Missouri · 2026 plan year

Silver health insurance plans in Missouri

There are 42 Silver plans on the Missouri Marketplace from 7 insurers, and they are not interchangeable — premiums run from $409 to $757 a month for the same metal tier. Here is what separates them.

42
Silver plans
7
Insurers
115
Counties covered
$409
Cheapest premium
$4,861
Average deductible
These are benchmark premiums, not your price. Every dollar figure here is the individual rate at age 21 for a non-tobacco user, before any premium tax credit — the standard way plans are compared like for like. What you actually pay depends on your age, county, household and income. Estimate your real cost.

In Missouri, Silver costs more than Gold.

The average Silver plan in Missouri runs $512 a month against $492 for Gold — $20 more for a tier that covers a smaller share of your care. That inversion is silver loading: the cost of the extra cost-sharing reductions insurers must build into Silver plans is priced into every Silver premium, including yours if you do not qualify for them.

Missouri Silver premiums rank 12th cheapest of 30.

Averaged across all 42 plans, Silver coverage in Missouri costs $512 a month before subsidies — 12th lowest of the 30 states with federal-marketplace data. Premiums vary far more by county and age than this single number suggests.

Metal tiers describe roughly what share of covered costs a plan pays, not the quality of its care or network. How the metal tiers actually differ walks through the trade, and how ACA subsidies work explains why the prices below are rarely what anyone pays.

Lowest premiums

The cheapest Silver plans in Missouri

Showing 5 of 42. See all Missouri Silver plans →

Who sells here

Silver plans by insurer

InsurerSilver plansCheapestTier average
Medica12$484$573
Anthem Blue Cross and Blue Shield8$427$472
Blue Cross and Blue Shield of Kansas City5$492$578
Oscar Insurance Company5$434$438
UnitedHealthcare5$480$486
Ambetter from Home State Health4$409$419
Cox HealthPlans3$526$550
Other tiers in Missouri

How Silver compares to the rest

All MissouriMarketplace plans →

Nearby on price

States with similar Silver premiums

Common questions

Missouri Silver plans, answered

What are the copays on a Missouri Silver plan?
Copays vary plan by plan rather than by tier — the metal level sets roughly what share of total care costs the plan covers, not the individual amounts. Across the 42 Silver plans in Missouri, deductibles average $4,861 and the out-of-pocket maximum averages $9,182. Open any plan below to see its full cost-sharing schedule, including primary care, specialist and prescription tiers.
Who is eligible for a Silver plan in Missouri?
Anyone eligible to buy Marketplace coverage in Missouri can pick a Silver plan — there is no separate test for the tier. What Silver uniquely unlocks is cost-sharing reductions, available if your household income is roughly 100–250% of the federal poverty level. Those reductions apply only to Silver plans, which is why Silver is usually the right choice at those incomes even though its sticker price here ($512 a month on average) is higher than Gold in some states.
What is the deductible on a Missouri Silver plan?
The average across all 42 Silver plans in Missouri is $4,861, with an average out-of-pocket maximum of $9,182. The range within the tier is wide, so two plans at a similar premium can differ by thousands in what you would actually pay during a year with significant care. Deductible is usually a better basis for comparison than premium alone.
Are Silver plans available in my Missouri county?
Silver plans are sold in 115 Missouri counties, from 7 insurers. Which specific plans you can buy depends on where you live — a plan offered in a metro county is often not sold in a rural one. Enter your ZIP code to narrow the list to plans actually available to you.
When can I enroll in a Missouri Marketplace plan?
Missouri uses the federal Marketplace, so open enrollment runs November 1 to January 15. Outside that window you need a qualifying life event — losing job-based coverage, moving, marriage, or a birth — to open a special enrollment period. Cheapest Silver premiums in Missouri start at $409 a month before any subsidy.

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