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Department of Human Resources

Medicare Prescription Plan – SilverScript administered by CVS Caremark


The State Employee Benefits Committee (SEBC) held its monthly meeting on October 24, 2022, and to comply with Judge Calvin Scott’s interim ruling, the SEBC voted to extend the Medicfill contract for state pensioners for 12 months pursuant to the Emergency Procedures and Critical Need for Professional Services provision of the procurement code, 29 Del. C. § 6907. Pending the resolution of the litigation, the SEBC will consider its options for Calendar Year 2024, which include renegotiation of the Highmark BCBS Delaware Medicare Advantage PPO plan contract and rebidding of the State Medicare health plan.

During the week of October 31, 2022, State of Delaware Medicare eligible pensioners will be mailed additional information regarding Special Medicfill enrollment for the plan year that begins January 1, 2023. These important mailings are also posted on the State of Delaware Medicare Open Enrollment website under Communications.

Enrollment in the Special Medicfill with prescription plan will automatically continue for individuals currently enrolled. Benefit eligible pensioners who are enrolled in the Special Medicfill without prescription plan or who have waived coverage for the current plan year, will be given the opportunity to make changes effective January 1, 2023.


CVS Caremark/SilverScript Prescription Plan

Individuals enrolled in the State of Delaware Medicare Supplement plan, administered by Highmark Delaware, are automatically enrolled in the Medicare Part D Prescription Plan. SilverScript, administered by CVS Caremark, will be the pharmacy benefit manager for the State of Delaware effective January 1, 2022.

SilverScript, administered by CVS Caremark, provides an Automatic Refill and Renewal program for home delivery, CVS Pharmacy Pickup and Delivery Options, CVS Specialty Pharmacy and over 66,000 pharmacies are available under the CVS Caremark network.

IMPORTANT: The Spousal Coordination of Benefits (SCOB) Policy applies to prescription drug coverage, and is used to determine your spouse’s benefit eligibility status under the State of Delaware Group Health Insurance Plan (GHIP).


BENEFIT RESOURCES & INFORMATION







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