Find a Medicare Part D prescription drug plan for 2027
Medicare Part D
Prescription Drug Coverage 2027
SilverScript Medicare Part D 2027: How SilverScript Choice Works
Reviewed by Russell Noga, Licensed Medicare Insurance Broker (all 50 states) — Last updated October 31, 2026
SilverScript Medicare Part D 2027 means one plan, SilverScript Choice, which is reported to apply the full $700 deductible to every drug tier and then charge copays or coinsurance by tier. Published 2027 details also show a single price level at all network pharmacies instead of the preferred and standard split SilverScript once used.
2027 by the Numbers
$700
2027 Part D deductible; SilverScript Choice is reported to apply it to all tiers (CMS maximum)
5
drug tiers on the SilverScript Choice formulary (plan documents)
$2,400
2027 out-of-pocket cap, after which covered drugs cost $0 (CMS)
Plan names stay the same for years while the rules underneath them shift. SilverScript Choice is a good example. Its 2027 version leans harder on the deductible than many rival plans, and it no longer rewards you for using a particular kind of pharmacy, two changes that matter more to your bill than the brand name.
This page is about the plan itself: how its 2027 design is reported to work, what that means in dollars, and how to read its formulary and change notice. For where Aetna sells it, see Aetna Medicare Part D plans 2027.
Key Takeaways
- SilverScript Choice is the only SilverScript plan filed for 2027; SmartSaver and Plus are gone.
- The deductible is reported to apply to every tier, so even generics can cost full price until you spend $700.
- Third-party 2027 listings show one cost level at every network pharmacy, retail or mail.
- In our worked examples, a high-cost specialty drug reaches the $2,400 cap by March.
- Always confirm the numbers in your region’s 2027 Summary of Benefits and Evidence of Coverage.
SilverScript Choice in 2027 at a Glance
1 plan
SilverScript Choice is the only design left
All tiers
reported reach of the $700 deductible
1 price level
same cost at network pharmacies, per 2027 listings
SilverScript Choice is a basic-style standalone plan that sits alongside Original Medicare. In past years it came in three versions. For 2027 only Choice remains, and its premium, which varies by region, is reported to be well above the roughly $36 national average CMS estimates for standalone plans in many places. Check the premium for your ZIP code before anything else.
The 2027 Tier Design, as Published
| Tier | What it usually holds | Reported 2027 cost after the deductible |
|---|---|---|
| 1: Preferred generic | Common low-cost generics | Often $0 |
| 2: Generic | Other generics | About $7 for a month’s supply |
| 3: Preferred brand | Brands the plan favors | Coinsurance, about 23% in listings we checked |
| 4: Non-preferred drug | Brands and generics the plan does not favor | Coinsurance, about 34% |
| 5: Specialty | High-cost drugs | 25% coinsurance |
From third-party 2027 plan listings and reviews based on CMS data, not Aetna’s own Summary of Benefits; amounts may vary by region. Confirm in your plan’s 2027 Evidence of Coverage.
Exceptions to the deductible: Medicare law still caps covered insulin at $35 for a month’s supply and makes recommended adult vaccines $0, even before you meet the deductible.
One Price at Every Network Pharmacy
Older SilverScript summaries listed two sets of copays: lower ones at preferred pharmacies and higher ones at standard pharmacies. The 2025 summary already showed a single retail price level, and 2027 listings show identical costs at retail and mail order.
Earlier SilverScript designs
✔
Preferred pharmacies had lower copays
✔
Standard pharmacies cost more for the same drug
✔
Pharmacy choice changed your bill
2027 SilverScript Choice (reported)
✔
One cost level at network pharmacies
✔
Mail order shows the same tier costs as retail
✔
Your pharmacy matters for convenience, not price, as long as it is in network
Going out of network still costs more except in emergencies, so confirm your pharmacy is in the 2027 network.
See plans in your area instantly!
Advertisement
Worked Cost Examples Using 2027 Rules
These are our own calculations with the $700 deductible applied to all tiers, the reported tier costs above and the $2,400 cap. Drug prices are made-up round numbers; your plan’s prices will differ.
| Person | Monthly drug price | How the year plays out | Yearly drug cost |
|---|---|---|---|
| Three generics | $45 total | Never reaches $700, so pays the full $45 every month | $540 |
| One preferred brand | $500 | $500 in January, $269 in February ($200 plus 23% of $300), then $115 a month | $1,919 |
| One specialty drug | $3,000 | $1,275 in January ($700 plus 25% of $2,300), $750 in February, $375 in March, then $0 | $2,400 |
Premiums are extra. Costs may differ if your drug is on another tier or your plan’s actual 2027 terms vary.
