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Human Resources

SilverScript

Frequently Asked Questions

Q1:
What is the benefit of enrolling in SilverScript?
A1:
If you enroll in SilverScript you can save money each month on your Wellmark Premium. Depending on what plan you are in, and what coverage level you have you can save between $55.33 up to $280.27 per month on your Wellmark premium in 2009. Even when you factor in the SilverScript premium of $31.80 per Medicare-eligible individual ($63.60 per Medicare-eligible couple), you still save money with the reduction in the Wellmark health plan premium. The premium savings on your Wellmark plan is the reason to enroll in SilverScript. There are no changes to your prescription plan if you enroll in SilverScript. You will still have your same prescription plan as you have had before. You will still have your same copays, out of pocket max if you have Program 3 Plus or Iowa Select and you still have Wellmark’s formulary.
Q2:
How do I enroll with SilverScript?
A2:
You may enroll with SilverScript when you first become Medicare-eligible or during the annual enrollment and change period. The easiest way to enroll in SilverScript is over the phone. SilverScript’s enrollment number is: 1-866-808-7475. You may also enroll over the Internet by visiting their Web site for the state of Iowa: stateofiowa.silverscript.com.

You may also enroll if you are age 65 or have Medicare at the time of your retirement.

You must enroll in Silverscript before the month you want coverage to be effective.

Q3:
Do I have to enroll in SilverScript?
A3:

SilverScript is a voluntary benefit that you can add to your existing Wellmark health plan.

Q4:
Why is SilverScript not available with the Deductible 3 Plus health insurance plan?
A4:
SilverScript is not available with Deductible 3 Plus because of the way that Deductible 3 Plus processes prescriptions drugs claims. In order for you to have SilverScript, you need to be in a Wellmark plan that has a copay system to pay for prescriptions.
Q5:
Can I cancel my SilverScript coverage?
A5:
You may cancel your enrollment with SilverScript during the annual enrollment and change period (November 15 - December 31) by calling their customer service at 1-800-678-1853.
Q6:
Why has my Wellmark premium not decreased even though I signed up for SilverScript?
A6: SilverScript sends a report to Wellmark each month of individuals that have enrolled in SilverScript. The timing of the SilverScript's report and Wellmark's premium invoice are not always in sync. The difference in premiums usually happens the first month that your coverage is effective with SilverScript. If Wellmark has billed you for the Medicare-eligible premium without SilverScript, they will retroactively credit your bill for the next month.
Q7:
When I went to the pharmacy I believe I was incorrectly billed for my prescriptions, as it was not a $5/$15/$30 copay that they asked me to pay. What do I do to fix a prescription problem?
A7:
The first thing you can do is while at the pharmacy make sure that you have given the pharmacist your SilverScript card and your Wellmark card. In order for your claims to be run correctly, the SilverScript card needs to be run first and then the Wellmark card as secondary coverage. If your pharmacist is having problems running two cards, they can call Wellmark pharmacy at the number on the back of your Wellmark card. Wellmark will then be able to help them process your prescriptions correctly. If you are still having problems with your prescriptions, you can call Rachel Orris with the Department of Administrative Services, Human Resources Enterprise at 1-515-281-6124 and she can work with you to get the problem solved.
Q8:
Is there a deductible that I need to meet?
A8:
No, there is no deductible that you have to meet. Because you have the state’s health insurance plan along with SilverScript, there is no deductible. You just pay your $5/$15/$30 copays from the start.
Q9:
How does SilverScript bill me for the premium?
A9:
When you enroll with SilverScript you can talk to them about payment methods. You can have the premium taken out of your Social Security check each month or billed by mail each month.
Q10:
If I join SilverScript, is that considered leaving the state retiree group?
A10:
No, joining SilverScript is just considered an addition to your existing Wellmark health plan. You will still have your state of Iowa retiree group health insurance plan.
Q11:
Why do I get letters that say I have a true out of pocket max of an amount over what I thought my out of pocket max was for prescriptions?
A11:
If you are in the Program 3 Plus or Iowa Select plan you have an out of pocket max of $250 for prescriptions for single coverage and $500 for family coverage. If you received that letter, it can be disregarded. SilverScript sends out generic letters to all of their members showing what your drug costs are throughout the year. These letters are not applicable to state of Iowa retirees in SilverScript.
Q12:
What number do I call for customer service for SilverScript?
A12:
SilverScript’s customer care number is 1-800-678-1853. When you call please identify yourself as a state of Iowa retiree.
Q13:
Can I be enrolled in SilverScript outside of Iowa and still have it coordinate benefits with my Wellmark plan with the state’s retiree group?
A13:
Yes, you can be enrolled in SilverScript and have it coordinate pharmacy benefits with your Wellmark plan outside of Iowa. If you live permanently outside of Iowa, the premium for SilverScript may be different, but SilverScript will work anywhere in the country.

 


Site updated 03/13/2009


This Web site describes the benefits in effect on January 1, 2009. The site does not meet the requirements of a summary plan description and is not intended to serve as one. If there are discrepancies between this information and any of the plan documents or State of Iowa policies, the plan documents or State of Iowa policies will govern in all cases.