2020 Summary of Benefits Booklet

P.O. Box 30006, Pittsburgh, PA 15222-0330

For Pfizer U.S. retirees in the Rx Plus Option

SilverScript Employer PDP sponsored by Pfizer A Medicare Prescription Drug Plan (PDP) offered by SilverScript® Insurance Company with a Medicare contract

January 1, 2020 – December 31, 2020

This is a Medicare-required summary of your benefits in the Pfizer-sponsored SilverScript plan.

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SECTION I – Introduction to Summary of Benefits

SilverScript Employer PDP sponsored by Pfizer (SilverScript) is a Medicare Part D prescription drug plan with additional coverage provided by Pfizer to expand the Part D benefits. “Employer PDP” means that the plan is an employer-provided Medicare Part D prescription drug plan. The Plan is offered by SilverScript® Insurance Company which is affiliated with CVS Caremark®, Pfizer’s current pharmacy benefit manager.

This booklet gives you a summary of what is covered and what you pay. It doesn't list every service covered or list every limitation or exclusion. To get a complete list of covered services, call SilverScript Customer Care and ask for the Evidence of Coverage or view it online at pfizer.silverscript.com.

You have choices about how to get your Medicare prescription drug benefits

Pfizer is offering you a plan not offered to the public. As a Medicare beneficiary, you can choose from different Medicare prescription drug coverage options:

• SilverScript Employer PDP sponsored by Pfizer (SilverScript) – the Rx Plus option explained in this Summary of Benefits • SilverScript Employer PDP sponsored by Pfizer (SilverScript) – the Rx Base option • Individual coverage through a non-Pfizer Medicare Part D prescription drug plan • Individual coverage through a non-Pfizer Medicare Advantage Plan (like an HMO or PPO) or a non-Pfizer Medicare health plan that offers Medicare prescription drug coverage. You get all of your Medicare Part A and Part B coverage, and prescription drug coverage (Part D), through these plans.

You make the choice. However, if you decide not to be enrolled in Pfizer-sponsored prescription drug coverage through SilverScript, you will lose your Pfizer-sponsored medical and prescription drug coverage. You will be able to re-enroll in Pfizer coverage in the future, but you will need to certify that you have maintained continuous, creditable medical and prescription drug coverage during the time you were not enrolled in Pfizer retiree medical and prescription drug coverage. You may enroll within 31 days of experiencing a qualified life event, such as marriage, divorce or losing coverage elsewhere. If you are the retiree and you opt out of coverage, this means that your covered dependents, such as your spouse/domestic partner or dependent children, will also lose their Pfizer-sponsored medical and prescription drug coverage.

Tips for comparing your Medicare choices

This Summary of Benefits booklet gives you a summary of what SilverScript covers and what you pay.

• If you want to compare SilverScript with other Medicare health plans, ask the other plans for their Summary of Benefits booklets. • You can also find information about Medicare plans in your area other than SilverScript by using the Medicare Plan Finder on the Medicare website. Go to http://www.medicare.gov and click “find health & drug plans.” There you can find information about costs, coverage and quality ratings for Medicare plans. 2

• If you would like to know more about the coverage and costs of Original Medicare, review your current Medicare & You handbook. You can also view a copy online at http://www.medicare.gov or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048. • For more information about the Medicare Part D portion of your plan, please call SilverScript Customer Care and ask for the Evidence of Coverage.

Information in this booklet

• Things to Know About SilverScript • Monthly Contribution, Deductible, and Limits on How Much You Pay for Covered Services • Prescription Drug Benefits

Things to Know About SilverScript

SilverScript Phone Numbers and Website

• Call toll-free 1-844-774-2273. TTY users should call 711. • Our website: pfizer.silverscript.com.

Hours of Operation

You can call us 24 hours a day, 7 days a week.

Who can join?

To join SilverScript, you must:

• Be entitled to Medicare Part A and/or enrolled in Medicare Part B • Be a United States citizen or lawfully present in the United States • Provide the Pfizer Benefits Center with the Medicare Number on your red, white and blue Medicare ID card, when requested • Live in our service area, which is the United States and its territories, and provide a permanent street address when requested (Medicare does not accept P.O. Boxes.) • Be eligible for Pfizer retiree medical coverage • Meet any additional requirements for Pfizer retiree prescription drug coverage.

