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.
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
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 Late Enrollment Penalty (LEP)
may apply. To learn more about Medicare’s 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:
Call Customer Care toll-free at 1-866-235-5660, 24 hours a day, 7 days a week, TTY
users call 711, to inform us of your intention to disenroll. To formally disenroll
from a SilverScript plan, you will be required to submit your disenrollment in writing.
After filing your request to disenroll, SilverScript will inform you (in writing)
of the date your coverage ends.
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
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.
Call 1-800-MEDICARE (1-800-633-4227):
TTY users call 1-877-486-2048, 24 hours a day, 7 days a week.
Enroll in another 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).
Download and fill out the SilverScript Choice (PDP) Disenrollment Form or SilverScript Plus (PDP) Disenrollment Form. Complete, sign and mail the forms to:
SilverScript Insurance Company
P.O. Box 52425
Phoenix, AZ 85072-2425
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 once
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, including:
- 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
- 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 filing a Grievance with us. 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