Anthem BCBS has the best medical insurance in Missouri. Silver plans start at $440 per month before discounts.

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Best and cheapest health insurance in Missouri

Rates for the cheapest Silver and Bronze plans in Missouri for a 40-year-old who doesn't qualify for subsidies.

Cheapest health insurance companies in Missouri

Ambetter has the cheapest health insurance in Missouri, at $417 per month on average before discounts.

Cheapest health insurance companies in Missouri

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Affordable health plans in MO

Company
Cost
Ambetter logo
Ambetter from Home State Health$417-671
Anthem logo
Anthem Blue Cross and Blue Shield$440-$760
Oscar logo
Oscar Insurance Company$449-$595
Medica$474-$732
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  • Ambetter has the cheapest rates for 9 out of 10 people in Missouri. The company has the most affordable quotes in 4 out of 5 Missouri counties.
  • Medica has the cheapest rates in Columbia. The company also has the most affordable plans for nearly 1 in 10 people in Missouri and a similar proportion of the state population.

Best health insurance companies in Missouri

Anthem BCBS has the best health insurance for most people in Missouri.

The company gets significantly fewer complaints than an average company its size. Plus, Anthem BCBS has a good 3-out-of-5-star rating from HealthCare.gov. The company scored a perfect five-out-of-five rating for member experience.

Anthem BCBS customers also have access to the largest network of doctors nationwide. That makes it a good choice if you want more choice when it comes to choosing the doctors in your area or you travel often.

Best-rated health insurance companies in Missouri

Company
Editor rating
ACA rating
Anthem Blue Cross and Blue Shield
3.0
UnitedHealthcare
NA
Ambetter from Home State Health
3.0
Blue Cross and Blue Shield of Kansas City
3.0
Aetna CVS Health
3.0
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Medica offers 4-star rated plans in the St. Louis area. That's the highest rating given by HealthCare.gov in Missouri.

UnitedHealthcare (UHC) also offers high-quality health plans. The company gets fewer complaints than an average company its size. However, UnitedHealthcare is too new to the Missouri health marketplace to have a star rating from HealthCare.gov.


How much does health insurance cost in Missouri?

Missouri residents pay an average of $616 per month for health insurance at full price or $61 per month after discounts, on average.

Roughly half of all Missourians with marketplace plans pay less than $10 per month for coverage. The size of your discount depends on your household size and income.

Average cost of MO health insurance by plan tier

Gold plans have expensive rates and affordable costs when you visit the doctor. Bronze plans have cheap monthly costs, but you pay more when you get medical care.

Silver plans offer a middle ground between the two with average rates and middle-of-the-road costs when you go to the doctor. That makes Silver health plans a good choice for most people.

Get affordable health insurance in Missouri

Health insurance in Missouri costs an average of $61 per month after discounts.

savings icon
savings icon
Nearly everyone who buys marketplace insurance in Missouri pays a discounted rate. To qualify for discounts, called subsidies or premium tax credits, you need to buy a Bronze, Silver or Gold plan through HealthCare.gov and make a certain amount of money.

To qualify for subsidies, you need to earn between about $15,000 and $60,000 per year as a single person or roughly $31,000 to $125,000 for a family of four. If you don't earn enough to qualify for subsidies, you're probably eligible for free government health insurance, called Medicaid.

Cheap health insurance in Missouri by city

Ambetter has the most affordable medical insurance in Kansas City, at $467 per month before discounts.

Ambetter also has the cheapest rates in St. Louis and Springfield. Medica has the most affordable health insurance in Columbia.

Cheapest health insurance by MO county

County
Cheapest plan
Monthly rates
AdairAmbetter Health Standard Silver$637
AndrewAmbetter Health Standard Silver$579
AtchisonAmbetter Health Standard Silver$579
AudrainAmbetter Health Standard Silver$586
BarryAmbetter Health Standard Silver$498
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Cheapest Silver plan with rates for a 40-year-old


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Best health insurance by level of coverage

When choosing your level of health coverage, it's important to consider how healthy you are, your finances and discounts you may qualify for.

Gold plans: Best if you have ongoing medical needs

gold plan icon
Gold plans pay for about 80% of your medical care.

Consider a Gold plan if you have expensive or ongoing medical needs. Gold plans have high monthly rates, but you'll pay a small portion of the bill when you go to the hospital.

That means Gold plans usually only make sense for people who need high-cost treatment. For example, a Gold plan might be a good choice if you have cancer or arthritis.

Gold plans in Missouri cost $591 per month, on average.

Silver plans: Best for most people

silver plan icon
Silver plans pay for about 70% of your medical care.

Silver plans have middle-of-the-road rates and costs when you visit the doctor or get a prescription filled. Silver plans are the best choice for most people because they offer a balance between your monthly costs and what you pay when you go to the hospital.

Silver plans in Missouri cost $616 per month, on average.

Bronze plans: Best if you're young and healthy

bronze plan icon
Bronze plans pay for about 60% of your medical care.

Bronze plans have cheap monthly rates, but you're responsible for a large portion of your bill when you go to the hospital. That makes Bronze plans are a good choice for people who rarely visit the doctor.

Keep in mind that you may have to pay thousands of dollars before coverage starts if you get seriously injured or sick with a Bronze plan. You should only buy a Bronze plan if you have enough money in your savings account to cover your health insurance deductible.

Bronze plans in Missouri cost $488 per month, on average.

Catastrophic plans: Best to prevent financial disaster

You'll pay $9,200 before coverage starts with a catastrophic plan.

Catastrophic plans are a good choice for preventing financial disaster because you won't pay more than $9,200 in a single year for medical services. In other words, your deductible is the maximum amount you'll pay for care with catastrophic coverage.

