state of connecticut

Prescription Drug Coverage for
Medicare-Eligible State Retirees

Frequently Asked Questions

Effective January 1, 2012 the State of Connecticut will use the SilverScript Medicare D Plan as the primary payer for prescription drug costs for all Medicare-eligible retirees. Your state coverage will then "wrap around" SilverScript to cover any remaining costs of covered drugs.

Question: What does it mean for you?

Answer: It means that you will receive a new SilverScript prescription drug card and must start using this card effective January 1, 2012. This will replace your CVS/Caremark ID card. All other coverage and co-payment requirements will remain the same.

Question: Why are we doing this?

Answer: Because it will enable the State to achieve significant savings with no change in how you receive your prescription drugs.

Question: How will the coverage work?

Answer: If you need a prescription drug starting on January 1, 2012 and after, all that you will have to do is to present your SilverScript ID card to your pharmacy.

SilverScript will take care of processing your benefits through both the group Medicare Part D prescription drug plan and the State of Connecticut "wrap around" plan. These are your two sources of coverage.

You must use your new SilverScript ID card starting January 1, 2012. You may NOT use your current CVS/Caremark ID Card after January 1, 2012.

Question: Will my co-pay or coverage change in any way?

Answer: No.

Question: Can I continue to go to my regular pharmacy?

Answer: Yes. Please note that your pharmacy network is not changing. SilverScript is a subsidiary of CVS/Caremark and uses the same network.

Question: How will this affect my spouse and my dependents?

Answer: If your husband or wife is Medicare eligible, he or she will also receive and must use a SilverScript card.

Spouses and dependents not Medicare eligible will continue to use their CVS/Caremark cards. Their co-pay will not change, however, the Maintenance Drug Network program will apply to them. CVS/Caremark will send them a new ID card with their name on the card.

Question: I received a letter from SilverScript informing me that I can opt out or cancel my enrollment. What should I do?

Answer: Please ignore this letter. The state has a contract with SilverScript for your pharmacy benefits. If you opt out, your state medical and prescription drug coverage for you and your dependents will terminate.

If you re-enroll later, you may be subject to late enrollment penalties which will mean higher premiums for life.

Question: I am getting mail from other Medicare prescription drug plans urging me to join. What should I do?

Answer: Ignore these mailings. Do not enroll in a Part D plan other than SilverScript!

Please NOTE that if you do enroll in an individual Medicare Part D prescription drug plan, Medicare will not allow you to participate in the State of Connecticut's SilverScript group plan. In addition, your State of Connecticut medical and pharmacy coverage will terminate for you and your enrolled dependents. You will not be able to rejoin the plan until the next open enrollment.

Question: What should I do if I have further questions?

Answer: If you have a question about any of the information that you receive, call SilverScript:

Before January 1, 2012, call 866-425-9807.

After January 1, 2012, call 866-693-4624.

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