2026 plan year · Missouri

2026 health insurance plans in Saint Louis County, MO

68 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.

Insurer changes from 2025

Bronze plans

PlanAge 21Age 40Age 60DeductibleOut-of-pocket maxDoctor visit
Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield · EPO
$317$406$862$10,150$10,150No Charge after Deductible
UHC Bronze Essential (No Referrals)
UnitedHealthcare · EPO
$354$452$960$10,600$10,600No Charge after Deductible

Expanded Bronze plans

PlanAge 21Age 40Age 60DeductibleOut-of-pocket maxDoctor visit
Standard Expanded Bronze
Ambetter Health · EPO
$317$405$860$7,500$10,000$50
Everyday Bronze
Ambetter Health · EPO
$317$406$861$8,450$10,150$40
Standard Expanded Bronze + Vision + Adult Dental
Ambetter Health · EPO
$326$417$886$7,500$10,000$50
Everyday Bronze + Vision + Adult Dental
Ambetter Health · EPO
$327$418$887$8,450$10,150$40
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield · EPO
$332$425$902$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
$337$430$914$4,900$10,150$55
Bronze Classic Standard
Oscar Insurance Company · EPO
$337$430$914$7,500$10,000$50
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield · EPO
$339$434$921$7,500$10,000$50
Bronze Classic 4700
Oscar Insurance Company · EPO
$343$438$930$4,700$9,800$70
Elite Bronze
Ambetter Health · EPO
$344$439$933$0$10,500$50
Bronze Simple Diabetes
Oscar Insurance Company · EPO
$345$441$936$5,500$10,150$50
Bronze Elite + PCP Saver Plus
Oscar Insurance Company · EPO
$351$449$953$0$10,600$50
Elite Bronze + Vision + Adult Dental
Ambetter Health · EPO
$354$452$961$0$10,500$50
Medica with SSM Health Bronze Share
Medica · EPO
$366$468$994$8,000$10,600$50
UHC Bronze Standard (No Referrals)
UnitedHealthcare · EPO
$376$480$1,019$7,500$10,000$50
Balance by Medica Bronze $0 Copay PCP Visits
Medica · EPO
$377$482$1,024$7,500$10,600No Charge
Balance by Medica Expanded Bronze Standard
Medica · EPO
$381$486$1,033$7,500$10,000$50
Medica with SSM Health Bronze $0 Copay PCP Visits
Medica · EPO
$381$487$1,034$7,500$10,600No Charge
Medica with SSM Health Expanded Bronze Standard
Medica · EPO
$384$491$1,042$7,500$10,000$50
Balance by Medica Bronze Premier
Medica · EPO
$384$491$1,043$2,000$10,600No Charge after Deductible
UHC Bronze Standard+ (Dental + Vision, No Referrals)
UnitedHealthcare · EPO
$388$496$1,052$7,500$10,000$50
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare · EPO
$396$506$1,076$0$10,600$50

Silver plans

PlanAge 21Age 40Age 60DeductibleOut-of-pocket maxDoctor visit
Standard Silver
Ambetter Health · EPO
$409$523$1,111$6,000$8,900$40
Complete Silver
Ambetter Health · EPO
$416$532$1,129$5,950$8,850$30
Standard Silver + Vision + Adult Dental
Ambetter Health · EPO
$422$539$1,145$6,000$8,900$40
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield · EPO
$427$546$1,159$7,200$8,625$20
Complete Silver + Vision + Adult Dental
Ambetter Health · EPO
$428$548$1,163$5,950$8,850$30
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield · EPO
$432$552$1,172$5,350$8,600$30
Silver Simple PCP Saver
Oscar Insurance Company · EPO
$434$555$1,178$5,100$10,000$20
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield · EPO
$434$555$1,179$6,000$8,900$40
Silver Classic Standard
Oscar Insurance Company · EPO
$437$559$1,187$6,000$8,900$40
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield · EPO
$438$559$1,188$3,100$10,150$25
Silver Simple Diabetes
Oscar Insurance Company · EPO
$438$560$1,189$6,500$10,000No Charge
Silver Simple Women's Health with Menopause Benefits
Oscar Insurance Company · EPO
$440$562$1,194$6,000$10,150No Charge
Silver Elite Saver Plus
Oscar Insurance Company · EPO
$442$564$1,198$0$10,150$80
UHC Silver Standard (No Referrals)
UnitedHealthcare · EPO
$480$613$1,302$6,000$8,900$40
UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare · EPO
$480$613$1,302$3,500$10,300$20
Balance by Medica Silver $0 Copay PCP Visits
Medica · EPO
$484$619$1,314$3,500$10,450No Charge
Balance by Medica Silver Share
Medica · EPO
$486$621$1,319$3,525$8,850$30
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare · EPO
$489$625$1,328$0$10,600$50
Medica with SSM Health Silver $0 Copay PCP Visits
Medica · EPO
$490$626$1,330$3,500$10,450No Charge
Balance by Medica Silver Standard
Medica · EPO
$491$627$1,332$6,000$8,900$40
UHC Silver Standard+ (Dental + Vision, No Referrals)
UnitedHealthcare · EPO
$492$629$1,335$6,000$8,900$40
UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UnitedHealthcare · EPO
$492$629$1,335$3,500$10,300$20
Medica with SSM Health Silver Share
Medica · EPO
$492$629$1,335$3,525$8,850$30
Medica with SSM Health Silver Standard
Medica · EPO
$497$635$1,349$6,000$8,900$40

