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Postal Service employees and retirees

Call 1-833-497-2416 (TTY: 711)

Retiree Prescription drug information

SilverScript (EGWP) Employer Prescription Drug Plan (PDP) for MHBP

SilverScript (EGWP) Employer Prescription Drug Plan (PDP) for MHBP

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, your MHBP plan will automatically enroll you in the SilverScript (EGWP) Employer PDP for MHBP Standard Option. Your premium does not change, and prescription drug benefits are equal or 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 may be lower. And you’ll receive a separate ID card to use for prescriptions.

Please note: if you are a Medicare-eligible PSHB participant and make the decision to opt out of or disenroll from the PDP included in your PSHB plan, you will NOT have prescription drug benefits through your PSHB plan. If you opt out or disenroll from the PDP you can only reenroll in the PDP through your PSHB plan during the next Open Season or with 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 don’t want to be enrolled in the SilverScript (EGWP) Employer PDP for MHBP, you must contact Member Services at 1-833-266-6958 (TTY: 711), Monday through Friday, 8 AM to 8 PM ET.

Your prescription drug plan will start January 1, 2025. Your medical coverage and your Postal Service Health Benefits (PSHB) Program premium will not change.** You are still covered under MHBP through the PSHB Program if you continue to pay your MHBP premium. Enrolling in the PDP will not result in the suspension or termination of your PSHB coverage.

IMPORTANT NOTICE: If you choose this plan and have Medicare, please call us at (833) 266-6958 to make sure your Medicare Part D prescription drug coverage begins on 1/1/25.

*If you are currently enrolled in a stand-alone Medicare prescription drug plan or a Medicare Advantage (MA) HMO or PPO plan (Part C), enrolling in SIlverScript will cancel your enrollment in the other plan.

** The Social Security Administration (SSA) could require you to pay an extra amount. This is known as the Medicare Income Related Monthly Adjustment Amount (IRMAA). SSA will contact you if you have to pay Part D IRMAA, based on your income.

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SilverScript PDP member tools and drug lists

Check the cost calculators or drug formulary lists below for coverage information.

SilverScript PDP Calculator/Formulary lists

Benefits of the the SilverScript Employer PDP for MHBP:

  • $0 annual deductible
  • Copays for most drug tiers (except specialty drugs)
  • $2,000 calendar year out-of-pocket maximum for your prescription drugs
  • Access to approximately 63,000 pharmacies nationwide
  • No mandatory fill requirements

SilverScript Employer PDP for MHBP plans

Please do not rely on this chart alone. Below is a summary of copays and coinsurance for MHBP plans. For more detail about definitions, limitations, and exclusions please refer to the Official Plan Brochure.

Rx Type Standard Option Consumer Option (HDHP) Value Plan
Generic $5 (30 days)
$10 (90 days)		 $8 (30 days)
$15 (90 days)		 $10 (30 days)
$20 (90 days)
Preferred brand $45 (30 days)
$55 (90 days)		 $45 (30 days)
$70 (90 days)		 $47 (30 days)
$140 (90 days)
Non-preferred brand $60 (30 days)
$80 (90 days)		 $70 (30 days)
$110 (90 days)		 $100 (30 days)
$250 (90 days)
Specialty 15% limited to $225 (30 days)
15% limited to $425 (90 days)		 25% limited to $225 (30 days)
25% limited to $425 (90 days)		 33% limited to $250 (30 days)
33% limited to $400 (90 days)

How to opt out of SilverScript PDP for MHBP

If you don’t want to be enrolled in the SilverScript Employer PDP for MHBP, you must contact Member Services at 1-833-825-6755 (TTY: 711), Monday through Friday, 8 AM to 8 PM ET.

AetnaRetireeHealth.com/MHBPPostal

Aetna Medicare Advantage for
MHBP Standard Option

It’s easy to opt in (with Aetna).

Visit AetnaRetireeHealth.com/MHBPPostal or call 1-866-241-0262 (TTY: 711)

Monday–Friday, 8 AM–8 PM ET

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Aetna Medicare is a PPO plan with a Medicare contract. Our DSNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. Standalone Prescription Drug Plans are offered by SilverScript, a CVS Health company.The formulary, provider and/or pharmacy network may change at any time. You will receive notice when necessary. 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. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of SilverScript. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change.

Estimated costs are not available in all markets or for all products and services. We provide an estimate for the amount you would owe for a particular product or service based on your benefit plan and status at that very point in time. It is not a guarantee. Actual costs may differ from an estimate for various reasons, including claims processing times for other products and services, providers joining or leaving the network, changes in product availability, or changes to your benefit plan.

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).This is a brief description of the features of this MHBP plan. Before making a final decision, please read the Official plan brochure. All benefits are subject to the definitions, limitations and exclusions set forth in the Official plan brochure. A single annual $52 associate membership fee makes all MHBP plans available to you.

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