Please note: if you elect a Pfizer-sponsored retiree medical plan option, which has medical coverage as well as prescription coverage, you must be enrolled in both Medicare Part A and Part B.

Which medications are covered?

SilverScript will send you an abridged list of commonly used prescription medications selected by SilverScript and covered under the Medicare Part D portion of the plan. This list of medications is called an Abridged Formulary. This formulary does not include all the medications covered by SilverScript and does not include the medications available to you through the additional coverage provided by Pfizer.

The formulary may change throughout the year. You may review the complete formulary for the Medicare Part D portion of the plan and any restrictions on our website at pfizer.silverscript.com. Or call SilverScript Customer Care at 1-844-774-2273 to request a copy of the formulary. TTY users should call 711.

Medications may be added or removed, or restrictions may be added or changed. Restrictions on SilverScript coverage include:

Prior Authorization (PA)

For certain prescription medications, you or your provider need to get approval from the plan before SilverScript will agree to cover the medication for you. This is called “prior authorization.” If you do not get this approval, your prescription medication might not be covered by SilverScript.

Quantity Limits (QL)

For certain prescription medications, SilverScript limits the amount of the prescription medication that you can get each time you fill your prescription. For example, if it is normally considered safe to take only one pill per day for a certain medication, we may limit coverage for your prescription to no more than one pill per day. This is called “quantity limits.”

Medications Are Organized in Tiers

Medications are grouped into one of four tiers on the formulary: • Generic (Tier 1) – most cost effective medications to buy. The active ingredients in generic medications are exactly the same as the active ingredients in brand medications whose patents have expired. They are required by the Food and Drug Administration (FDA) to be as safe and effective as the brand medication. • Preferred Brand (Tier 2) – brand medications that do not have a generic equivalent and are included on a preferred drug list. They are usually available at a lower cost than Non- Preferred Brand medications. • Non-Preferred Brand (Tier 3) – brand medications that are not on a preferred drug list and usually are a higher cost. • Specialty (Tier 4) – high-cost biotech and other unique medications; includes both brand and generic medications.

You use your formulary to find out the tier for your medication or if there are any restrictions on your medication. Due to the additional coverage provided by Pfizer, your coinsurance and per- prescription minimum or maximum is the same, except for a 90-day supply of a Specialty medication through mail order or at a preferred network retail pharmacy. But, the higher the tier, the higher the cost, so you will have to pay a higher amount for a non-Pfizer non-preferred brand medication than you would pay for a non-Pfizer preferred brand medication.

Additional coverage from Pfizer

Pfizer provides additional coverage to cover most Pfizer medications including Greenstone generic medications at no cost to you. The list of Pfizer medications provided at no cost is subject to change without notice.

SilverScript does not cover all medications that can be covered by Medicare on its formulary. In addition, there are medications that Medicare will not allow to be covered on a Medicare Part D plan. The additional coverage provided by Pfizer will cover certain medications that are not on the SilverScript formulary and certain medications that are excluded by Medicare Part D. Medications provided through your additional coverage provided by Pfizer may be added or removed, or restrictions may be added or changed during the year.

These medications are not subject to the SilverScript appeals and exceptions process, and the cost of these medications will not count towards your Medicare out-of-pocket costs or Medicare total drug costs (see Section II – Summary of Benefits). However, the cost of these additional medications will count toward your Pfizer individual annual prescription drug maximum out-of- pocket of $3,400. Please contact SilverScript Customer Care if you have any questions about your additional coverage from Pfizer at 1-844-774-2273 to request a copy of the formulary. TTY users should call 711.

Which pharmacies can I use?

The plan has a network of pharmacies, including retail, mail-order, long-term care and home infusion pharmacies. In addition, SilverScript has preferred network retail pharmacies where your cost for a 90-day supply of your non-specialty non-Pfizer maintenance medications will not exceed the per-prescription maximum for a 60-day supply.

Please note: After the mail-order pharmacy receives an order, it takes up to 10 days for you to receive the shipment of your prescription medication. You have the option to sign up for automated mail-order delivery.

