How to Disenroll from a SilverScript Medicare Part D Plan
Can I disenroll from a SilverScript PDP plan?
As a Medicare beneficiary and SilverScript plan member, you have the right to request disenrollment from your Medicare Part D prescription drug plan. When you voluntarily choose to disenroll from your plan, and your request is approved, you are choosing to discontinue your Medicare prescription drug coverage, and your plan will no longer cover any prescription drugs you receive. Your disenrollment must be approved by the Centers for Medicare & Medicaid Services (CMS).
Do I have to disenroll from my current Part D plan to enroll in a different plan?
No. You can switch to a new Medicare drug plan simply by joining another prescription drug plan during the Annual Enrollment Period (AEP) or during a Special Enrollment Period (SEP) if you qualify. You don’t need to cancel or disenroll from your old Medicare drug plan, as your old coverage will end when your new prescription drug plan begins.
What if I want to disenroll from my current Medicare Part D prescription drug plan, but don’t want to enroll in another plan?
If you disenroll from a Medicare Part D prescription drug plan and wait to join another Medicare prescription drug plan at a later time—and do not have creditable coverage (coverage as good as Medicare coverage)—a Part D Late Enrollment Penalty (LEP) may apply. To learn more about the Medicare Part D Late Enrollment Penalty, call Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users call 1-877-486-2048, 24 hours a day, 7 days a week.
How do I disenroll from my SilverScript prescription drug plan?
There are four ways to voluntarily disenroll from a SilverScript Medicare Part D prescription drug plan:
- Enroll in another Medicare plan while I'm still enrolled in a SilverScript plan:
If you are already enrolled in a Medicare prescription drug plan such as a SilverScript plan, you will effectively be disenrolled if you enroll in another Medicare prescription drug plan or Medicare Advantage plan that includes a prescription drug benefit during the Annual Enrollment Period (AEP) or a Special Enrollment Period (SEP).
- By Mail or Fax:
You can submit a letter with the required information or you can download and fill out the SilverScript Choice (PDP) Disenrollment Form (PDF) or SilverScript Plus (PDP) Disenrollment Form (PDF). Complete, sign and mail the forms to:
SilverScript Insurance Company
P.O. Box 30007
Pittsburgh, PA 15222-0330
- Call SilverScript and request a disenrollment form:
Call Customer Care toll-free at 1-844-275-8120, 24 hours a day, 7 days a week, TTY users call 711, to inform us of your intention to disenroll, and the representative will send you a form to complete. To formally disenroll from a SilverScript plan, you will be required to submit your disenrollment form. After filing your request to disenroll, SilverScript will inform you (in writing) of the date your coverage ends.
- Call 1-800-MEDICARE (1-800-633-4227):
TTY users call 1-877-486-2048, 24 hours a day, 7 days a week.
While you are waiting for your membership to end, you are still a member of the plan. To use your plan benefit, you must continue to get your prescription drugs through a SilverScript network pharmacy and abide by all plan rules until you are officially disenrolled.
Note: If you do not receive a letter from us informing you of your disenrollment date, call and ask for the date your coverage will end. Call Customer Care toll-free at 1-866-235-5660, 24 hours a day, 7 days a week. TTY users call 711.
Medicare Enrollment Reminder
If you choose to join a Medicare Advantage Plan that offers health care coverage with a prescription drug benefit, you must obtain your Medicare prescription drug coverage through that Medicare Advantage Plan. If you then decide to enroll in a stand-alone Medicare prescription drug plan, you will be automatically disenrolled from your Medicare Advantage Plan and will be returned to Original Medicare (Part A and Part B). Your stand-alone drug plan enrollment will remain valid.
What if I receive Extra Help from Medicare?
If you receive Extra Help from Medicare, you may disenroll from your Medicare Part D prescription drug plan and enroll in another Medicare prescription drug plan the first nine months of the year.
Can I be involuntarily disenrolled from my SilverScript plan?
Although SilverScript will never disenroll you or ask you to disenroll from our plan due to health-related reasons, there are certain circumstances that will result in your involuntary disenrollment from a SilverScript plan. Some of these include:
- You do not stay continuously enrolled in Medicare Part A or B (or both).
- You move out of the service area or are away from the plan’s service area for more than 12 months. (Note: If you plan to move or take a long trip, we encourage you to call Customer Care and ask if the place you are moving or traveling to is in the SilverScript plan service area.)
- You knowingly falsify or withhold information about other parties that provide reimbursement for your prescription drug coverage.
- You continuously behave in a way that is disruptive and makes it difficult for us to provide care for you and other members of our plan. (We cannot make you leave our plan for this reason unless we get permission from Medicare first.)
- You do not pay your plan’s monthly premiums; you may be notified in writing that you have a grace period during which you can pay the plan premiums before your membership ends.
- Medicare terminates its contract with SilverScript, or SilverScript terminates its contract with Medicare or no longer offers prescription drug coverage.
If you are involuntarily disenrolled from your SilverScript plan, you have the right to ask us to reconsider this decision by contacting Customer Care. If you have any questions about disenrolling from our plan, please call SilverScript Customer Care toll-free at 1-866-235-5660, 24 hours a day, 7 days a week. TTY users call 711.