Missouri Health Insurance (2026)

ACA marketplace health insurance rates, Medicaid eligibility, and top insurers in Missouri. Rates shown before premium tax credits — most buyers qualify for subsidies.

Silver Premium

$510/mo

Age 40, before credits

Avg Deductible

$4,500

Silver plan

Medicaid

Expanded

Up to 138% FPL

Insurers

5

On marketplace

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Top Health Insurers in Missouri

1

Blue Cross Blue Shield

Nationwide network

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Avg Monthly

$480

Network

Very Large

Rating

4.5/5

2

UnitedHealthcare

Employer plans

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Avg Monthly

$510

Network

Large

Rating

4.3/5

3

Aetna

CVS integration

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Avg Monthly

$495

Network

Large

Rating

4.2/5

4

Cigna

Mental health coverage

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Avg Monthly

$490

Network

Large

Rating

4.2/5

5

Kaiser Permanente

Integrated care

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Avg Monthly

$440

Network

Regional

Rating

4.7/5

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Enrollment Requirements & Key Dates

  • Open Enrollment: Nov 1 – Jan 15
  • MO HealthNet covers adults up to 138% FPL since 2021
  • ACA subsidies via HealthCare.gov

Missouri Health Insurance Facts

Missouri expanded Medicaid via Amendment 2 ballot in 2020 (effective 2021).
MO HealthNet is the Medicaid program.
Ambetter, Anthem, and BCBS MO are major marketplace insurers.

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