You must use a network pharmacy to have your coinsurance percentage or per-prescription minimum or maximum count toward your Medicare out-of-pocket costs and Medicare total drug costs (see Section II – Summary of Benefits), unless it is an emergency or non-routine circumstance.

You may use an out-of-network pharmacy. However, the price of the medication may be higher than the same medication at a network pharmacy and you may need to pay part of the cost for most Pfizer medications including Greenstone generic medications. If you use an out-of-network pharmacy, you will have to pay the full cost of the medication at the pharmacy, complete a paper claim and send it and your itemized receipt to SilverScript to request reimbursement. You will be reimbursed the plan’s share of the cost for your medication. You may need to pay part of the cost, even for most Pfizer medications including Greenstone medications, and the additional cost will not be applied to your Pfizer annual out-of-pocket maximum.

If you may need to get your prescription filled while you are traveling outside the country, contact SilverScript Customer Care before you leave the U.S. You can request a vacation override for up to a 90-day supply of your medication.

The pharmacies in the network can change at any time. To find a preferred or non-preferred network pharmacy near your home or where you are traveling in the United States or its territories, use the pharmacy locator tool at pfizer.silverscript.com or call SilverScript Customer Care at 1-844-774-2273, 24 hours a day, 7 days a week. TTY users should call 711.

If you are eligible for Veterans benefits

Veterans Affairs (VA) pharmacies are not permitted to be part of a Medicare Part D pharmacy network. The federal government does not allow you to receive benefits from more than one government program at the same time.

If you are eligible for VA benefits, you may still use VA pharmacies under your VA benefits. However, the cost of those medications and what you pay out-of-pocket will not count toward your Medicare out-of-pocket costs or Medicare total drug costs. Each time you get a prescription filled, you can compare your Pfizer benefit through SilverScript to your VA benefit to determine the best option for you.

Section II – Summary of Benefits for the Rx Plus Option

How Medicare Part D Stages Work The standard Medicare Part D plan has four stages or benefit levels. Below is information on how these stages work in 2020. SilverScript with Stage Standard Medicare your additional coverage provided by Pfizer Part D Plan This is what you pay Deductible $ 435 $ 0

Initial After meeting the deductible, a Since you have no deductible, you start in this Coverage person pays 25% of the drug stage and pay: cost until he reaches $4,020 in • $0 for most Pfizer medications including total drug costs Greenstone generic medications • Your Pfizer coinsurance percentage, subject to your per-prescription minimum or maximum for non-Pfizer medications

Coverage Formerly called the "donut No “donut hole.” You continue to pay: Gap hole." A person pays the same 25% coinsurance as in the Initial • $0 for most Pfizer medications including Coverage Stage. Greenstone generic medications • Your Pfizer coinsurance percentage, subject During this Coverage Gap stage, to your per-prescription minimum or maximum for non-Pfizer medications brand drugs are discounted by the manufacturer. The amount of this discount counts toward the person's Medicare Part D out-of- pocket maximum. Catastrophic After you reach the $6,350 After you reach the $6,350 Medicare Part D Coverage Medicare Part D out-of-pocket out-of-pocket maximum, you pay the lower of: maximum, a person pays the • Your same Pfizer benefit greater of: o $0 for most Pfizer medications, • 5% of the drug cost or $3.60 including Greenstone generic for generic medications, medications including brand medications o Your Pfizer coinsurance percentage, treated as generic subject to your per-prescription • 5% of the drug cost or $8.95 minimum or maximum for non-Pfizer for brand-name medications medications or • The Medicare Catastrophic Coverage cost share, which is the greater of o 5% of the drug cost or $3.60 for generic medications, including brand medications treated as generic o 5% of the drug cost or $8.95 for all other medications 7

If you reach your Pfizer individual annual prescription drug maximum out-of-pocket of $3,400, you pay nothing for the rest of the calendar year when you use network pharmacies.

In 2020, the standard Medicare Part D plan maximum out-of-pocket expense of $6,350 includes the deductible, if any, any amount you have paid for your coinsurance percentage (subject to your per-prescription minimum or maximum), any amount you have paid during the coverage gap, any manufacturer discounts on your brand-name medications in the coverage gap, and any amount paid by Extra Help or other governmental or assistance organizations on your behalf.

