*CVS Caremark Customer Care was honored for "Providing an Outstanding Customer Service Experience" under the J.D. Power and Associates Certified Call Center ProgramSM. The call centers have held this distinction since 2006.
** As of 6/2010, Caremark Network Services states that there are more than 65,000 contracted network pharmacies.
*** As of 6/2010, Caremark Network Services states there are more than 7,000 CVS pharmacies nationwide.