Silver Star – Dual (PACE)

H9998 - 001 - 0
Plan Not Rated

Silver Star – Dual (PACE) is a Medicare Advantage PACE plan by Silver Star.

IMPORTANT: Silver Star – Dual (PACE) is a PACE plan. Program of All-Inclusive Care for the Elderly (PACE) is a Medicare and Medicaid program for people who are 55 or older, live in the service area of a PACE organization, need a nursing home-level of care (as certified by your state), and are able to live safely in the community with help from PACE.

This page features plan details for 2023 Silver Star – Dual (PACE) H9998 – 001 – 0 available in Lubbock County.

IMPORTANT: This page features the 2023 version of this plan. See the 2025 version using the link below:

No 2025 version found. You can use the location links below to find 2025 plans in your area.

Locations

Silver Star – Dual (PACE) is offered in the following locations.

Plan Overview

Silver Star – Dual (PACE) offers the following coverage and cost-sharing.

Special Needs Plan Type:National PACE
Conditions Covered:
Insurer:Silver Star
Health Plan Deductible:$0.00
MOOP:
Drugs Covered:Yes

Ready to sign up for Silver Star – Dual (PACE) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Premium Breakdown

Silver Star – Dual (PACE) has a monthly premium of $315.50. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.
Part B Part C Part D Part B Give Back Total
$164.90 $0.00 $315.50 $0.00 $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.
  • You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.

Drug Info

Silver Star – Dual (PACE) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible: $
Initial Coverage Limit: $
Catastrophic Coverage Limit: $7,400.00
Drug Benefit Type:
Gap Coverage:
Formulary Link: Formulary Link

Part D Premium Reduction

The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs. The table below shows how the LIS impacts the Part D premium of this plan.
Part D LIS 25% LIS 50% LIS 75% LIS Full
$315.50 $43.40 $34.80 $26.30 $17.70

Initial Coverage Phase

After you pay your $ drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $. Once you reach that amount, you will enter the next coverage phase.

Gap Coverage Phase

Tier Cost
All other tiers (Generic)25%
All other tiers (Brand-name)25%

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs.

TierCost
Generic$4.15 copay or 5% (whichever costs more)
Brand-name$10.35 copay or 5% (whichever costs more)

Ready to sign up for Silver Star – Dual (PACE) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

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