Medicare’s maximum out-of-pocket cost does not include your monthly contribution, the cost of any prescription medications not covered by Medicare, any amount paid by SilverScript, or any amount paid through the additional coverage provided by Pfizer.

Your Prescription Drug Benefits – Monthly Contribution, Deductible, and Limits on How Much You Pay for Covered Services

SilverScript

How much is the This benefit is provided as part of your Pfizer retiree medical monthly coverage. If you have any questions about your contribution, refer to contribution? your Personal Fact Sheet you receive when you are newly-eligible for Medicare or during Annual Enrollment, or contact the Pfizer Benefits Center at 1-877-208-0950, Monday through Friday, from 8:30 a.m. to Midnight, Eastern time.

You must continue to pay your Medicare Part B premium, if applicable.

Part D Premium for High Income Retirees

If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you’ll pay the standard premium amount and an Income Related Monthly Adjustment Amount, also known as Part D-IRMAA. Part D-IRMAA is an extra charge added to your premium.

You will receive a letter from Social Security letting you know if you have to pay this amount which is referred to as the Part D Income Related Monthly Adjustment Amount (Part D- IRMAA). This letter will explain how they determined the Part D-IRMAA amount you must pay.

If you are responsible for the Part D-IRMAA, it will be deducted automatically from your Social Security check. If your Social Security check is not enough to cover this premium, Medicare will send you a bill. You do not pay this amount to Pfizer or SilverScript. You send your payment to Medicare. 8

For more information about the withholdings from your Social Security check, visit https://www.ssa.gov/medicare/mediinfo.html, or call 1-800-772-1213, 7 a.m. to 7 p.m., Monday through Friday, or visit your local Social Security office. TTY users should call 1-800-325-0778.

For more information about Part D premiums based on income, call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.

SilverScript

How much is the This plan does not have a deductible. deductible?

Initial SilverScript Coverage You pay the amounts below until your total yearly drug costs reach $4,020. Total yearly drug costs are the total drug costs for Part D medications paid by both you and the plan.

You may get your medications at network retail pharmacies and through the mail-order pharmacy. Some of our network pharmacies are preferred network retail pharmacies where you pay the same cost as mail order for a 90-day supply of a non-specialty maintenance medication.

SilverScript Up to a 30-day Up to a 90-day Up to a 90-day supply supply supply at a Tier at any retail at a preferred retail non-preferred retail network pharmacy network pharmacy* network pharmacy Most Pfizer Medications including $0 $0 $0 Greenstone Generic Medications For Non-Pfizer Medications: 20% of the cost. 20% of the cost. 20% of the cost. Tier 1 Minimum $10 Minimum $20 Minimum $30 Generic Maximum $125 Maximum $250 Maximum $375 20% of the cost. 20% of the cost. 20% of the cost. Tier 2 Minimum $10 Minimum $20 Minimum $30 Preferred Brand Maximum $125 Maximum $250 Maximum $375 20% of the cost. 20% of the cost. 20% of the cost. Tier 3 Minimum $10 Minimum $20 Minimum $30 Non-Preferred Brand Maximum $125 Maximum $250 Maximum $375 20% of the cost. 20% of the cost. 20% of the cost. Tier 4 Minimum $10 Minimum $30 Minimum $30 Specialty Maximum $125 Maximum $375 Maximum $375 9

* If you have your prescription filled at a CVS Pharmacy®, Longs Drugs (operated by CVS Pharmacy), or Navarro Discount Pharmacy location, your cost for a 90-day supply of your non-specialty non-Pfizer maintenance medications will not exceed the per-prescription maximum for a 60-day supply. SilverScript Up to a 90-day supply through the Tier mail-order pharmacy* Most Pfizer Medications including Greenstone $0 Generic Medications For Non-Pfizer Medications: 20% of the cost. Tier 1 Minimum $20 Generic Maximum $250 20% of the cost. Tier 2 Minimum $20 Preferred Brand Maximum $250 20% of the cost. Tier 3 Minimum $20 Non-Preferred Brand Maximum $250 20% of the cost. Tier 4 Minimum $30 Specialty Maximum $375 * If you have your prescription filled through the CVS Caremark Mail Service Pharmacy™, your cost for a 90-day supply of your non-specialty non- Pfizer maintenance medications will not exceed the per-prescription maximum for a 60-day supply. SilverScript Up to a 31-day supply at a Tier long-term care (LTC) facility Most Pfizer Medications including Greenstone $0 Generic Medications

