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ACA Health Insurance Coverage Options in Missouri
Missouri uses the federal HealthCare.gov Marketplace for ACA health insurance. Review coverage options and enrollment information for Missouri residents.
The new 2027 plans become available November 1, 2026. Call 855-367-1095 now to get a sneak peek at the new plans before then, and we will have your options ready the day they open.
Medicaid is a government program that gives free or low-cost health coverage to people with limited income, such as some adults, children, pregnant women, seniors and people with disabilities. Each state runs its own Medicaid program and decides who qualifies. We are an independent insurance agency, and we cannot enroll you in Medicaid or check your Medicaid.
Missouri Medicaid: MO HealthNet (Missouri Department of Social Services) · 1-855-373-9994 (MO HealthNet (to apply)) · dss.mo.gov/healthcare
If your income is too high for Medicaid, or you want to compare health plans, call us. We can help with that.
Eligibility considerations
- No coverage available through an employer, Medicare, or Medicaid
- Interest in comparing Missouri Marketplace plans by metal tier
- Uncertainty about premium tax credit eligibility based on household income
Plan tiers
Lower monthly premium; higher cost-sharing when care is used.
The benchmark tier for subsidy calculations; the only tier eligible for additional cost-sharing reductions.
Higher monthly premium; lower cost-sharing at the point of care.
Missouri Medicaid and Marketplace information
- Medicaid expansion status
- Expanded (October 2021)
- Missouri Medicaid agency
- MO HealthNet (Missouri Department of Social Services)
- ACA Marketplace
- HealthCare.gov (federal Marketplace)
If an ACA plan doesn't fit
Some Missouri residents earn too much for premium help, or missed the enrollment window, and feel they have no options. You may still have some.
Missouri counties: ACA open enrollment
Choose your county for the dates, Medicaid status and how to get help.
- St. Louis County
- Jackson County
- St. Charles County
- Greene County
- St. Louis city
- Clay County
- Jefferson County
- Boone County
- Jasper County
- Platte County
- Cass County
- Franklin County
- Christian County
- Cape Girardeau County
- Buchanan County
- Cole County
- St. Francois County
- Lincoln County
- Newton County
- Taney County
- Johnson County
- Pulaski County
- Phelps County
- Callaway County
- Camden County
- Pettis County
- Butler County
- Webster County
- Howell County
- Lawrence County
- Scott County
- Warren County
- Laclede County
- Barry County
- Lafayette County
- Polk County
- Stone County
- Stoddard County
- Marion County
- Dunklin County
- Texas County
- Miller County
- Adair County
- Audrain County
- Randolph County
- McDonald County
- Washington County
- Ray County
- Saline County
- Crawford County
- Henry County
- Morgan County
- Clinton County
- Nodaway County
- Benton County
- Vernon County
- Wright County
- Perry County
- Ste. Genevieve County
- Andrew County
- Pike County
- Dallas County
- Cooper County
- Bates County
- New Madrid County
- Moniteau County
- Macon County
Common questions
How is ACA Marketplace coverage administered in Missouri?
Missouri uses HealthCare.gov (federal Marketplace) rather than a state-run exchange. Enrollment, plan comparison, and subsidy determinations run through the federal system.
Has Missouri expanded Medicaid under the ACA?
Yes. Missouri adopted Medicaid expansion, effective October 2021, extending eligibility to more low-income adults than the traditional Medicaid program covered. Expanded via 2020 ballot initiative.
Is there a cost to speak with a licensed agent?
No. Reviewing ACA Marketplace options by phone with a licensed agent has no cost. Any plan ultimately selected carries its own separate premium, determined by the plan and carrier, not by GetFastRates.com.
Questions are easier by phone.
Call 855-367-1095 to talk through your situation with licensed insurance help.
- Licensed insurance help
- No guaranteed eligibility, pricing, or availability
- Educational starting point
Information on this site is educational and does not guarantee eligibility, enrollment, pricing, or availability. It is not a recommendation to buy any specific plan or policy.