Missouri Medicare; MO; Medicare Part D in Missouri
Missouri Medicaid: Medicaid assistance and Missouri Medicaid help Were you looking for Missouri Medicaid instead of Missouri Medicare? This link provides a directory of Medicare web sites, articles, publications, brochures
The Medicare Coverage Gap (The Doughnut Hole) A directory of web sites, articles, and publications that helps explain what and how the Prescription Drug Coverage Gap works.
Missouri Medicare Coverage, Prescription Drug Plans
Missouri Medicare Help Articles & Resources
Information from varied resources about Medicare in Missouri
Important advice about how to use this
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Medicare brochure or publication: Missouri Medicare Drug Plan Ratings source:AARP file size:5 pg. languages: English "...This AARP rating tool contains information about “stand-alone” Medicare plans in your state that cover only prescription drugs...." more from AARP: Medicare Web Page: Missouri: Medicare Rx Fact Sheet languages: English "...Medicare's new prescription drug insurance - called Medicare Part D-began January 1, 2006. To get this insurance, most people will have to sign up for one of the Part D Plans Medicare has approved. And the new Part D offers "Extra Help" to people with limited incomes. Medicare's Extra Help can reduce what you have to pay for prescriptions..." Missouri Rx Plan (MoRx) source: Missouri Department of Social Services languages: English "MoRx is Missouri's new State Pharmacy Assistance Program replacing the Missouri Senior Rx Program...." more from Missouri Department of Social Services : Medicare Web Page: MoRx Price Compare languages: English "MoRx Price Compare lists prescription medication prices for the most commonly used prescription drugs in Missouri based on the usual and customary price reported by local pharmacies..." Medicare Web Page: Benefits of MoRx languages: English "MoRx pays for 50% of members' out of pocket costs remaining after their Medicare Prescription Drug Plan pays..." Medicare Supplement Insurance Show-Me Senior Shopping List source:Missouri Department of Insurance, Financial Institutions & Professional Registration file 18 pg. languages: English "In 2003, almost 290,000 Missourians bought private Medicare supplement insurance, also known as Medigap plans, to fill these uninsured areas. More than a decade ago, Congress acted to simplify the rules for Medigap plans and allow easy cost comparisons, but eligible Missourians still have many choices to evaluate in selecting which of the 12 standard plans meets their needs. This booklet provides information on benefits and pricing to help Missourians make the best possible Medigap selection. Your booklet has been personalized with special inserts on premium cost information that cover your age group..." more from Missouri Department of Insurance, Financial Institutions & Professional Registration: Medicare Web Page: CLAIM Program * FREE MEDICARE ASSISTANCE * languages: English CLAIM=Community Leaders Assisting the Insured of Missouri. "CLAIM Program volunteers provide, free of charge, a variety of information regarding health insurance, including: ..." CLAIM - Free Missouri State Health Insurance Program source:Primaris - Healthcare Business Solutions languages: English CLAIM is the Missouri state health insurance assistance program that meets the needs of Missouri's Medicare population... more from Primaris - Healthcare Business Solutions: Medicare Web Page: About Medicare languages: English "Medicare is offering new preventive benefits for consumers..." Missouri: Medicare Hospital Payments source:Kaiser Family Foundation / statehealthfacts.org languages: English Range of Medicare Payments (Low-25th Percentile/High-75th Percentile) for Top Five Elective Inpatient Hospital Procedures, FY2005 Centers for Medicare & Medicaid Services - Region 7 - Kansas City source:Centers for Medicare & Medicaid Services languages: English "The Kansas City Regional Office (Region 7) should be your initial point of contact on any Medicare, Medicaid, or State Child Health Insurance Program (SCHIP) issue in the following states: Iowa, Kansas, Missouri and Nebraska." Medicaid brochure or publication: Your Medicare Rights and Protections source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services 44pp languages: English Fairly detailed explanations and descriptions about your Medicare rights and protections. Lanscape: 2007 Missouri Stand-Alone Prescription Drug Plans source:CENTERS FOR MEDICARE & MEDICAID SERVICES, U.S. Department of Health and Human Services file size:3 pg. languages: English date:2007 Missouri 2007 Medicare Part D Stand-Alone Prescription Drug Plans. Data as of September 12, 2006. Data as of September 12, 2006. Includes all contracts/plans regardless of 2007 approval status. Employer sponsored plans (800 series) are excluded." Medicare brochure or publication: Landscape: Missouri Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:36 pg. languages: English "Missouri 2007 Medicare Advantage, Cost, and Demonstration Plans. Data as of September 29, 2006. Includes all contracts/plans regardless of 2007 approval status. PACE, Special Needs Plans, and Employer sponsored plans (800 series) are excluded." |
How to get more information about Missouri Medicare Prescription Drug Programs
Medicare.gov has summary information about the plans offered by the companies listed in the tables below. The data sheets are called "Landscapes".
