2026 plan year · Missouri
2026 health insurance plans in Lawrence County, MO
55 Marketplace plans from 5 insurers. Premiums below are full monthly prices before tax credits. Use the age columns to see how price changes with age.
- $637benchmark silver (age 40)
- $473cheapest bronze (age 40)
- 5insurers
- +26.5%benchmark change vs. 2025
Insurer changes from 2025
- Leaving: Aetna CVS Health, Ambetter from Home State Health. See what to do if your insurer leaves.
- New here: Ambetter Health.
Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Cox HealthPlans Bronze Preferred Cox HealthPlans · EPO | $371 | $473 | $1,005 | $10,600 | $10,600 | No Charge after Deductible |
| Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · EPO | $414 | $529 | $1,123 | $10,150 | $10,150 | No Charge after Deductible |
| UHC Bronze Essential (No Referrals) UnitedHealthcare · EPO | $419 | $535 | $1,137 | $10,600 | $10,600 | No Charge after Deductible |
Expanded Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Standard Expanded Bronze Ambetter Health · EPO | $380 | $485 | $1,030 | $7,500 | $10,000 | $50 |
| Everyday Bronze Ambetter Health · EPO | $380 | $486 | $1,033 | $8,450 | $10,150 | $40 |
| Balance by Medica Bronze $0 Copay PCP Visits Medica · EPO | $390 | $498 | $1,058 | $7,500 | $10,600 | No Charge |
| Standard Expanded Bronze + Vision + Adult Dental Ambetter Health · EPO | $391 | $500 | $1,061 | $7,500 | $10,000 | $50 |
| Everyday Bronze + Vision + Adult Dental Ambetter Health · EPO | $392 | $501 | $1,064 | $8,450 | $10,150 | $40 |
| Balance by Medica Expanded Bronze Standard Medica · EPO | $393 | $502 | $1,067 | $7,500 | $10,000 | $50 |
| Cox HealthPlans Bronze Expanded Standard Cox HealthPlans · EPO | $395 | $504 | $1,071 | $7,500 | $10,000 | $50 |
| Balance by Medica Bronze Premier Medica · EPO | $397 | $507 | $1,077 | $2,000 | $10,600 | No Charge after Deductible |
| Elite Bronze Ambetter Health · EPO | $412 | $526 | $1,118 | $0 | $10,500 | $50 |
| Elite Bronze + Vision + Adult Dental Ambetter Health · EPO | $424 | $542 | $1,152 | $0 | $10,500 | $50 |
| Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · EPO | $433 | $554 | $1,176 | $6,900 | $10,150 | $50 |
| Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · EPO | $439 | $561 | $1,192 | $4,900 | $10,150 | $55 |
| Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · EPO | $442 | $565 | $1,201 | $7,500 | $10,000 | $50 |
| UHC Bronze Standard (No Referrals) UnitedHealthcare · EPO | $445 | $569 | $1,208 | $7,500 | $10,000 | $50 |
| UHC Bronze Standard+ (Dental + Vision, No Referrals) UnitedHealthcare · EPO | $459 | $587 | $1,247 | $7,500 | $10,000 | $50 |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare · EPO | $470 | $600 | $1,274 | $0 | $10,600 | $50 |
Silver plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Standard Silver Ambetter Health · EPO | $491 | $627 | $1,332 | $6,000 | $8,900 | $40 |
| Complete Silver Ambetter Health · EPO | $499 | $637 | $1,353 | $5,950 | $8,850 | $30 |
| Balance by Medica Silver $0 Copay PCP Visits Medica · EPO | $500 | $639 | $1,357 | $3,500 | $10,450 | No Charge |
| Balance by Medica Silver Share Medica · EPO | $502 | $642 | $1,363 | $3,525 | $8,850 | $30 |
| Standard Silver + Vision + Adult Dental Ambetter Health · EPO | $506 | $646 | $1,372 | $6,000 | $8,900 | $40 |
| Balance by Medica Silver Standard Medica · EPO | $507 | $648 | $1,376 | $6,000 | $8,900 | $40 |
| Complete Silver + Vision + Adult Dental Ambetter Health · EPO | $514 | $656 | $1,394 | $5,950 | $8,850 | $30 |
| Cox HealthPlans Silver Standard Cox HealthPlans · EPO | $526 | $671 | $1,426 | $6,000 | $8,900 | $40 |
| Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · EPO | $557 | $712 | $1,511 | $7,200 | $8,625 | $20 |
| Cox HealthPlans Silver Preferred Cox HealthPlans · EPO | $558 | $713 | $1,513 | $3,500 | $7,900 | $35 |
| Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · EPO | $563 | $720 | $1,528 | $5,350 | $8,600 | $30 |
| Cox HealthPlans Silver Connect Cox HealthPlans · EPO | $566 | $722 | $1,535 | $6,000 | $7,000 | $40 |
| Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · EPO | $567 | $724 | $1,538 | $6,000 | $8,900 | $40 |
| UHC Silver Standard (No Referrals) UnitedHealthcare · EPO | $568 | $726 | $1,542 | $6,000 | $8,900 | $40 |
| UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare · EPO | $568 | $726 | $1,543 | $3,500 | $10,300 | $20 |
| Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · EPO | $571 | $729 | $1,549 | $3,100 | $10,150 | $25 |
| UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare · EPO | $580 | $741 | $1,573 | $0 | $10,600 | $50 |
| UHC Silver Standard+ (Dental + Vision, No Referrals) UnitedHealthcare · EPO | $583 | $745 | $1,582 | $6,000 | $8,900 | $40 |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) UnitedHealthcare · EPO | $583 | $745 | $1,582 | $3,500 | $10,300 | $20 |
Gold plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Balance by Medica Gold $0 Copay PCP Visits Medica · EPO | $462 | $591 | $1,254 | $1,500 | $8,800 | No Charge |
| Balance by Medica Gold Share Medica · EPO | $464 | $593 | $1,260 | $2,500 | $5,900 | $30 |
| Balance by Medica Gold Standard Medica · EPO | $471 | $602 | $1,279 | $2,000 | $8,200 | $30 |
| Standard Gold Ambetter Health · EPO | $480 | $614 | $1,303 | $2,000 | $8,200 | $30 |
| Everyday Gold Ambetter Health · EPO | $486 | $621 | $1,319 | $800 | $7,250 | $35 |
| Standard Gold + Vision + Adult Dental Ambetter Health · EPO | $495 | $632 | $1,343 | $2,000 | $8,200 | $30 |
| Everyday Gold + Vision + Adult Dental Ambetter Health · EPO | $501 | $640 | $1,359 | $800 | $7,250 | $35 |
| Complete Gold Ambetter Health · EPO | $502 | $642 | $1,363 | $1,450 | $7,700 | $15 |
| Cox HealthPlans Gold Standard Cox HealthPlans · EPO | $517 | $660 | $1,402 | $2,000 | $8,200 | $30 |
| Complete Gold + Vision + Adult Dental Ambetter Health · EPO | $517 | $661 | $1,404 | $1,450 | $7,700 | $15 |
| Cox HealthPlans Gold Preferred Cox HealthPlans · EPO | $537 | $685 | $1,456 | $500 | $7,500 | $25 |
| Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield · EPO | $538 | $687 | $1,459 | $2,000 | $8,200 | $30 |
| UHC Gold Standard (No Referrals) UnitedHealthcare · EPO | $544 | $695 | $1,477 | $2,000 | $8,200 | $30 |
| UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare · EPO | $547 | $699 | $1,485 | $1,500 | $8,100 | $15 |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) UnitedHealthcare · EPO | $562 | $718 | $1,524 | $1,500 | $8,100 | $15 |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) UnitedHealthcare · EPO | $566 | $724 | $1,537 | $0 | $8,000 | $25 |
Catastrophic plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Anthem Catastrophic Pathway (+ Incentives) Anthem Blue Cross and Blue Shield · EPO | $372 | $476 | $1,011 | $10,600 | $10,600 | $40 |
Care quality in Lawrence County
Marketplace plans use networks. Check that the hospitals and doctors you'd want are in network, and how they're rated.
Turning 65?
Marketplace plans are for people who aren't on Medicare. See Medicare Advantage plans in Lawrence County.
Frequently asked questions
How many Marketplace health plans are available in Lawrence County, MO for 2026?
55 plans from 5 insurers: Ambetter Health, Anthem Blue Cross and Blue Shield, Cox HealthPlans, Medica, UnitedHealthcare.
What is the benchmark silver plan premium in Lawrence County, MO?
For 2026, the second-lowest-cost silver plan costs $637 a month for a 40-year-old before tax credits, up 26.5% from 2025. Tax credits are calculated from this plan, so most people who qualify pay much less.
What is the cheapest health plan in Lawrence County, MO?
The lowest bronze premium for a 40-year-old is $473 a month before tax credits. Bronze plans have low premiums but high deductibles.
Did any insurers leave Lawrence County, MO?
Aetna CVS Health, Ambetter from Home State Health offered plans here in 2025 but don't for 2026. If you had one of their plans, you'll need to pick a new plan during open enrollment, or you may be moved to a similar plan automatically.