Find 2018 Medicare Plans in Missouri - MO Medicare Insurance Overview

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Missouri Medicare Insurance

Medicare in Missouri

Medicare offers healthcare coverage to Missouri residents age 65 or older, or to those Missouri residents that suffer from certain medical disabilities. In 2016, 1,115,000 people are enrolled in Medicare in Missouri, accounting for 18.7% of the population in Missouri. In 2009 about $9,724 was spent per Medicare enrollee in Missouri, approximately 6.18% lower than the national average of $10,365. Between 2015 to 2030 the senior population in Missouri is expected to increase by an estimated 41.12% according to calculations based off of the 2000 Census. Thus the number of individuals enrolled in Medicare is also projected to grow.

Local Medicare Resources

Medicare beneficiaries, their families, and their caretakers can receive free one-on-one health insurance counseling from CLAIM (Community Leaders Assisting the Insured of Missouri), a program that is part of a national network of State Health Insurance Assistance Programs (SHIP). Another program called Senior Medicare Patrol (SMP) educates consumers about Medicare fraud, waste, and abuse and provides assistance in reporting such instances. The program also educates consumers on how to protect their personal information and how to recognize services which are unnecessary as well as illegal healthcare marketing methods.

Types of Medicare Coverage

You can sign up for Medicare Part A (hospital services) and Part B (medical services) through the Federal government. Part A is generally paid for by paycheck deductions from your working years (or your spouse's) but most Medicare beneficiaries pay for Part B through monthly premiums unless they qualify for financial assistance. Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. If you qualify for Original Medicare (Parts A & B) or if you are already enrolled in it, then you have the option to enroll in Medicare Part C (also called Medicare Advantage) or Part D (a stand alone prescription drug plan). Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Many Medicare beneficiaries will elect to enroll in a Medicare Advantage plan that includes prescription drug coverage (MAPD) or purchase a stand alone prescription drug plan to go with their Original Medicare coverage. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Additional benefits of Medicare Advantage plans such as dental, vision, or hearing coverage can help reduce out-of-pocket expenses for seniors with certain medical needs.

Missouri 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in Missouri is $44.95, 28.06% less than the national average of $62.48. 25.98% of 2017 Medicare Part C insurance plans in Missouri have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $350, but in Missouri the average annual drug deductible for Medicare Part C insurance plans with drug components is $133.54. 30.69% of 2017 Medicare Part C insurance plans with a drug component in Missouri have a $0 annual drug deductible.
  • The average total monthly premium for a 2017 Medicare Advantage plan without a drug component in Missouri is $18.57. 55.47% of 2017 Medicare Part C insurance plans without a drug component in Missouri have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Missouri is $5495.27. 8.86% of 2017 Medicare Advantage plans in Missouri had a medical out-of-pocket limit of $3,400 or less.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in Missouri was 3.6 stars in 2017.
  • Among Missouri's 2017 Medicare Advantage plans with CMS star ratings:
    • 32.09% earned a score of 4 or 4.5 stars
    • 66.54% earned a score of 3 or 3.5 stars
    • 1.38% of plans are “Not enough data available” or “Too new to be measured”.

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

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Missouri Medicare Insurance Companies

There are 18 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Missouri. Of these, the companies that offer the largest variety of plans to choose from are Humana, Aetna, and UnitedHealthcare. In Missouri,. The following are all medicare insurance providers in Missouri:

Humana

18 Plans

Aetna

15 Plans

WellCare

2 Plans

Cigna

2 Plans

Blue Cross and Blue Shield of Kansas City (Blue K

2 Plans

allwell

1 Plans

MERIT HEALTH INSURANCE COMPANY

1 Plans

Blue Cross and Blue Shield of Kansas City (Blue K

1 Plans

2018 Featured Medicare Plans in Missouri

There are 74 medicare plans in Missouri. The following are the 10 highest rated medicare plans in Missouri based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $37Wellmark Blue Cross and Blue Shield - MedicareBlue Rx Standard (PDP)
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from $100Wellmark Blue Cross and Blue Shield - MedicareBlue Rx Premier (PDP)
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from $0Essence HealthCare - Essence Advantage (HMO) - Jefferson County
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from $0Essence HealthCare - CoxHealth MedicarePlus (HMO) - Barry County
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from $47Anthem BCBS - Anthem MediBlue Access (PPO) - Barry County
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from $79Essence HealthCare - Essence Advantage Plus (HMO) - Jefferson County
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from $0Humana - HumanaChoice H5216-140 (PPO) - Audrain County
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from $0Aetna - Coventry Advantage (no drug) (HMO) - Barry County
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from $0Aetna - Coventry Select (no drug) (HMO) - Bates County
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from $0Aetna - Gold Advantage Value (HMO) - Callaway County
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Missouri Featured Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in Missouri based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $30Humana - HumanaChoice R1532-002 (Regional PPO)
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from $0Humana - HumanaChoice R1532-001 (Regional PPO) - Adair County
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from $86Aetna - Advantra Option 2 (HMO) - Audrain County
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from $41Aetna - Advantra Option 1 (HMO-POS) - Audrain County
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from $36Aetna - Advantra (HMO-POS) - Lewis County
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Missouri Featured Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in Missouri based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $79Essence HealthCare - Essence Advantage Plus (HMO) - Jefferson County
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from $0Essence HealthCare - CoxHealth MedicarePlus (HMO) - Barry County
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from $0Essence HealthCare - Essence Advantage (HMO) - Jefferson County
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from $93Humana - HumanaChoice H5216-082 (PPO) - Jasper County
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from $83Humana - HumanaChoice H5216-032 (PPO) - Audrain County
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Missouri Featured Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in Missouri based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $70UnitedHealthcare - AARP MedicareComplete Choice Plan 2 (PPO) - Crawford County
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from $30UnitedHealthcare - AARP MedicareComplete Choice Plan 1 (PPO) - Crawford County
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from $0Anthem BCBS - Anthem MediBlue Plus (HMO) - Barry County
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from $86Aetna - Advantra Option 2 (HMO) - Audrain County
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from $56Aetna - Advantra (PPO) - Audrain County
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Missouri Featured Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in Missouri based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $0Cigna-HealthSpring - Cigna-HealthSpring Preferred (HMO) - Clay County
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from $0Cigna-HealthSpring - Cigna-HealthSpring Advantage (HMO) - Clay County
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from $30Humana - HumanaChoice R1532-002 (Regional PPO)
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from $0Anthem BCBS - Anthem MediBlue Plus (HMO) - Barry County
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from $0Humana - HumanaChoice R1532-001 (Regional PPO) - Adair County
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Most Popular Medicare Doctors in Missouri

The following are the most popular medicare doctors in Missouri based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
SurgeryJEFFERSON CITY, MO
AnesthesiologyPOPLAR BLUFF, MO
Internal MedicineSAINT LOUIS, MO
SurgeryCOLUMBIA, MO
RadiologyLEXINGTON, KY
SurgeryJOPLIN, MO
OphthalmologySAINT LOUIS, MO
Internal MedicineSAINT LOUIS, MO
Internal MedicineHANNIBAL, MO
Internal MedicineKANSAS CITY, MO
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Browse Medicare Plans by Cities

  1. Kansas City, MO
  2. Saint Louis, MO
  3. Springfield, MO
  4. Independence, MO
  5. Columbia, MO
  6. Saint Joseph, MO
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