For Non-Pfizer Medications:

20% of the cost. Tier 1 Minimum $10 Generic Maximum $125 20% of the cost. Tier 2 Minimum $10 Preferred Brand Maximum $125 20% of the cost. Tier 3 Minimum $10 Non-Preferred Brand Maximum $125 20% of the cost. Tier 4 Minimum $10 Specialty Maximum $125

Coverage SilverScript Gap Due to the additional coverage provided by Pfizer, you pay the same amount that you paid during the Initial Coverage stage. You will see no change in your share of the cost until you qualify for Catastrophic Coverage or you reach your Pfizer annual prescription drug maximum out-of-pocket.

Catastrophic SilverScript Coverage After you reach $6,350 in Medicare out-of-pocket drug costs for the year, you pay the lower of: • Your same Pfizer benefit o $0 for most Pfizer medications including Greenstone generic medications o Your Pfizer coinsurance percentage and per-prescription minimum or maximum for non-Pfizer medications or • Medicare’s Catastrophic Coverage cost-share, which is the greater of o 5% of the cost or $3.60 for generic medications, including brand medications treated as generic o 5% of the cost or $8.95 for all other medications

If you reach your Pfizer individual annual prescription drug maximum out-of- pocket of $3,400, you pay nothing for the rest of the calendar year when you use network pharmacies.

The Formulary and/or pharmacy network may change at any time. You will receive notice when necessary.

SilverScript’s pharmacy network includes limited lower-cost, preferred pharmacies in some rural areas of the country. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call SilverScript Customer Care at 1-844-774-2273 (TTY: 711), 24 hours a day, 7 days a week or consult the online pharmacy directory at pfizer.silverscript.com.

SilverScript Employer PDP is a Prescription Drug Plan. This plan is offered by SilverScript Insurance Company, which has a Medicare contract. Enrollment depends on contract renewal.

P.O. Box 30006, Pittsburgh, PA 15222-0330

Important Plan Information Información Importante Sobre el Plan

SilverScript® Insurance Company complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. SilverScript Insurance Company does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

SilverScript Insurance Company: • Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Written information in other formats (large print, audio, accessible electronic formats, other formats)

• Provides free language services to people whose primary language is not English, such as: o Qualified interpreters o Information written in other languages

If you need written information in other formats or free language services, please contact Customer Care. This number can be found on the back of your member ID card or on the letter that accompanied this notice.

If you believe that SilverScript Insurance Company has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: SilverScript Insurance Company, Grievance Department, P.O. Box 30016, Pittsburgh, PA 15222-0330. Fax: 1-866-217-3353.

You can file a grievance by mail, or by fax. If you need help filing a grievance, the SilverScript Grievance Department is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Y0080_92228_EXP_1557_CLT_2019_C ENGLISH FRENCH CREOLE ATTENTION: If you speak English, language ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis assistance services, free of charge, are available èd pou lang ki disponib gratis pou ou. Rele Sèvis to you. Call Customer Care at the number on Kliyan nan nimewo ki make sou kat manm ou your member ID card. an.

SPANISH FRENCH ATENCIÓN: Si usted habla español, tenemos ATTENTION: Si vous parlez français, des services servicios de asistencia lingüística disponibles gratuits d’interprétation sont à votre para usted sin costo alguno. Llame al Cuidado al disposition. Appelez le Service client au numéro Cliente al teléfono indicado en su tarjeta de figurant sur votre carte de membre. membresía. POLISH CHINESE UWAGA: Dla osób mówiących po polsku 小贴士：如果您说普通话，欢迎使用免费语 dostępna jest bezpłatna pomoc językowa. 言协助服务。请拨打会员卡上的客户服务电 Zadzwoń na numer Obsługi Klienta podany na Twojej karcie członkowskiej. 话。 PORTUGUESE VIETNAMESE ATENÇÃO: Se fala português, estão disponíveis CHÚ Ý: Nếu quý vị nói tiếng Việt, thì có sẵn các serviços gratuitos de assistência linguística na dịch vụ trợ giúp ngôn ngữ miễn phí dành cho sua língua. Ligue para o atendimento ao cliente quý vị.Hãy gọi cho bộ phận Chăm sóc Khách no número impresso no cartão de filiação. hàng theo số điện thoại ghi trên thẻ hội viên của quý vị. ITALIAN ATTENZIONE: Se lei parla italiano, sono KOREAN disponibili servizi gratuiti di assistenza linguistica 알림: 한국어를 하시는 경우 무료 통역 nella sua lingua. Chiami l’Assistenza Clienti al 서비스가 준비되어 있습니다. 멤버쉽 numero indicato sulla sua tessera di iscrizione. 카드에 있는 고객 지원센터로 연락 주시기 JAPANESE お知らせ日本語での対応を望まれる方に 바랍니다. : は、無料で通訳サービスをご利用になれま TAGALOG す。メンバーカードの裏側に記されている PANSININ: Kung nagsasalita po kayo ng Tagalog, 電話番号までお問い合わせください。 magagamit ninyo ang mga serbisyong tulong sa wika ng walang bayad. Tawagan po ninyo ang GERMAN Customer Care sa numero na nasa inyong kard BITTE BEACHTEN: Wenn Sie Deutsch sprechen, bilang kasapi. stehen Ihnen unsere Dolmetscher kostenlos zur Verfügung. Rufen Sie Kundenbetreuung unter RUSSIAN der Telefonnummer auf Ihrer Mitgliedskarte an. ВНИМАНИЕ: Если вы говорите по-русски, вам будут бесплатно предоставлены услуги FARSI توجه: چنانچه به زبان فارسی صحبت میکنيد، خدمات ,переводчика. Звоните по номеру телефона کمک زبانی، به صورت رايگان، در اختيار شما قرار .указанному на вашей членской карточке خوا هد گرفت. از طريق شماره روی کارت عضويت خود خود با بخش رسيدگی به مشتريان تماس بگيريد. ARABIC مالحظة: إذا كنت تتحدث العربية، تتوفر خدمات المساعدة اللغوية مجانًا من أجلك. اتصل برقم رعاية العمالء المبين على بطاقة عضويتك. SilverScript - S5601

2019 Medicare Star Ratings*

The Medicare Program rates all health and prescription drug plans each year, based on a plan’s quality and performance. Medicare Star Ratings help you know how good a job our plan is doing. You can use these Star Ratings to compare our plan’s performance to other plans. The two main types of Star Ratings are:

1. An Overall Star Rating that combines all of our plan’s scores.

2. Summary Star Rating that focuses on our medical or our prescription drug services.

Some of the areas Medicare reviews for these ratings include:

• How our members rate our plan’s services and care;

• How well our doctors detect illnesses and keep members healthy;

• How well our plan helps our members use recommended and safe prescription medications.

For 2019, SilverScript received the following Overall Star Rating from Medicare:

 3.5 Stars

We received the following Summary Star Rating for SilverScript’s health/drug plan services:

Health Plan Services: Not Offered

 Drug Plan Services: 3.5 Stars

The number of stars shows how well our plan performs.

 5 stars - excellent  4 stars - above average  3 stars - average  2 stars - below average  1 star - poor

Learn more about our plan and how we are different from other plans at www.medicare.gov.

You may also contact us 24 Hours a day Local time, 7 days a week at 1-866-552-6106 (toll-free) or 711 (TTY).

Current members please call 1-866-235-5660 (toll-free) or 711 (TTY).

*Star Ratings are based on 5 Stars. Star Ratings are assessed each year and may change from one year to the next.

ATENCIÓN: Si usted habla español u otros idiomas, tenemos servicios de asistencia lingüística disponibles para usted sin costo alguno. Llame al 1-866-235-5660 (TTY: 711).

SilverScript Employer PDP is a Prescription Drug Plan. This plan is offered by SilverScript Insurance Company, which has a Medicare contract. Enrollment depends on contract renewal.

Y0080_52000_STAR_CLT_2019_M