In our review of Missouri's 2026 Plans across different insurers for a 40-year-old, Oscar provides the cheapest health insurance in Missouri at $618 monthly. The Gold plan costs $570 per month, $50 less than its own Silver plan at $620. That $50 difference buys a deductible that falls from $3,306 to $1,988, a $1,318 reduction in cost-sharing exposure. That's why our recommendation for most Missouri shoppers is Oscar's Gold plan because if you use health care more than twice a year, Gold costs less in total. Cox Healthplans and Anthem are within $7 of each other, at $650 and $657.
Cheapest Health Insurance in Missouri (2026)
Oscar, Cox Healthplans and Anthem have the cheapest health insurance in Missouri for the 2026 plan year.
Compare affordable health insurance options in Missouri below.

Updated: July 3, 2026
Advertising & Editorial Disclosure
Oscar offers the lowest health insurance rates in Missouri with average monthly premiums of $618.
Oscar provides the cheapest health insurance for young adults, adults, seniors and EPO plans in Missouri. Cox Healthplans has the cheapest Bronze plan rates. Anthem has the cheapest Catastrophic plan rates.
Shop smart by determining your coverage needs within budget, verifying subsidy eligibility and requesting quotes from multiple insurers. Open Enrollment can reduce your annual insurance costs by hundreds of dollars.
Most Affordable Health Insurance Companies in Missouri
Oscar | