Retiree Prescription drug information
SilverScript Employer PDP for MHBP
If you have Medicare A and or B as your primary coverage, you’ll automatically be enrolled in our SilverScript® Employer Prescription Drug Plan (PDP) under Medicare Part D for MHBP.*
If you have opted into the Medicare Advantage Plan for MHBP Standard Option, your prescription coverage will be included in that plan.
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.
*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.
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.
- If you opt out of this new prescription drug plan, you will continue your prescription coverage under your current MHBP plan.
Aetna Medicare Advantage for
MHBP Standard Option
It’s easy to opt in (with Aetna).
Monday–Friday, 8 AM–8 PM ET
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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.