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Medicare Part D in Missouri


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If you take medications for your health conditions, you might know that their costs can really add up. By enrolling in a Medicare Prescription Drug plans, you may be able to save on your prescription drug costs. Here’s a rundown of Medicare Part D in Missouri, including some interesting numbers.

What is Medicare Part D in Missouri?

If you’re one of more than 900,000 Missourians enrolled in Medicare Part D in Missouri, you already know that Part D provides prescription drug coverage. It’s available through private insurance companies that contract with Medicare.

Many people are automatically enrolled in Original Medicare in Missouri, as in all states. That means you get Medicare Part A and Part B. But you’re generally not automatically enrolled in prescription drug coverage.

You can add coverage under Medicare Part D in Missouri if you sign up for a stand-alone Medicare Part D Prescription Drug Plan. That way, you’ll have Medicare Part A (hospital insurance), Part B (medical insurance), and Part D. You can also buy a Medicare Supplement insurance plan to help cover your Part A and Part B out-of-pocket expenses. Medicare Supplement insurance plans don’t generally cover prescription drug costs.

Some people in Missouri (and other states) prefer to get their Original Medicare benefits through a Medicare Advantage plan. Again, these plans are available through private, Medicare-approved insurance companies.

Most Medicare Advantage plans include prescription drug coverage. Some plans also offer extra benefits, like routine dental services. Some people like the convenience of getting all their Medicare coverage in one plan. Note that you still pay your Medicare Part B premium, along with any premium the plan might charge. Read more about Medicare Advantage plans.

As you shop for coverage under Medicare Part D in Missouri, keep in mind that different plans have different lists of medications they cover (called formularies). So, you’ll want to check each plan’s formulary against your list of prescriptions. A plan’s formulary may change at any time. You will receive notice from your plan when necessary.

Why would you need Medicare Part D in Missouri?

Do you need coverage under Medicare Part D in Missouri? You might not be taking medications right now. But if you have health problems as you get older, you might need prescription drugs to manage your condition. A Medicare Prescription Drug Plan could help pay for these prescriptions.

You could decide to simply wait and see if you ever need prescription drugs. But here’s something you need to know: you could face a Part D late enrollment penalty if you delay enrollment instead of signing up when you first qualify for Medicare in Missouri.

When can I sign up for Medicare Part D in Missouri?

You generally have limited opportunities to enroll in Medicare Prescription Drug Plans in Missouri. The same applies nationwide.

When you first qualify for Medicare, you get an Initial Enrollment Period. It runs for seven months, starting three months before your birthday month, including the birthday month, and ending three months later. You can generally sign up for a Medicare Prescription Drug Plans in Missouri during that time.

But that’s not your only chance to enroll. The Annual Election Period (October 15 – December 7) occurs every year, and you can not only sign up for a Medicare Prescription Drug Plan during that time – you can add, drop, or change plans.

Suppose you have certain special circumstances – for instance, you lose your coverage, or you’re in a skilled nursing facility. You might qualify for a Special Election Period to enroll in a Medicare Prescription Drug Plan in Missouri.

Facts about Medicare Part D in Missouri

Here are some interesting statistics about Medicare Part D in Missouri.

  • More people in Missouri have stand-alone Medicare Prescription Drug Plans (PDPs) than Medicare Advantage Prescription Drug plans.
  • However, the number of people with PDPs is leveling off, while enrollments in Medicare Advantage plans are rising in Missouri.
  • Most Missourians with Part D coverage (79%) have access to less expensive Medicare Prescription Drug Plans
  • The lowest monthly premium for a stand-alone Medicare Part D Prescription Drug Plan is $20.40.

Source: The Centers for Medicare & Medicaid Services (CMS)

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

The product and service descriptions, if any, provided on these eHealth web pages are not intended to constitute offers to sell or solicitations in connection with any product or service. All products are not available in all areas and are subject to applicable laws, rules, and regulations.

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