Medicare in the State of Missouri

Happy senior couple walking in the park in Missouri while they discuss Medicare in the state.
Happy senior couple walking in the park in Missouri while they discuss Medicare in the state.

Medicare is a federal health insurance program for people who are over the age of 65 and those with certain disabilities. There are many different coverage options to choose from, all depending on your needs. What’s more, Medicare in Missouri can be very affordable!

In this blog post, we will discuss Medicare coverage options in Missouri, as well as some popular hospitals and Medicare, plans that you might want to consider.

What type of Medicare coverage is available?

Medicare in Missouri will cover hospitalization, medical expenses, and other health care services. There are several different types of Medicare coverage available to choose from.

Original Medicare

This is the standard Medicare program that everyone pays into throughout their working lives. It consists of Medicare Part A and Medicare Part B.

If you have worked for ten years or forty quarters, you are eligible to receive Medicare Part A for free. If you have not paid into Medicare throughout your working life, then you’ll need to pay a premium for Medicare Part A.

Medicare Part A is considered your “hospital insurance.”  It covers inpatient care, hospice care, and some limited home health services.

Medicare Part B does come at a monthly premium of $148.50 in 2021. This premium can increase if you have a high income.

Medicare Part B is considered your “medical insurance.” It covers medical expenses like doctor visits, outpatient services (like lab work), preventative benefits (including physicals), and durable medical equipment.

Medicare Advantage Plans

Medicare Advantage is also called Medicare Part C. If the particular Advantage plan offers prescription drug coverage, it is also referred to as a Medicare Advantage Prescription Drug Plan, or MAPD for short.

Medicare Advantage plans are plans offered by private companies that contract with Medicare. It combines Medicare parts A and B, and it also provides additional benefits such as dental coverage or vision services at no extra cost. If you choose to go this route, your primary care physician will be the one to coordinate all of your healthcare needs.

Medigap Plans

Medicare Supplement plans, or Medigap for short, are available to supplement your Original Medicare coverage. There are ten different Medicare supplements that can help you pay out-of-pocket costs like copays and coinsurance when you’re in the hospital or receiving medical services from a doctor.

Unlike Medicare Advantage plans, Medigap plans do not combine your Original Medicare, Parts A and B, into one plan. A Medigap plan is a separate policy. If enrolled in a Medigap plan, individuals will also need to purchase a separate Dental, Vision, and Hearing policy, as well as prescription drug coverage (also known as Medicare Part D).

Which Medicare plans are available in Missouri?

Original Medicare is available across the United States. However, there are specific MAPD, Medigap, DVH, and Part D plans available depending on where you live. Let’s discuss your options in Missouri

Medicare Advantage Plans

Medicare Advantage plans are an excellent choice for residents of Missouri. They are widely accepted throughout the state and each county has many options to choose from.

The current list of carriers and plans is much too long for a single post. There are approximately 109 Medicare Advantage Prescription Drug plans in Missouri.

Some of the most popular MAPD plans are as follows:

  • CoxHealth MedicarePlus (HMO)
  • Essence Advantage (HMO)
  • NHC Advantage (HMO I-SNP)
  • United HealthCare Dual Complete (HMO D-SNP)
  • AARP Medicare Advantage (HMO-POS)
Missouri senior couple in the gym working out as they discuss their Missouri Medicare Plan.
This is the standard Medicare program that everyone pays into throughout their working lives.

Medigap Plans

There are approximately 34 carriers offering Medigap plans to Missouri residents in 2021. These carriers include all major insurance companies, as well as smaller ones unique to Missouri.

These carriers will all offer the ten standardized plans of Medigap. Of the ten plans, Plan F, Plan G, and Plan N are the most popular and comprehensive.

Dental, Vision, and Hearing Plans

DVH plans are available all over the United States. There are multiple carriers and coverage levels. If you currently have a dentist, optometrist, and audiologist, you may want to find out which carriers they accept payment from.

Some popular DVH carriers are:

  • Aetna
  • Manhattan Life
  • Medico
  • Mutual of Omaha
  • Nat Gen

Part D Prescription Drug Plans

If individuals choose not to enroll in an MAPD plan, they will need to purchase a separate Part D prescription drug plan.

There are several carriers for these plans. Individuals will need to understand how their current medications are covered under each plan to find the one with the most value.

The current Part D carriers in Missouri are:

  • AARP
  • Blue MedicareRx
  • Cigna
  • Clear Spring Health
  • Elixir
  • Humana
  • Mutual of Omaha
  • SilverScript
  • WellCare

Each of these carriers offers several plans to choose from and will vary by county.

Which hospitals in Missouri accept Medicare assignments?

There are 145 hospitals in Missouri. Of course, you will likely want to seek care from the one closest to you, but the following six are some of the highest-ranked in the care provided.

  1. Barnes-Jewish Hospital: St. Louis, MO
  2. St. Lukes Hospital of Kansas City: Kansas City, MO
  3. Mercy Hospital St. Louis: St. Louis, MO
  4. Boone Hospital Center: Columbia, MO
  5. CoxHealth Springfield: Springfield, MO
  6. St. Luke’s East Hospital: Lee’s Summit, MO

If you are a resident in Missouri and looking for ways to decrease your medical costs, give us a call. We’d be happy to review your needs and compare them to the available plans.

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