How To Find the Best Health Insurance in Missouri

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You’ll want to shop around to find the ideal health insurance option in Missouri, comparing multiple insurance carriers to get the best rate for your needs. There is no tax penalty if you go without health insurance in the “Show-Me” State, but if you get unexpectedly sick or suffer a costly injury, having coverage can help protect you from severe medical debt.

Keep reading to learn more about Missouri health insurance, the most affordable plans, the health insurance cost in some of the state’s largest cities and what types of health care options are available.

Key Takeaways

  • The average monthly cost of a benchmark Marketplace health plan is $501 in Missouri.
  • Missouri doesn’t levy any penalties or fines for not having health insurance coverage.
  • The cheapest silver plan is typically offered by Anthem, though other carriers may provide lower rates depending on your location.
  • Open enrollment in Missouri lasts from November 1st to January 15th, with coverage starting on January 1st if you lock in by December 15th.
  • Missouri’s Medicaid program, MO HealthNet, offers free healthcare to qualifying individuals below a certain income level, such as child caretakers, pregnant women and those with permanent disabilities.

Is Health Insurance Required in Missouri?

After the Affordable Care Act (ACA) was passed, American taxpayers were legally required to have health insurance that covered a minimum amount of benefits. However, as of the 2018 tax year, there are no longer federal tax penalties for people who don't enroll in a health coverage plan.[1] Not having health insurance does carry fines in some states, but Missouri does not levy fines or taxes for not having coverage.[2]

While this lack of penalties means that health insurance is effectively optional across Missouri, you'll likely be left responsible for paying bills for medical care out of pocket if you don't have coverage.

Missouri Health Insurance Rankings

The Commonwealth Fund ranked Missouri 38 out of 51 in an analysis that took a holistic look at the health care systems in each U.S. state and Washington, D.C. Missouri notably ranked last out of all states in terms of income disparity but 28th, the state’s highest score, in racial and ethnic health equity. When considering all metrics, the state ranked last among seven Plains states, which include Kansas, Iowa, Minnesota, Nebraska, North Dakota and South Dakota.[3]

Below is an overview of Missouri’s national rank in each of the dimensions analyzed by the Commonwealth Fund:[3]

Dimension

National Rank

Reproductive & Women’s Health

34

Access & Affordability

35

Prevention & Treatment

36

Avoidable Hospital Use & Cost

35

Healthy Lives

40

Income Disparity

51

Racial & Ethnic Health Equity

28

How Much Does Health Insurance Cost in Missouri?

MO Monthly Premium for Lowest-Cost Plan by Metal Tier

Marketplace benchmark plans in Missouri cost $501 per month on average, which is more expensive than the nationwide average of $477 per month. On average, Missouri residents pay a monthly premium of $391 for the lowest-cost bronze plan available in the state, $498 for the lowest-cost silver plan and $536 for the lowest-cost gold plan.[4]

Cheapest Health Insurance Options in Missouri

Bronze-tier Marketplace plans will typically be the cheapest option for health care in Missouri, which exchange higher deductibles, copays, and coinsurance for lower monthly premiums. However, depending on your needs, you may want to consider a higher-tier health care plan. For example, if you require regular doctor visits due to an injury or have a chronic illness that requires maintenance, such as diabetes management, you might benefit from a plan that has a higher monthly premium but lower out-of-pocket costs.

Health maintenance organization (HMO) plans are often less expensive than preferred provider organizations (PPO) plans but there are tradeoffs. For example, if you choose an HMO plan, you may require a primary care doctor to refer you before you can see a specialist and could have a relatively smaller provider network.

What Is the Average Cost of Health Insurance in Missouri by City?

Below, we’ll review the median monthly rates across all metal tiers for individual health insurance plans for 30-year-olds making $40,000 per year in five major cities in Missouri before considering premium tax credits.[5]

City, Zip Code

Quote

Kansas City, 64118

$454.70

St. Louis, 63129

$410.61

Springfield, 65807

$484.90

Columbia, 65202

$569.48

Independence, 64055

$454.70

MO Median Monthly Rates in Major Cities

Which Health Insurance Companies Are the Most Affordable in Missouri?

