Best Cheap Health Insurance in Missouri 2020

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On the Missouri health insurance exchange, there are four tiers of coverage to choose from based on your financial and medical needs — the Silver metal tier stands out for offering subsidized plans depending on your income level.

For the 2020 plan year, the average cost of health insurance is $578 for a 40-year-old, a 6% decrease from 2018.

In Missouri, the cheapest Silver health plan was either the Anthem Silver Pathway X 6000, Ambetter Balanced Care 11 or Cigna Connect 5500, depending on where you live. The most affordable plan will depend on where you reside; plan availability and the cost of monthly premiums will change depending on county.

Cheapest Health Insurance by Metal Tier

We compared Missouri health insurance policies by metal tier to help you with your search for your best coverage. In the table below, we identify the cheapest plan in the state within each coverage tier, along with sample rates and coverage terms.

These particular policies may not be available or the cheapest in your count, since the best health plans differ by region, but they can still be used as a baseline in comparing the different costs and benefits among each metal tier.

Metal tierCheapest planDeductibleMaximum out-of-pocketMonthly cost for a 40-year-old
CatastrophicWellFirst Catastrophic Safety Net$8,150$8,150$239
BronzeWellFirst Bronze Value Copay 8100X$8,100$8,100$312
Expanded BronzeWellFirst Bronze HSA-E 6700X$6,700$6,700$307
SilverAmbetter Balanced Care 11 (2020)$6,000$8,100$405
GoldWellFirst Gold Value Copay 3700X$3,700$3,700$443

A higher metal tier health plan will mean more expensive monthly premiums, but lower out-of-pocket costs. For example, the WellFirst Bronze Value plan has a minimum monthly premium of $312, which is about $94 less per month than the cheapest Silver plan, Ambetter Balanced Care 11. However, the Silver plan offers cheaper out-of-pocket costs with a deductible $2,500 lower than the Bronze plan.

Regardless of which metal tier plan you choose, your monthly health insurance rates will increase with age. For example, a 60-year-old will pay 112% more on average than a 40-year-old in Missouri for the same health coverage. This means a 60-year-old would pay $705 more per month on average for a Silver health plan, or $512 more for a Bronze plan.

Average Monthly Cost of Health Insurance Plans by Metal Tier in Missouri

Finding your Best Health Insurance Coverage in Missouri

The Missouri health insurance marketplace offers policies in the following four tiers: Catastrophic, Bronze, Silver and Gold. Higher metal tier health plans, like Gold policies, typically have the most expensive premiums, but affordable out-of-pocket expenses, like deductibles, copays and coinsurance.

This means if you have high recurring medical costs, like prescriptions, or think you may need medical care, a higher metal tier plan may be the best option for you. On the other hand, if you are young, healthy and have no expected medical costs — and can cover the higher cost-sharing — a lower metal tier policy may be the choice for you.

Gold Plans: Best for High Expected Medical Costs

If you use or expect to use your insurance often, Gold health insurance plans are typically the most cost-effective since they have smallest out-of-pocket costs. If you use your insurance often, the lower deductibles and copay can balance out the expensive monthly premiums.

Ultimately, Gold plans are best if you have high expected medical costs, such as chronic conditions that may require constant medical attention, or are concerned about being able to pay out of pocket for an unexpected condition.

Silver Plans: Best for those with Low Income or Average Medical Costs

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 costly if you don't qualify for premium subsidies, as cost-sharing reduction (CSR) subsidies are no longer funded by the federal government.

If you are part of a lower-income household, you may qualify for CSR subsidies with a Silver health plan, which would further lower your out-of-pocket expenses. Typical Silver plans cover about 70% of your health care costs, while you pay 30%, but under CSR subsidies, you could qualify for a Silver plan that covers up to 94% of your health care costs.

Bronze and Catastrophic Plans: Best for Young, Healthy People

Catastrophic and Bronze plans typically have lower-cost premiums compared to Silver and Gold plans. However, you must be under 30 or qualify for an exemption to purchase a Catastrophic plan. These cheap policies come with lower coverage, meaning higher out-of-pocket costs.

So, if you need medical care during the year, you would have to pay more money yourself in deductibles and copays before the policy provides coverage. We wouldn't recommend Bronze or Catastrophic policies unless you can afford the higher deductibles, copays and coinsurance in the case of a medical emergency.