- The Landscape of Local Plans is a list of all plans available in your area. You can get answers to important questions for people with Medicare based on what matters to them, including:
- Cost (premiums, deductibles and payments)
- Coverage (important issues around what and how drugs are covered)
- Convenience (pharmacy and mail-order options)
- Medicare.gov has an important help page that explains how to read and interpret the information in both Medicare Prescription Drug Plan "Landscapes. You can access the help page through this link: How to read the Medicare Prescription Drug Plans Landscape
- We have provided links to the landscape documents for this state in the list of publications above.
Medicare prescription drug coverage plans offered in Missouri, Medicare Advantage Plans
Important advice about how to use this
data: The data for the table below came from www.medicare.gov, "The Official U.S. Government Site for People with Medicare", in December, 2006, and is subject to change at any time. To check for changes and the newest data, you should visit www.medicare.gov. Your state insurance administrator might have different data; be sure to check with them before making any decisions. Nothing on this Web Site should be construed as the giving of advice or the making of a recommendation and it should not be relied on as the basis for any decision or action.
| 41 Prescription Drug Plans in Missouri This list is to familiarize you with Medicare Prescription Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.) | ||||||
|---|---|---|---|---|---|---|
| Plan Name and ID Numbers |
Company (w. link to plan web site) |
Coverage in the Gap About the gap |
Contact Service Phones |
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| Humana PDP Standard S5884-076 (S5884-076) |
Humana Insurance Company | No gap coverage | Non-Members 1-800-706-0872 TTY Users should call: 1-877-833-4486 Members 1-800-281-6918 TTY Users should call: 1-800-281-6918 |
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| Humana PDP Enhanced S5884-016 (S5884-016) |
Humana Insurance Company | No gap coverage | Non-Members 1-800-706-0872 TTY Users should call: 1-877-833-4486 Members 1-800-281-6918 TTY Users should call: 1-800-281-6918 |
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| AdvantraRx Value (S5670-093) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5177 TTY Users should call: 1-866-823-5177 |
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| Blue MedicareRx Value (S5596-043) |
Blue Cross Blue Shield of Missouri | No gap coverage | Non-Members 1-800-652-6387 Members 1-866-755-2776 TTY Users should call: 1-866-755-2776 |
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| MedicareRx Rewards (S5960-018) |
Unicare | No gap coverage | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| WellCare Signature (S5967-052) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
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| PacifiCare Saver Plan (S5921-302) |
UnitedHealthcare | No gap coverage | Non-Members 1-888-867-5564 TTY Users should call: 1-877-730-4192 Members 1-888-867-5575 TTY Users should call: 1-888-867-5575 |
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| AARP MedicareRx Plan (S5820-017) |
UnitedHealthcare | No gap coverage | Non-Members 1-888-867-5564 TTY Users should call: 1-877-730-4192 Members 1-888-867-5575 TTY Users should call: 1-888-867-5575 |
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| First Health Premier (S5768-021) |
First Health Part D | No gap coverage | Non-Members 1-800-588-3322 TTY Users should call: 1-800-508-9548 Members 1-866-865-0662 TTY Users should call: 1-866-865-0662 |
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| SilverScript (S5601-036) |
SilverScript Insurance Company | No gap coverage | Non-Members 1-866-552-6106 TTY Users should call: 1-866-552-6288 Members 1-866-235-5660 TTY Users should call: 1-866-235-5660 |
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| Blue MedicareRx Plus (S5596-044) |
Blue Cross Blue Shield of Missouri | No gap coverage | Non-Members 1-800-652-6387 Members 1-866-755-2776 TTY Users should call: 1-866-755-2776 |
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| MedicareRx Rewards Plus (S5960-054) |
Unicare | No gap coverage | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| United Medicare MedAdvance (S5820-121) |
UnitedHealthcare | No gap coverage | Non-Members 1-888-867-5564 TTY Users should call: 1-877-730-4192 Members 1-888-867-5575 TTY Users should call: 1-888-867-5575 |
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| Prescription Pathway Bronze Plan Reg 18 (S5597-083) |
Pennsylvania Life Insurance Company | No gap coverage | Non-Members 1-800-765-8900 TTY Users should call: 1-866-222-3904 Members 1-800-698-8394 TTY Users should call: 1-850-432-1700 |
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| Community Care Rx BASIC (S5803-087) |
MEMBERHEALTH | No gap coverage | Non-Members 1-866-684-5353 TTY Users should call: 1-866-684-5351 Members 1-866-684-5353 TTY Users should call: 1-518-449-6800 |
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| AdvantraRx Premier (S5670-094) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5177 TTY Users should call: 1-866-823-5177 |
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| YOURx PLAN (S5660-018) |
Medco YOURx PLAN | No gap coverage | Non-Members 1-800-758-3605 TTY Users should call: 1-800-716-3231 Members 1-800-758-4574 TTY Users should call: 1-800-758-4574 |
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| CIGNATURE Rx Value Plan (S5617-088) |
CIGNA HealthCare | No gap coverage | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| Aetna Medicare Rx Essentials (S5810-052) |