Catastrophic plans have the lowest average rates of any plan tier. However, they're not usually a good deal because catastrophic plans offer limited coverage. You have to pay a high deductible before your plan will cover most services.

In addition, catastrophic plans aren't eligible for subsidies. That means you can get better coverage for a cheaper price if you earn a low income.

You can only buy a catastrophic plan if you're under the age of 30 or you have a special hardship exemption.

Discounted and free health insurance in Missouri

You may have access to free or discounted health insurance in Missouri, depending on your income.

Medicaid: Best if you earn a low income

You may qualify for free government health insurance, called Medicaid, if you earn about $21,000 per year or less as a single person or $44,000 per year or less for a family of four.

A pregnant woman with no children and a parent with a child under the age of one are eligible for Medicaid if they make under about $30,000 per year.

Discounted Silver plans: Best if you earn a low income but don't qualify for Medicaid

cost-sharing reductions icon
Silver plans will pay 73% to 94% of your medical costs if you have a low income.

You may qualify for extra discounts, called cost-sharing reductions, if you have a Silver health plan and you earn a low income. Cost-sharing reductions cover part of the costs you're responsible for when you visit the hospital, such as your deductible, copays and coinsurance.

Missouri residents are eligible for cost-sharing reductions if they make less than $38,000 per year as an individual or $78,000 per year as a family of four.

Are health insurance rates going up in MO?

Health insurance rates went down by 2% on average between 2024 and 2025.

Health insurance in Missouri got cheaper across most plan tiers from 2024 to 2025. Gold plans fell the most, at 8%. Bronze plans had the smallest decrease: 1%. Silver plans increased by an average of 4%, and Catastrophic plans got 4% cheaper.

Tier
2024
2025
Change
Catastrophic$348$335-4%
Bronze$495$488-1%
Silver$594$6164%
Gold$645$591-8%

Marketplace insurance in Missouri

You can buy a marketplace plan in Missouri by going to HealthCare.gov. Marketplace plans have more protections than other types of health insurance, such as or supplemental coverage.

For example, companies selling Obamacare plans can't deny coverage or charge higher rates based on your health. In addition, all marketplace plans have to cover 10 essential services.

Benefits offered by all marketplace health plans in Missouri

  1. Outpatient care
  2. Emergency care
  3. Prescription drugs
  4. Care for pregnant women and newborns
  5. Preventive, wellness and ongoing disease services
  1. Hospital care
  2. Coverage for babies
  3. Laboratory services
  4. Rehabilitation services and devices
  5. Services for mental health and substance use disorders

Plans bought on the Missouri health exchange limit the total amount you'll pay for health care in a single year, called an out-of-pocket maximum. Once you hit your out-of-pocket max, you won't pay anything else for care until the start of the next year.

Average cost of health insurance by family size in MO

In Missouri, a family of four will pay an average of $1,969 per month before discounts for health insurance. On average, health insurance for an adult in Missouri costs $616 per month, and coverage for a child under the age of 19 costs $369 per month.

Family size
Average monthly cost
Individual$616
Individual + child$985
Couple, age 40$1,232
Family of three $1,601
Family of four $1,969
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Averages based on a Silver plan for 40-year-old adults and children who are under age 15.


Short-term health insurance in Missouri

Short-term health plans let you get coverage at any time of the year. In other words, you don't have to wait until open enrollment or qualify for a special enrollment period to get coverage.

However, while short-term health plans are convenient, they typically offer worse coverage than regular health plans.

Short-term plans sold after August 31, 2024, can only last for three months at a time or for four total months in a year, including renewals. That means if you bought a short-term plan for three months and renewed it for another month, you'd have to wait eight months until you could buy more short-term coverage.

Plans bought before September 1, 2024, can last up to 12 months, and you can renew them for up to three years total.

Pros of short-term health insurance in MO

  • Get coverage quickly: You can buy short-term health insurance at any time of the year, and coverage starts right away.
  • Cheap plans: Short-term plans typically cost just a few hundred dollars per month. That makes them a cheaper alternative to marketplace plans if you don't qualify for discounts.

Cons of short-term health insurance in MO

  • Companies can deny coverage and set your rates based on your health: Unlike marketplace plans, companies can charge you higher rates or decide not to sell you short-term coverage based on your health history.
  • Weak coverage: Short-term plans don't have to offer the same level of coverage as a marketplace plan. That means your short-term plan may not cover some services, such as mental health or maternity care, that a regular health plan would.


Frequently asked questions

What's the best health insurance in Missouri?

Anthem (BCBS) of Kansas City has the best health insurance in Missouri. The company gets significantly fewer complaints than an average company its size, according to the NAIC. Anthem also has some of the cheapest rates in Missouri.

Who has the cheapest health insurance in Missouri?

Ambetter has the cheapest health plans in Missouri. The company has a high membership experience rating from HealthCare.gov but gets more complaints than an average company its size, according to the NAIC.

What is the average cost of health insurance per month in Missouri?

Health insurance in Missouri costs an average of $616 per month at full price or $61 per month on average after discounts.


Methodology

Missouri health insurance rate data for 2025 is from the Centers for Medicare & Medicaid Services (CMS) website. ValuePenguin used data from the CMS public use files (PUFs). Plans and insurance companies not included in the CMS Crosswalk files were not used in our analysis.

Rates are based on a 40-year-old with a Silver plan, unless otherwise noted. Other sources include S&P Global Capital IQ and the Missouri Department of Social Services.

Editorial note: The content of this article is based on the author’s opinions and recommendations alone. It has not been previewed, commissioned or otherwise endorsed by any of our network partners.