Health insurance rate changes in Missouri

In Missouri, health insurance providers will adjust their premiums, deductibles and out-of-pocket maximum annually depending on a variety of factors. These changes are then reported to federal regulators to be approved.

In 2020, all metal tiers decreased when compared to the premiums in 2018. As you can see in the table below, Gold tier plans declined the most — falling by over 14% — followed by Bronze, which decreased by $69.

Metal tier2018 Premium2020 Premium% Change
Catastrophic$491$442-9.98%
Bronze$525$456-13.23%
Silver$638$627-1.65%
Gold$833$715-14.15%
2018 and 2020 premiums are for a 40-year-old adult.

Short-Term Health Insurance in Missouri

Missouri short-term health insurance is available for purchase through off-exchange health insurance providers. Federal regulations for these plans allow coverage lengths for up to one year, but Missouri limits short-term plans by allowing coverage to only last six months. However, you can renew a plan after the first coverage period.

Short-term health insurance can be useful if you miss the opportunity to purchase a marketplace plan during open enrollment or lose your previous health insurance coverage. But it is important to know that short-term policies do not cover all the essential benefits like Affordable Care Act plans. This can include guaranteed benefits like maternity and prescription drug services.

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Best Cheap Health Insurance Companies in Missouri

There are currently seven health insurance companies that service Missouri:

  • Healthy Alliance Life Co (Anthem BCBS)
  • Celtic Insurance Company
  • Cox Health Systems Insurance Company
  • Cigna Health and Life Insurance Company
  • Medica Insurance Company
  • Oscar Insurance Company
  • SSM Health Insurance Company

Most counties only have one insurer for residents to choose a health plan from, but some of the larger counties, including Jackson and Clay in the Kansas City metro area, will have multiple insurers available. Despite the limited selection of health insurance companies in most counties, a range of plans in different metal tiers is available to tailor your coverage.

Cheapest Health Insurance Plan By County

Finding the best health plan for you can be challenging since the selection of plans and their cost changes depending on the region you're in.

For instance, the monthly cost of the Ambetter Balanced Care 11 Silver plan is $57 more expensive in Andrew County than it is in Barry County, for a 40-year-old. To make this process simpler, we compared rates for every Silver policy in Missouri to find the cheapest Silver health plan in each county, listed in the table below.

