Private Health Insurance Missouri – The cheapest cash health insurance plan in most states is offered by Celtic Insurance/Ambetter. Two of its plans, Ambetter Balanced Care 11 and Ambetter Balanced Care 129, are the cheapest options in 70% of counties.
The Missouri Health Insurance Exchange has five levels of coverage to choose from, depending on your financial and medical needs. The silver metal tier stands out in that it offers subsidized plans based on your income level.
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We’ve compared Missouri health insurance policies by tier to help you find the best coverage. In the table below, we identify the cheapest plan in the country at each level of coverage, as well as sample rates and terms of coverage.
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These specific policies may not be available or cheapest in your state, as the best health insurance plans vary by region, but they can still be used as a basis for comparing the different costs and benefits between each metal layer.
Although the WellFirst plans offered by SSM Health Insurance Company are the cheapest, they are only available in three states.
Generally, a higher metal level health plan means higher monthly premiums but lower out-of-pocket costs. For example, the WellFirst Bronze Copay Plus 8650X plan has a minimum monthly premium of $322, which is $97 less than the cheapest silver plan, the WellFirst Silver HSA-E 4500X. However, the Silver plan offers cheaper out-of-pocket costs with a $4,150 lower deductible than the Advanced Bronze plan.
No matter which tiered plan you choose, your monthly health insurance rates go up as you get older. For example, a 60-year-old pays an average of 112% more than a 40-year-old Missouri resident for the same Silver health insurance plan. That means a 60-year-old will pay an average of $696 more per month for a Silver health plan.
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Missouri’s health insurance marketplace offers four tiers of policies: Catastrophic, Bronze, Silver and Gold. Higher-end health plans, like gold policies, typically have the most expensive premiums, but affordable out-of-pocket costs like deductibles, co-insurance, and coinsurance.
This means that if you have high recurring medical expenses, such as prescriptions, or think you need medical care, a higher metal plan may be the best option for you. On the other hand, if you are young, healthy, and have no expected medical expenses—and can afford a higher copay—a lower metal policy may be the choice for you.
If you use or plan to use your insurance often, gold health insurance plans are usually the most cost-effective because they have the lowest out-of-pocket costs. If you use insurance often, lower deductibles and co-pays can offset expensive monthly premiums.
Ultimately, gold plans are best if you’ve anticipated high medical expenses, such as chronic conditions that require regular care, or you’re worried about paying out of pocket for an unexpected condition.
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On average, the cheapest gold plan in Missouri is WellFirst Gold Value Copay 3700X. Compare all levels in Missouri above.
Silver plans are a good health insurance option for those looking for a balance between costs and benefits. However, these health plans can still be quite expensive if you don’t qualify for premium subsidies, such as cost reduction subsidies (CSR), which are no longer funded by the federal government.
If you belong to a low-income family, you may be eligible for a social responsibility subsidy with a Silver Health Plan, further reducing your payment costs. Typical Silver plans cover about 70% of your health care costs, while you pay 30%. But under the social responsibility subsidies, you can qualify for a money plan that covers up to 94% of your medical expenses.
On average, the cheapest silver plan in Missouri is WellFirst Silver HSA-E 4500X. However, this program is only available in three countries. The cheapest Silver plan that is widely available is Ambetter Balanced Care 11.
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Bronze and catastrophic plans generally have lower premiums compared to silver and gold plans. However, you must be under 30 or eligible for an exemption to purchase a catastrophic plan. These cheap policies have lower coverage, which means higher out-of-pocket costs.
If you need medical care during the year, you’ll have to pay more money yourself in deductibles and copayments before the policy provides coverage. We do not recommend bronze or catastrophic policies unless you can afford higher deductibles, copayments and coinsurance for medical emergencies.
The cheapest bronze plan in Missouri is WellFirst Bronze Value Copay 8650X. The cheapest catastrophic plan is the WellFirst Catastrophic Safety Net. Compare all levels in Missouri above.
In 2021, Missouri passed a bill that expanded Medicaid to about 275,000 people in the state through MO HealthNet. For example, under the new law, a single adult earning up to $17,774 a year or a family of four earning up to $36,750 can qualify for Medicaid coverage.
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In Missouri, health insurance providers adjust premiums, deductibles and out-of-pocket maximums each year based on a number of factors. These changes are then reported to federal and state regulators for approval.
In 2022, the cost of health insurance in Missouri increased for all metal levels. Catastrophic plans, followed by advanced bronze plans, cost the most compared to other metal layers. Catastrophic plans are 13% more expensive in 2022 than last year, and extended bronze plans are 9% more expensive in 2022.
Missouri short term health insurance can be purchased through OTC health insurance providers. Federal regulations for these plans allow coverage for up to one year, but the state of Missouri limits short-term plans to only six months of coverage. However, you can renew your plan after your first coverage period.
Short-term health insurance can be helpful if you lose the opportunity to purchase a Marketplace plan during open enrollment or if you lose your previous health insurance. But it’s important to know that short-term policies don’t cover all the essential benefits that Affordable Care Act plans provide. This may include guaranteed benefits such as pregnancy and birth care and prescription services.
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Many counties have only one insurance company from which residents can choose a health plan, but some larger counties, including Jackson and Clay in the Kansas City metro area, have multiple insurance companies. Despite the limited selection of health insurance companies in most states, there are several plans available at different metal levels to tailor your coverage.
Finding the best health plan for you can be difficult because plan choices and costs vary depending on where you live.
For example, for a 40-year-old child, the monthly cost of Ambetter Balanced Care 11 Silver will be $36 more expensive in Barton County than in Adair County. To make the process easier, we’ve compared the rates for every Silver policy in Missouri to find the cheapest Silver health insurance plan in each county, listed in the table below.
The number of people covered by a particular health fund and their age affect the cost of coverage. When you add a child to your health insurance, the price increases at an additional fixed rate until age 15. When they reach age 15, the monthly rate increases as they get older.
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For example, the average cost of insurance for a family of three in Missouri, assuming two 40-year-old parents and one child have a Silver plan, is $1,611. If you add another child to the plan, the monthly premium will increase by $371. So, for a family of four, the total monthly cost of health insurance would be $1,982.
Adults are assumed to be 40 years old and children are 14 years old. Sampling rates are based on the average cost of a Silver program in Missouri.
The average cost of health insurance in Missouri in 2022 is $538 for a 40-year-old. However, the cost of health insurance can vary depending on the level of metal coverage, where you live and your age.
In Missouri, the cheapest company for most people is Celtic Insurance/Ambetter. This health insurance provider has the most affordable money plan in 70% of Missouri counties. But several other companies also offer low-cost plans on the market, including Healthy Alliance Life Insurance Co./Anthem BCBS, Cigna and SSM Health Insurance Company/WellFirst Health.
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When shopping for a health insurance policy in Missouri, you can find the most affordable health insurance by comparing plans from several different companies. Then, based on your personal needs, you can evaluate which companies offer the best rates and choose the right policy for you.
Health insurance rates, deductibles, and out-of-pocket maximums were collected from data published on the state Centers for Medicare and Medicaid Services website. Use Public Utility Files (PUFs) to calculate averages by metal type, family size and county to better understand the Missouri health insurance market. Our analysis used plans and providers for which county-level data were included in the CMS Crosswalk file; May not be displayed from this data set.
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