Gold plans

PlanAge 21Age 40Age 60DeductibleOut-of-pocket maxDoctor visit
Gold Simple
Oscar Insurance Company · EPO
$399$510$1,083$3,300$9,950$5
Standard Gold
Ambetter Health · EPO
$401$512$1,087$2,000$8,200$30
Everyday Gold
Ambetter Health · EPO
$405$518$1,100$800$7,250$35
Gold Classic Standard
Oscar Insurance Company · EPO
$407$520$1,104$2,000$8,200$30
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield · EPO
$412$527$1,119$2,000$8,200$30
Standard Gold + Vision + Adult Dental
Ambetter Health · EPO
$413$528$1,120$2,000$8,200$30
Everyday Gold + Vision + Adult Dental
Ambetter Health · EPO
$418$534$1,133$800$7,250$35
Complete Gold
Ambetter Health · EPO
$419$535$1,137$1,450$7,700$15
Complete Gold + Vision + Adult Dental
Ambetter Health · EPO
$432$552$1,172$1,450$7,700$15
Balance by Medica Gold $0 Copay PCP Visits
Medica · EPO
$447$572$1,214$1,500$8,800No Charge
Balance by Medica Gold Share
Medica · EPO
$450$575$1,220$2,500$5,900$30
Medica with SSM Health Gold $0 Copay PCP Visits
Medica · EPO
$452$578$1,227$1,500$8,800No Charge
Medica with SSM Health Gold Share
Medica · EPO
$454$581$1,233$2,500$5,900$30
Balance by Medica Gold Standard
Medica · EPO
$456$583$1,239$2,000$8,200$30
UHC Gold Standard (No Referrals)
UnitedHealthcare · EPO
$459$587$1,246$2,000$8,200$30
Medica with SSM Health Gold Standard
Medica · EPO
$461$590$1,252$2,000$8,200$30
UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare · EPO
$462$590$1,253$1,500$8,100$15
UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UnitedHealthcare · EPO
$474$606$1,286$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
$478$611$1,297$0$8,000$25

Catastrophic plans

PlanAge 21Age 40Age 60DeductibleOut-of-pocket maxDoctor visit
Anthem Catastrophic Pathway (+ Incentives)
Anthem Blue Cross and Blue Shield · EPO
$286$365$775$10,600$10,600$40

Frequently asked questions

How many Marketplace health plans are available in Saint Louis County, MO for 2026?

68 plans from 5 insurers: Ambetter Health, Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company, UnitedHealthcare.

What is the benchmark silver plan premium in Saint Louis County, MO?

For 2026, the second-lowest-cost silver plan costs $532 a month for a 40-year-old before tax credits, up 26% from 2025. Tax credits are calculated from this plan, so most people who qualify pay much less.

What is the cheapest health plan in Saint Louis County, MO?

The lowest bronze premium for a 40-year-old is $405 a month before tax credits. Bronze plans have low premiums but high deductibles.

Did any insurers leave Saint Louis 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.