CountyCheapest PlanAge 40Couple, Age 40Couple, Age 40 + Child
AdairAnthem Silver Pathway X 6000$731$1,462$1,899
AndrewAmbetter Balanced Care 11 (2020)$508$1,016$1,320
AtchisonAmbetter Balanced Care 11 (2020)$508$1,016$1,320
AudrainAnthem Silver Pathway X 6000$638$1,277$1,659
BarryAmbetter Balanced Care 11 (2020)$451$902$1,172
BartonAmbetter Balanced Care 11 (2020)$428$856$1,112
BatesAmbetter Balanced Care 11 (2020)$448$896$1,164
BentonAmbetter Balanced Care 11 (2020)$448$896$1,164
BollingerAnthem Silver Pathway X 6000$675$1,349$1,753
BooneCigna Connect 5500$484$969$1,259
BuchananAmbetter Balanced Care 11 (2020)$508$1,016$1,320
ButlerAnthem Silver Pathway X 6000$675$1,349$1,753
CaldwellAmbetter Balanced Care 11 (2020)$508$1,016$1,320
CallawayAnthem Silver Pathway X 6000$638$1,277$1,659
CamdenAnthem Silver Pathway X 6000$638$1,277$1,659
Cape GirardeauAnthem Silver Pathway X 6000$675$1,349$1,753
CarrollAmbetter Balanced Care 11 (2020)$508$1,016$1,320
CarterAnthem Silver Pathway X 6000$674$1,349$1,753
CassAmbetter Balanced Care 11 (2020)$443$886$1,151
CedarAmbetter Balanced Care 11 (2020)$451$902$1,172
CharitonAnthem Silver Pathway X 6000$638$1,277$1,659
ChristianAmbetter Balanced Care 11 (2020)$451$902$1,172
ClarkAnthem Silver Pathway X 6000$731$1,462$1,899
ClayAmbetter Balanced Care 11 (2020)$443$886$1,151
ClintonAmbetter Balanced Care 11 (2020)$508$1,016$1,320
ColeAnthem Silver Pathway X 6000$638$1,277$1,659
CooperAnthem Silver Pathway X 6000$638$1,277$1,659
CrawfordAnthem Silver Pathway X 6000$674$1,349$1,753
DadeAmbetter Balanced Care 11 (2020)$451$902$1,172
DallasAmbetter Balanced Care 11 (2020)$451$902$1,172
DaviessAmbetter Balanced Care 11 (2020)$508$1,016$1,320
DekalbAmbetter Balanced Care 11 (2020)$508$1,016$1,320
DentAnthem Silver Pathway X 6000$674$1,349$1,753
DouglasAmbetter Balanced Care 11 (2020)$451$902$1,172
DunklinAnthem Silver Pathway X 6000$675$1,349$1,753
FranklinAmbetter Balanced Care 11 (2020)$405$810$1,053
GasconadeAnthem Silver Pathway X 6000$638$1,277$1,659
GentryAmbetter Balanced Care 11 (2020)$508$1,016$1,320
GreeneAmbetter Balanced Care 11 (2020)$451$902$1,172
GrundyAmbetter Balanced Care 11 (2020)$508$1,016$1,320
HarrisonAmbetter Balanced Care 11 (2020)$508$1,016$1,320
HenryAmbetter Balanced Care 11 (2020)$448$896$1,164
HickoryAmbetter Balanced Care 11 (2020)$451$902$1,172
HoltAmbetter Balanced Care 11 (2020)$508$1,016$1,320
HowardAnthem Silver Pathway X 6000$638$1,277$1,659
HowellAnthem Silver Pathway X 6000$674$1,349$1,753
IronAnthem Silver Pathway X 6000$674$1,349$1,753
JacksonAmbetter Balanced Care 11 (2020)$443$886$1,151
JasperAmbetter Balanced Care 11 (2020)$428$856$1,112
JeffersonAmbetter Balanced Care 11 (2020)$405$810$1,053
JohnsonAmbetter Balanced Care 11 (2020)$448$896$1,164
KnoxAnthem Silver Pathway X 6000$731$1,462$1,899
LacledeAmbetter Balanced Care 11 (2020)$451$902$1,172
LafayetteAmbetter Balanced Care 11 (2020)$448$896$1,164
LawrenceAmbetter Balanced Care 11 (2020)$451$902$1,172
LewisAnthem Silver Pathway X 6000$731$1,462$1,899
LincolnAmbetter Balanced Care 11 (2020)$405$810$1,053
LinnAnthem Silver Pathway X 6000$731$1,462$1,899
LivingstonAmbetter Balanced Care 11 (2020)$508$1,016$1,320
MaconAnthem Silver Pathway X 6000$731$1,462$1,899
MadisonAnthem Silver Pathway X 6000$675$1,349$1,753
MariesAnthem Silver Pathway X 6000$638$1,277$1,659
MarionAnthem Silver Pathway X 6000$731$1,462$1,899
McdonaldAmbetter Balanced Care 11 (2020)$428$856$1,112
MercerAmbetter Balanced Care 11 (2020)$508$1,016$1,320
MillerAnthem Silver Pathway X 6000$638$1,277$1,659
MississippiAnthem Silver Pathway X 6000$675$1,349$1,753
MoniteauAnthem Silver Pathway X 6000$638$1,277$1,659
MonroeAnthem Silver Pathway X 6000$638$1,277$1,659
MontgomeryAnthem Silver Pathway X 6000$638$1,277$1,659
MorganAnthem Silver Pathway X 6000$638$1,277$1,659
New MadridAnthem Silver Pathway X 6000$675$1,349$1,753
NewtonAmbetter Balanced Care 11 (2020)$428$856$1,112
NodawayAmbetter Balanced Care 11 (2020)$508$1,016$1,320
OregonAnthem Silver Pathway X 6000$674$1,349$1,753
OsageAnthem Silver Pathway X 6000$638$1,277$1,659
OzarkAmbetter Balanced Care 11 (2020)$451$902$1,172
PemiscotAnthem Silver Pathway X 6000$675$1,349$1,753
PerryAnthem Silver Pathway X 6000$675$1,349$1,753
PettisAmbetter Balanced Care 11 (2020)$448$896$1,164
PhelpsAnthem Silver Pathway X 6000$674$1,349$1,753
PikeAnthem Silver Pathway X 6000$731$1,462$1,899
PlatteAmbetter Balanced Care 11 (2020)$443$886$1,151
PolkAmbetter Balanced Care 11 (2020)$451$902$1,172
PulaskiAnthem Silver Pathway X 6000$674$1,349$1,753
PutnamAnthem Silver Pathway X 6000$731$1,462$1,899
RallsAnthem Silver Pathway X 6000$731$1,462$1,899
RandolphAnthem Silver Pathway X 6000$638$1,277$1,659
RayAmbetter Balanced Care 11 (2020)$508$1,016$1,320
ReynoldsAnthem Silver Pathway X 6000$674$1,349$1,753
RipleyAnthem Silver Pathway X 6000$674$1,349$1,753
Saint CharlesAmbetter Balanced Care 11 (2020)$405$810$1,053
Saint ClairAmbetter Balanced Care 11 (2020)$448$896$1,164
Saint FrancoisCigna Connect 5500$450$901$1,171
Saint LouisAmbetter Balanced Care 11 (2020)$405$810$1,053
Saint Louis CityAmbetter Balanced Care 11 (2020)$405$810$1,053
Sainte GenevieveCigna Connect 5500$450$901$1,171
SalineAmbetter Balanced Care 11 (2020)$448$896$1,164
SchuylerAnthem Silver Pathway X 6000$731$1,462$1,899
ScotlandAnthem Silver Pathway X 6000$731$1,462$1,899
ScottAnthem Silver Pathway X 6000$675$1,349$1,753
ShannonAnthem Silver Pathway X 6000$674$1,349$1,753
ShelbyAnthem Silver Pathway X 6000$731$1,462$1,899
StoddardAnthem Silver Pathway X 6000$675$1,349$1,753
StoneAmbetter Balanced Care 11 (2020)$451$902$1,172
SullivanAnthem Silver Pathway X 6000$731$1,462$1,899
TaneyAmbetter Balanced Care 11 (2020)$451$902$1,172
TexasAnthem Silver Pathway X 6000$674$1,349$1,753
VernonAmbetter Balanced Care 11 (2020)$448$896$1,164
WarrenAmbetter Balanced Care 11 (2020)$405$810$1,053
WashingtonCigna Connect 5500$450$901$1,171
WayneAnthem Silver Pathway X 6000$675$1,349$1,753
WebsterAmbetter Balanced Care 11 (2020)$451$902$1,172
WorthAmbetter Balanced Care 11 (2020)$508$1,016$1,320
WrightAmbetter Balanced Care 11 (2020)$451$902$1,172