Anthem offers Missouri's most affordable health insurance plans in the silver tiers. Depending on where you live, some plans may be cheaper, such as Ambetter offering the cheapest in 67% of the state’s counties. Below is an overview of Missouri health insurers with an average monthly premium below $600 for 40-year-olds buying silver plans.[6]

Health Insurance Company

Average Premium

Anthem

$430

Ambetter

$440

Oscar

$466

UnitedHealthcare

$467

Cox

$503

Medica

$515

Aetna

$522

When Is Open Enrollment for Health Insurance in Missouri?

Missouri residents can enroll in a Missouri health insurance Marketplace plan through HealthCare.gov during the standard open enrollment period, which runs from November 1 to January 15.[7] To ensure you receive coverage by January 1, you must select your health insurance plan by December 15.[8]

Certain qualifying life events can trigger a special enrollment period, allowing you to enroll outside the open enrollment period. Examples of these events include moving, getting married, having children or losing employer-based health insurance. The window to apply after most qualifying events typically lasts 60 days before or after.[9]

What Types of Health Insurance Are Available in Missouri?

Some of the major types of medical insurance you can purchase in Missouri include the following:

How To Get Health Insurance in Missouri?

You’ll want to gather suitable health insurance quotes to compare individual or family health insurance policies, ideally shopping between at least three to five insurance carriers. Gathering these quotes individually can be time-consuming, but you can accelerate the process by utilizing an insurance marketplace like SmartFinacial.

After answering a few questions, we’ll connect you with one of our licensed agents can may help you find affordable health plans that can suit your unique needs. Click here to get a free Missouri health insurance plan quote today!

Get a Free Quote for Missouri Health Insurance Today!

FAQs

Is health insurance expensive in Missouri?

Yes, on average, the cost of health insurance Marketplace plans in Missouri are higher than the national average, with benchmark plans costing $24 more monthly in 2024.[4]

Is Medicare available in Missouri?

Yes, you can enroll in Original Medicare or Medicare Advantage plans in Missouri if you meet the eligibility requirements.

Have health insurance rates gone up in Missouri?

Yes, the average benchmark premium in Missouri increased by $59 between 2022 and 2024. However, the cost decreased by $28 since 2018.[4]

What happens if I don’t sign up for health insurance in Missouri?

You won’t be fined for not having health insurance in Missouri but any medical bills will need to be paid for out of pocket if you don’t have coverage. If you don’t enroll in a plan, you’ll need to wait for the next open enrollment period (November 1 to January 15) unless you qualify for a special enrollment period.[7]

Is there access to free health care in Missouri?

Missouri’s Medicaid services program, called MO HealthNet, provides financial assistance for those who eligible low-income individuals.[10] In addition,the Women, Infant and Children (WIC) program can provide free food, health care referrals and other benefits to eligible pregnant participants.[11]

Sources

  1. HealthCare.gov. “Exemptions from the Fee for Not Having Coverage.” Accessed Sept. 23, 2024.
  2. KFF. “I’m Uninsured. Am I Required To Get Health Insurance?” Accessed Sept. 23, 2024.
  3. Commonwealth Fund. “2023 Scorecard on State Health System Performance: Missouri,” Page 1. Accessed Sept. 23, 2024.
  4. KFF. “Average Marketplace Premiums by Metal Tier, 2018-2024.” Accessed Sept. 23, 2024.
  5. HealthCare.gov. “Health Insurance Plans & Prices.” Accessed Sept. 23, 2024.
  6. ValuePenguin. “Best Cheap Health Insurance in Missouri.” Accessed Sept. 23, 2024.
  7. Anthem. “Open Enrollment for Health Insurance 2025.” Accessed Sept. 23, 2024.
  8. HealthCare.gov. “When Can You Get Health Insurance?” Accessed Sept. 23, 2024.
  9. HealthCare.gov. “Special Enrollment Period (SEP).” Accessed Sept. 23, 2024.
  10. Missouri Department of Social Services. “Eligibility Requirements for MO HealthNet Coverage.” Accessed Sept. 23, 2024.
  11. Missouri Department of Social Services. “MO HealthNet Fee-for-Service Pregnancy Services.” Accessed Sept. 27, 2024.

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