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Medicare and Other Health Plans for Seniors in Missouri (MO)

Medicare Advantage plans are considered supplementary health insurance that people who already have Medicare Part A and B can avail of. They are generally of the following formats:

  • Medicare Health Maintenance Organization (HMOs)
  • Preferred Provider Organizations (PPO)
  • Private Fee-for-Service Plans (PFFS)
  • Medicare Medical Savings Account (MSA) Plans
  • Medicare Special Needs Plans

In principle, Medical Advantage enrollees get extended benefits and have smaller out-of-pocket expenses than typically occurs with the original Medicare system, although because these are privately managed policies, it may require the use of provider network services such as accredited physicians, and in some cases these can actually result in paying more than will normally occur with just Medicare coverage if the enrolled plan is not carefully scrutinized.

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Missouri ranks 37th in the US for overall health care quality, despite best efforts by the Missouri Foundation for Health to improve healthcare. This indicates a significant need for better access to affordable health care that is not being addressed by the state. This would explain why there has been an escalating demand for Medicare Advantage plans in the state.

Other Prescription Drug Coverage in MO

There are at least 49 Medicare Advantage plans available in at least some part of Missouri that offer prescription drug coverage as well.* Prescription drug policies may include:

  • HumanaChoicePPO PPO R5826-067 [R5826 - 067]
  • Advantra Freedom-Freedom 5 [H5227 - 001] offer this at $0 premium
  • Care Improvement Plus Gold Rx Advantage [R3444 - 004] will levy $29 a month, but will also cover chronic or disabling conditions.

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Providers for Medicare plans available in Missouri1

AARP
Advantra
Aetna
Blue Cross
Care Improvement
WellCare
Essence
Evercare
SecureHorizons
Group Health Plan
Humana
Mercy Health Plans
UniCare
Sterling Options
HealthMarkets Care Assured
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* You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call:

1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week;

The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call, 1-800-325-0778; or Your State Medicaid Office


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