Missouri Rx Plan Enrollment

Enrollment is free and open year-round. Once enrolled, you never need to re-apply.

You May Be Eligible If You Are:
  • A resident of the State of Missouri; and
  • Enrolled in a Medicare Part D Plan. To learn more about Part D or to choose and enroll in a Part D plan that's best for you, visit www.medicare.gov or call 1-800-MEDICARE (1-800-633-4227) toll-free; and
  • Single — with an annual gross household income of $21,660 or less or
  • Married — with an annual gross household income of $29,140 or less
How Do I Get An Application?

Applications are available in English and Spanish. You will need Acrobat Reader to view and print the documents. To download Acrobat Reader, see the Get Viewers section below.

Complete the application by printing clearly with black or blue ink. Be sure to sign and date the application and include the required documentation listed below.

What Do I Need To Send With My Application?

Send one copy of each of the following documents with your enrollment form. Do not send originals.

  1. A copy of your Medicare Health Insurance card
    Medicare Health Insurance card sample
  2. A copy of your Social Security card
    Social Security card sample

These copies do not need to be in color.

If you do not include the required documents your application will be returned as incomplete. Please send copies only. DO NOT SEND ORIGINAL DOCUMENTS.

How Much Does It Cost To Enroll In or Belong To MoRx?

Nothing - the program is free. MoRx does not have an enrollment fee, deductible or monthly premium.

Do Current MoRx Members Need To Apply?

Current MoRx members should not fill out an application. Once you are enrolled in MoRx, you will not need to re-apply again. However, notices may be sent periodically requesting updated information.

If you have a change in address, income, marital status or any other situation that you feel may affect your MoRx eligibility, please call us at 1-800-375-1406. The call is free. Persons with hearing or speech disabilities may call our TTY number toll-free at 1-800-375-1493.

How Do I Know When I'm Enrolled?

Once we receive and process your completed MoRx application with required documents, we will send you a welcome letter and membership card.

How Can I Save Even More On My Prescription Costs?

In addition to your Part D plan and MoRx benefits, you may be eligible for extra help with prescription costs from the federal government, 1-800-772-1213 toll-free.