Average Cost of Health Insurance by Family Size in Missouri

The number of people covered by a particular health insurance plan and their ages will all contribute to the cost of coverage. When you add a child to your health insurance plan, the price will increase by an additional flat rate until they are 15 years old. Once they reach age 15, the monthly rate will increase as they grow older.

For instance, the average monthly health insurance cost for a family of four in Missouri, assuming two 40-year-old parents and one child on a Silver plan, is $1,631. If you were to add another child to the plan, the monthly premium would increase by $376. So for a family of four, the total monthly cost of health coverage would be $2,006.

Family SizeAverage monthly cost of health plan
Individual + Child$1,003
Couple Age 40$1,255
Family of three (Adult couple and a child)$1,631
Family of four (Adult couple and two children)$2,006
Family of five (Adult couple and three children)$2,382
Adults are assumed to be 40 years old. Sample rates are based on the average cost for a Silver plan in Missouri.

Methodology

Health insurance rates, deductibles and out-of-pocket maximums were aggregated from data found on the Centers for Medicaid & Medicare Services government website. ValuePenguin used the Public Use Files (PUF) to calculate average values by metal tier, family size and county to better understand the health insurance marketplace in Missouri.

Editorial Note: The content of this article is based on the author’s opinions and recommendations alone. It has not been previewed, commissioned or otherwise endorsed by any of our network partners.