ACA Health Insurance Plans in Missouri (2026)
588 ACA medical marketplace plans from 8 insurers are listed in Missouri for the 2026 plan year, alongside 66 standalone dental plans — per the CMS ACA Plan Attributes Public Use File.
Last updated: June 24, 2026 · Source: CMS ACA Plan Attributes PUF (2026 plan year)
How many ACA plans are available in Missouri?
The CMS ACA Plan Attributes Public Use File lists 588 medical plan variants from 8 issuers in Missouri for 2026, plus 66 standalone dental plans from 9 issuers. Counts are plan variants (each cost-sharing variation is a row in the source file).
| Segment | Plans | Issuers |
|---|---|---|
| Medical (qualified health plans) | 588 | 8 |
| Standalone dental (SADP) | 66 | 9 |
Source: CMS ACA Plan Attributes PUF (2026 plan year).
What metal tiers are offered in Missouri?
Missouri medical plans span Silver, Expanded Bronze, Gold, Bronze, Catastrophic. The most common tier is Silver (294 plans).
| Metal tier | Plans | Share of medical |
|---|---|---|
| Silver | 294 | 50% |
| Expanded Bronze | 148 | 25% |
| Gold | 124 | 21% |
| Bronze | 16 | 3% |
| Catastrophic | 6 | 1% |
Source: CMS ACA Plan Attributes PUF (2026 plan year).
HMO, PPO, EPO or POS — what plan types are available in Missouri?
EPO is the most common plan type in Missouri (588 plans).
| Plan type | Plans | Share of medical |
|---|---|---|
| EPO | 588 | 100% |
Source: CMS ACA Plan Attributes PUF (2026 plan year).
Plan features in Missouri
- 170 HSA-eligible plans (29% of medical plans).
- 588 plans do not require a referral to see a specialist (100% of medical plans).
Source: CMS ACA Plan Attributes PUF (2026 plan year).
Which insurers offer ACA plans in Missouri?
16 distinct issuer IDs appear in Missouri across medical and standalone dental plans (8 offer medical, 9 offer standalone dental; some offer both):
15 issuer names are listed below. Some CMS rows carry issuer IDs without a display name in this projection, so the named list can be smaller than the distinct issuer-ID count.
- Ambetter from Home State Health
- Anthem Blue Cross and Blue Shield
- BEST Life
- Blue Cross and Blue Shield of Kansas City
- Cox HealthPlans
- DentaQuest Insurance Company-MO
- Dominion National
- EMI Health
- Guardian
- Humana
- Medica
- Oscar Insurance Company
- Renaissance Dental
- TRUASSURE INSURANCE COMPANY
- UnitedHealthcare
Source: CMS ACA Plan Attributes PUF (2026 plan year).
Sources & provenance
Every figure on this page comes from the CMS ACA Plan Attributes PUF (2026 plan year)
(source id src:cms:aca-plan-attributes-puf:2026),
published by the Centers for Medicare & Medicaid Services:
https://www.cms.gov/marketplace/resources/data/public-use-files.
Medical plans are metal tiers Silver, Gold, Bronze, Expanded Bronze, Platinum and Catastrophic; standalone dental plans (SADPs) use the Low/High tiers and are counted separately. Premiums are not in this file and are not shown here.
Data exported June 24, 2026 · content hash
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machine-readable brief: /coverage/states/mo.context.md