The Centers for Medicare & Medicaid Services (CMS) announced a new Model beginning in Calendar Year (CY) 2021, the Part D Senior Savings (PDSS) Model. The Model tests the impact of offering beneficiaries plan options with lower out-of-pocket costs on select insulins. In 2022, Aetna Medicare has expanded this model to 34 Medicare Advantage (MAPD) plans across 6 Markets and all SilverScript Plus (PDP) plans.
• Members of participating Aetna MAPD plans can enjoy built-in savings on select insulin prescriptions through the PDSS model.
• On the back of the downloadable, you’ll find the broad range of select insulins chosen from Medicare’s list of participating manufacturers available to members at a reduced cost share. They are also found on the formulary drug list with “SI” to indicate PDSS participation.
Download Aetna's Affordable Insulin Talking Points Guide Here
Don't have a MedCareValue page yet?
Get Your FREE Site >The CHLIC transition is about to begin in Connecticut and Mississippi.
Please be advised of an important update regarding the submission process for Medicare Advantage (MA), Dual Eligible Special Needs Plan (D-SNP), and Medigap applications.
Member retention support and 2026 Certifications coming soon
Take these steps to help reduce customer complaints and learn how to file them if needed
Marketplace SEP Verification Changes Now in Effect and more
Choosing an FMO to work with is not just about having access to top insurance products and commissions, it’s about finding a one-on-one agent service that is prepared to meet your needs.
Get to know us, and see how we can help you take your business to the next level.