Human Resources
Health Insurance for Medicare-Eligible Retirees
Coordination of Benefits - SilverScript and State's Health Plans
These charts show the way in which coordinated drug coverage through SilverScript Basic works for a single Medicare eligible retired member in each of the eligible health plans. SilverScript is the primary payer on drug claims and the Wellmark plan is secondary. Claims need to be filed under both payers in this manner at the point of purchase.
Iowa Select and Program 3 Plus |
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Your Cost |
State of Iowa Pays |
SilverScript Pays |
|
$0 - $250 |
$5 copay $15 copay $30 copay |
100% of cost over your copay |
0% |
$251 - $265 |
0% |
100% |
0% |
$266 - $2,250 |
0% |
25% |
75% |
$2,251 - $5,100 |
0% |
100% |
0% |
Over $5,100 |
0% |
5% |
95% |
Blue Access and Blue Advantage |
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Your Cost |
State of Iowa Pays |
SilverScript Pays |
|
$0 - $265 |
$5 copay $15 copay $30 copay or 25% whichever is greater |
100% of cost over your copay |
0% |
$266 - $2,250 |
$5 copay $15 copay $30 copay or 25% whichever is greater |
25% of cost over your copay |
75% |
$2,251 - $5,100 |
$5 copay $15 copay $30 copay or 25% whichever is greater |
100% of cost over your copay |
0% |
Over $5,100 |
$5 copay $15 copay $30 copay or 25% whichever is greater |
5% of cost over your copay |
95% |