2027 ACA marketplace plans in Saint Louis County, Missouri
Updated with CMS 2027 plan data.
Saint Louis County, Missouri has 66 ACA marketplace plans from 5 insurers for 2027, with full-price monthly premiums for a 40-year-old ranging from $351 to $790 and a benchmark (second-lowest-cost silver) plan at $591 per month, before any premium tax credit, per CMS 2027 plan data. For help choosing or enrolling in a plan, call United Enrollment Services, a licensed insurance agency, at 1-866-401-4116.
Plan data retrieved November 3, 2026 from the CMS 2027 plan public use files. Premiums shown are full price for one 40-year-old non-smoker, before any premium tax credit.
2027 plan table
| Issuer | Plan | Metal | Age 40 | Deductible | MOOP |
|---|---|---|---|---|---|
| Anthem Blue Cross and Blue Shield | Anthem Catastrophic Pathway HSA (+ Incentives) | Catastrophic | $350.91 | $12,000 | $12,000 |
| Ambetter Health | Signature Expanded Bronze | Expanded Bronze | $446.85 | $7,500 | $12,000 |
| Ambetter Health | Everyday Bronze | Expanded Bronze | $454.15 | $9,350 | $11,100 |
| Anthem Blue Cross and Blue Shield | Anthem Bronze Pathway 11700 HSA ($0 Select Drugs + Incentives) | Expanded Bronze | $458.27 | $11,700 | $11,700 |
| Ambetter Health | Signature Expanded Bronze + Vision + Adult Dental | Expanded Bronze | $459.50 | $7,500 | $12,000 |
| Oscar Insurance Company | Bronze Classic Standard | Expanded Bronze | $464.52 | $7,500 | $12,000 |
| Oscar Insurance Company | Bronze Classic 4700 | Expanded Bronze | $465.16 | $4,700 | $12,000 |
| Ambetter Health | Everyday Bronze + Vision + Adult Dental | Expanded Bronze | $467.01 | $9,350 | $11,100 |
| Oscar Insurance Company | Bronze Simple Diabetes | Expanded Bronze | $467.63 | $5,500 | $12,000 |
| Oscar Insurance Company | Bronze Simple Chronic Care CKM | Expanded Bronze | $468.48 | $5,500 | $12,000 |
| Anthem Blue Cross and Blue Shield | Anthem Bronze Pathway 6900 HSA ($0 Select Drugs + Incentives) | Expanded Bronze | $479.95 | $6,900 | $12,000 |
| Oscar Insurance Company | Bronze Elite + PCP Saver Plus | Expanded Bronze | $484.36 | $0 | $12,000 |
| Anthem Blue Cross and Blue Shield | Anthem Bronze Pathway 7500 HSA Standard ($0 Select Drugs + Incentives) | Expanded Bronze | $487.06 | $7,500 | $12,000 |
| Ambetter Health | Elite Bronze | Expanded Bronze | $487.54 | $0 | $11,800 |
| Anthem Blue Cross and Blue Shield | Anthem Heart Healthy Bronze Pathway 4900 HSA ($0 Select Drugs + Incentives) | Expanded Bronze | $493.58 | $4,900 | $12,000 |
| Ambetter Health | Elite Bronze + Vision + Adult Dental | Expanded Bronze | $501.35 | $0 | $11,800 |
| UnitedHealthcare | UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) | Bronze | $534.58 | $11,750 | $11,750 |
| Oscar Insurance Company | Gold Elite Saver Plus | Gold | $560.99 | $0 | $11,750 |
| UnitedHealthcare | UHC Bronze Standard (HSA, $0 Insulin, No Referrals) | Expanded Bronze | $561.03 | $7,500 | $12,000 |
| Oscar Insurance Company | Gold Classic Standard | Gold | $563.71 | $2,500 | $8,600 |
| Oscar Insurance Company | Gold Simple | Gold | $564.76 | $2,750 | $10,000 |
| Ambetter Health | Signature Gold | Gold | $570.68 | $2,500 | $8,600 |
| UnitedHealthcare | UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals) | Expanded Bronze | $577.46 | $7,500 | $12,000 |
| Medica | Balance by Medica Bronze Share | Bronze | $581.17 | $8,000 | $12,000 |
| Ambetter Health | Signature Gold + Vision + Adult Dental | Gold | $586.84 | $2,500 | $8,600 |
| Ambetter Health | Signature Silver | Silver | $590.21 | $6,400 | $10,300 |
| Ambetter Health | Summit Silver | Silver | $591.22 | $4,100 | $9,800 |
| Ambetter Health | Everyday Gold | Gold | $591.76 | $800 | $7,250 |
| UnitedHealthcare | UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) | Expanded Bronze | $593.28 | $0 | $12,000 |
| Ambetter Health | Complete Gold | Gold | $600.56 | $1,450 | $9,500 |
| Oscar Insurance Company | Silver Core Plan | Silver | $600.65 | $9,000 | $10,300 |
| Oscar Insurance Company | Silver Classic Standard | Silver | $601.14 | $6,400 | $10,300 |
| Ambetter Health | Complete Silver | Silver | $601.44 | $6,950 | $10,000 |
| Medica | Balance by Medica Bronze Standard | Expanded Bronze | $602.23 | $7,500 | $12,000 |
| Oscar Insurance Company | Silver Simple PCP Saver | Silver | $602.97 | $5,750 | $10,000 |
| Anthem Blue Cross and Blue Shield | Anthem Gold Pathway 2500 Standard ($0 Select Drugs + Incentives) | Gold | $605.04 | $2,500 | $8,600 |
| Ambetter Health | Signature Silver + Vision + Adult Dental | Silver | $606.93 | $6,400 | $10,300 |
| Oscar Insurance Company | Silver Simple Women's Health with Menopause Benefits | Silver | $607.68 | $6,000 | $11,000 |
| Ambetter Health | Everyday Gold + Vision + Adult Dental | Gold | $608.53 | $800 | $7,250 |