The generic trap: In the first example the $7 generic copay never kicks in, because the deductible is never met. A plan with no deductible on generics could cost far less for someone with that drug list, even at a higher premium.
How to Read the SilverScript Choice Formulary
1
Get the 2027 list, not the 2026 one. The drug list posted on Aetna’s Medicare site is dated by year; make sure it says 2027.
2
Find each drug by its exact name and strength. A brand and its generic can sit on different tiers.
3
Read the codes beside the drug. PA means prior authorization, ST means step therapy and QL means a quantity limit. Each can delay or block a fill.
4
Check for negotiated-price drugs. Drugs such as Eliquis and, from January 2027, Ozempic carry Medicare-negotiated prices, which lower the price your coinsurance is based on.
5
Ask for an exception if a drug is missing. Your doctor can request coverage or a lower tier.
Our Medicare Part D formulary 2027 guide explains tiers and exceptions in more depth.
Begin Choosing your plan
Advertisement
CALL TO SPEAK WITH A LICENSED INSURANCE AGENT
Advertisement
What to Look for in Your Annual Notice of Change
Lines worth comparing to 2026
✔
Monthly premium for your region
✔
Whether the deductible now applies to tiers that used to skip it
✔
Tier moves for each of your drugs
✔
New prior authorization or quantity limits
✔
Whether the plan is still offered in your region at all
Members in regions the plan is leaving get a non-renewal letter instead and must choose a new plan by December 31, 2026.
Smoothing a Big Deductible Over the Year
A plan that loads costs into the first months can strain a budget. The Medicare Prescription Payment Plan lets you pay your drug costs in monthly bills instead of at the counter. In the specialty example above, someone who joins in January would owe about $200 a month instead of $1,275 up front.
Good to know
✔
It does not lower your total cost; it spreads it out
✔
2026 participants who stay in the same plan are re-enrolled automatically for 2027
✔
Joining later in the year means larger monthly bills
See our Medicare Prescription Payment Plan 2027 guide and the full Medicare Part D plans 2027 overview.
The Bottom Line
The Bottom Line
SilverScript Choice for 2027 is a simpler plan than past SilverScript versions: one design, one pharmacy price level and a deductible reported to cover every tier. That design can work well for people with brand or specialty drugs, but light generic users may pay more than they expect, so price your own list before you enroll.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048) to get information on all of your options.
Frequently Asked Questions
➤ Does SilverScript Choice have a deductible on Tier 1 generics in 2027?
Third-party listings and reviews of 2027 data report that the $700 deductible applies to all tiers, including generics. Confirm in your region’s 2027 Summary of Benefits.
➤ How many drug tiers does SilverScript Choice use?
It uses five tiers: preferred generic, generic, preferred brand, non-preferred drug and specialty. Your cost depends on the tier and whether you have met the deductible.
➤ Is SilverScript cheaper at CVS than at other pharmacies in 2027?
2027 listings show one cost level at network pharmacies rather than preferred and standard pricing, so an in-network pharmacy should charge the same plan price.
➤ What does PA, ST or QL mean on the SilverScript drug list?
PA is prior authorization, ST is step therapy, where you try another drug first, and QL is a quantity limit. Your doctor can ask the plan for an exception.
➤ Does SilverScript Choice cover insulin before the deductible?
Yes. Medicare rules cap covered insulin at $35 for a month’s supply in every Part D plan, and the deductible does not apply to it.
➤ Will my SilverScript coverage cost $0 after I spend $2,400 in 2027?
Yes. Once your out-of-pocket spending on covered drugs reaches $2,400, you pay nothing more for covered drugs for the rest of 2027.
➤ Can I get a 90-day supply with SilverScript Choice?
Many maintenance drugs can be filled in 90-day supplies at retail or by mail. Check the plan’s 2027 documents for which drugs qualify and the cost.
➤ Is SilverScript Choice a good fit for someone with one expensive brand drug?
It can be, because the deductible and coinsurance stop once you hit the $2,400 cap. Compare the premium and your drug’s tier against other plans in your ZIP code first.
ZRN Health & Financial Services, LLC, a Texas limited liability company.
Begin Choosing your plan
Advertisement
CALL TO SPEAK WITH A LICENSED INSURANCE AGENT
Advertisement