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Missouri Rx Changes Effective July 1, 2017

i Jun 20th No Comments by

Missouri Rx – Missouri’s State Pharmaceutical Assistance Program has been reauthorized by the state legislature for another 5 years until August, 28, 2022.  Missouri Rx works with a person’s stand alone Part D plan or Medicare Advantage plan to pay 50% of a person’s costs at the pharmacy.  Eligibility benefits for MO Rx benefit has been reduced to only those Medicare beneficiaries that are also enrolled into Medicaid. This change affects 64,000 enrollees. Our certified counselors can help you determine your options if you have lost this benefit. You have not lost your Medicare drug coverage.

Missouri Rx coverage will no longer pay 50% of the cost of Part D prescriptions for people enrolled in Medicare whose

  • Income $21,660 for a single person or $29,140 for a couple or
  • Enrolled into Extra Help from SSA sometimes called Low-Income Subsidy (LIS).

CLAIM Counselors can provide the following.

  • If you are affected by this change you have a Special Enrollment Period for two months to change your Part D plan. Counselors can assist with the comparison and enrollment into a another plan if this is your choice.
  • Counselors can screen and provide application assistance for Low-Income Subsidy through Social Security or Medicare Savings Program.
  • Check eligibility for Patient Assistance Programs to help cover some of your higher cost medications

www.rxassist.org – provides info and application links to assistance programs

www.needymeds.org – provides info and application links to assistance programs

www.rxoutreach.org  – discount purchasing program website

  • Other options may include talking with your doctor or going to a public health center that provides a sliding fee scale for prescriptions.

 

We encourage you to call or contact us to understand any options available to you.