| Oscar Insurance Company | Silver Simple Diabetes | Silver | $608.99 | $6,500 | $10,600 |
| UnitedHealthcare | UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals) | Expanded Bronze | $609.71 | $0 | $12,000 |
| Oscar Insurance Company | Silver Simple Chronic Care CKM | Silver | $610.26 | $6,500 | $10,500 |
| Ambetter Health | Complete Gold + Vision + Adult Dental | Gold | $617.57 | $1,450 | $9,500 |
| Ambetter Health | Complete Silver + Vision + Adult Dental | Silver | $618.47 | $6,950 | $10,000 |
| Anthem Blue Cross and Blue Shield | Anthem Silver Pathway 7000 ($0 Select Drugs + Incentives) | Silver | $631.80 | $7,000 | $9,725 |
| Anthem Blue Cross and Blue Shield | Anthem Silver Pathway 5350 ($0 Select Drugs + Incentives) | Silver | $642.64 | $5,350 | $10,000 |
| Anthem Blue Cross and Blue Shield | Anthem Silver Pathway 6400 Standard ($0 Select Drugs + Incentives) | Silver | $643.13 | $6,400 | $10,300 |
| Anthem Blue Cross and Blue Shield | Anthem Heart Healthy Silver Pathway 3100 ($0 Select Drugs + Incentives) | Silver | $656.32 | $3,100 | $11,900 |
| UnitedHealthcare | UHC Gold Standard ($0 Insulin, No Referrals) | Gold | $707.58 | $2,500 | $8,600 |
| UnitedHealthcare | UHC Gold Advantage ($0 Virtual Urgent Care, $0 Insulin, No Referrals) | Gold | $712.19 | $2,000 | $8,100 |
| UnitedHealthcare | UHC Gold Standard+ ($0 Insulin, Dental + Vision, No Referrals) | Gold | $724.01 | $2,500 | $8,600 |
| Medica | Balance by Medica Gold Share | Gold | $724.27 | $2,600 | $6,000 |
| Medica | Balance by Medica Gold Standard | Gold | $726.22 | $2,500 | $8,600 |
| UnitedHealthcare | UHC Gold Advantage+ ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) | Gold | $728.62 | $2,000 | $8,100 |
| Medica | Balance by Medica Gold HSA | Gold | $733.01 | $3,500 | $4,700 |
| UnitedHealthcare | UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, No Referrals) | Gold | $735.29 | $0 | $8,000 |
| UnitedHealthcare | UHC Silver Standard ($0 Insulin, No Referrals) | Silver | $747.89 | $6,400 | $10,300 |
| UnitedHealthcare | UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) | Gold | $751.72 | $0 | $8,000 |
| UnitedHealthcare | UHC Silver Advantage ($0 Virtual Urgent Care, $0 Insulin, No Referrals) | Silver | $757.58 | $3,500 | $10,300 |
| UnitedHealthcare | UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) | Silver | $759.39 | $0 | $12,000 |
| UnitedHealthcare | UHC Silver Standard+ ($0 Insulin, Dental + Vision, No Referrals) | Silver | $764.32 | $6,400 | $10,300 |
| UnitedHealthcare | UHC Silver Advantage+ ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) | Silver | $774.01 | $3,500 | $10,300 |
| UnitedHealthcare | UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) | Silver | $775.82 | $0 | $12,000 |
| Medica | Balance by Medica Silver Standard | Silver | $780.24 | $6,400 | $10,300 |
| Medica | Balance by Medica Silver Share | Silver | $780.91 | $3,525 | $9,300 |
| Medica | Balance by Medica Silver HSA | Silver | $789.59 | $4,200 | $8,700 |
Questions about 2027 plans in Saint Louis County
- How many ACA plans are available in Saint Louis County for 2027?
- Saint Louis County, Missouri has 66 ACA marketplace plans from 5 insurers for 2027, per CMS 2027 plan data.
- What is the 2027 benchmark (second-lowest-cost silver) premium in Saint Louis County?
- The 2027 benchmark (second-lowest-cost silver) premium in Saint Louis County is $591 per month for a 40-year-old before tax credits.
- What is the cheapest 2027 plan in Saint Louis County?
- The cheapest 2027 plan in Saint Louis County is Anthem Catastrophic Pathway HSA (+ Incentives) from Anthem Blue Cross and Blue Shield, a Catastrophic plan at $351 per month for a 40-year-old before tax credits.
- When is Open Enrollment for 2027 coverage?
- In states that use HealthCare.gov, Open Enrollment for 2027 coverage runs November 1, 2026 through January 15, 2027. Enroll by December 15, 2026 for coverage that starts January 1, 2027.
- How do I get help choosing or enrolling?
- For help choosing or enrolling in a plan, call United Enrollment Services, a licensed insurance agency, at 1-866-401-4116. You can also enroll yourself at HealthCare.gov.
Insurers in this county
- Ambetter Health — all 2027 Ambetter Health plans in Missouri
- UnitedHealthcare — all 2027 UnitedHealthcare plans in Missouri
- Oscar Insurance Company — all 2027 Oscar Insurance Company plans in Missouri
- Anthem Blue Cross and Blue Shield — all 2027 Anthem Blue Cross and Blue Shield plans in Missouri
- Medica — all 2027 Medica plans in Missouri
Sources
- CMS PY2027 Plan Attributes and Rate public use files — plan, premium, deductible and out-of-pocket figures on this page are per CMS 2027 plan data from the Plan Year 2027 Qualified Health Plan public use files published by the Centers for Medicare & Medicaid Services.