Aetna Medicare | No gap coverage | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-877-238-6211 TTY Users should call: 1-877-238-6211 |
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| UA Medicare Part D Prescription Drug Cov (S5755-021) |
United American Insurance Company | No gap coverage | Non-Members 1-866-524-4169 TTY Users should call: 1-866-524-4170 Members 1-866-524-4169 TTY Users should call: 1-866-524-4169 |
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| Blue MedicareRx Premier (S5596-045) |
Blue Cross Blue Shield of Missouri | Generic Only | Non-Members 1-800-652-6387 Members 1-866-755-2776 TTY Users should call: 1-866-755-2776 |
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| MedicareRx Rewards Premier (S5960-088) |
Unicare | Generic Only | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| Community Care Rx CHOICE (S5803-155) |
MEMBERHEALTH | No gap coverage | Non-Members 1-866-684-5353 TTY Users should call: 1-866-684-5351 Members 1-866-684-5353 TTY Users should call: 1-518-449-6800 |
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| Prescription Pathway Silver Plan Reg18 (S5597-182) |
Pennsylvania Life Insurance Company | No gap coverage | Non-Members 1-800-765-8900 TTY Users should call: 1-866-222-3904 Members 1-800-698-8394 TTY Users should call: 1-850-432-1700 |
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| Prescription Pathway Silver Plan Reg 18 (S5581-129) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| CIGNATURE Rx Plus Plan (S5617-090) |
CIGNA HealthCare | No gap coverage | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| PacifiCare Select Plan (S5921-301) |
UnitedHealthcare | No gap coverage | Non-Members 1-888-867-5564 TTY Users should call: 1-877-730-4192 Members 1-888-867-5575 TTY Users should call: 1-888-867-5575 |
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| Community Care Rx GOLD (S5803-121) |
MEMBERHEALTH | No gap coverage | Non-Members 1-866-684-5353 TTY Users should call: 1-866-684-5351 Members 1-866-684-5353 TTY Users should call: 1-518-449-6800 |
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| WellCare Complete (S5967-086) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
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| Aetna Medicare Rx Plus (S5810-154) |
Aetna Medicare | Generic Only | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-877-238-6211 TTY Users should call: 1-877-238-6211 |
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| AdvantraRx Premier Plus (S5670-096) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5177 TTY Users should call: 1-866-823-5177 |
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| WellCare Premier (S5967-121) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
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| PacifiCare Comprehensive Plan (S5921-303) |
UnitedHealthcare | Generic Only | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
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| CIGNATURE Rx Complete Plan (S5617-188) |
CIGNA HealthCare | Generic Only | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| Prescription Pathway Gold Plan Reg 18 (S5597-050) |
Pennsylvania Life Insurance Company | No gap coverage | Non-Members 1-800-765-8900 TTY Users should call: 1-866-222-3904 Members 1-800-698-8394 TTY Users should call: 1-850-432-1700 |
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| Prescription Pathway Gold Plan Reg 18 (S5581-033) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| Sterling Prescription Drug Plan (S4802-010) |
Sterling Life Insurance Company | No gap coverage | Non-Members 1-888-909-1713 TTY Users should call: 1-888-858-8567 Members 1-866-865-0664 TTY Users should call: 1-866-865-0664 |
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| Humana PDP Complete S5884-046 (S5884-046) |
Humana Insurance Company | Generic and Brand | Non-Members 1-800-706-0872 TTY Users should call: 1-877-833-4486 Members 1-800-281-6918 TTY Users should call: 1-800-281-6918 |
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| SilverScript Plus (S5601-037) |
SilverScript Insurance Company | No gap coverage | Non-Members 1-866-235-4582 TTY Users should call: 1-866-552-6288 Members 1-866-235-5660 TTY Users should call: 1-866-235-5660 |
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| Aetna Medicare Rx Premier (S5810-188) |
Aetna Medicare | Generic Only | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-877-238-6211 TTY Users should call: 1-877-238-6211 |
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| Prescription Pathway Platinum Plan Reg 18 (S5581-057) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| 2 Medicare Special Needs Plans in Missouri This list is to familiarize you with Medicare Special Needs Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.) | ||||||
|---|---|---|---|---|---|---|
| Plan Name and ID Numbers |
Company (w. link to plan web site) |
Special Rules for Enrolling | Contact Service Phones |
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| UnitedHealthcare Medicare Complete Plus Rx (H2654-023-0) |
SecureHorizons | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-480-6065 TTY Users should call: 1-888-685-8480 Members 1-800-656-0065 TTY Users should call: 1-888-685-8480 |
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| UnitedHealthcare Medicare Complete Plus Rx (H2654-024-0) |
SecureHorizons | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-480-6065 TTY Users should call: 1-888-685-8480 Members 1-800-656-0065 TTY Users should call: 1-888-685-8480 |
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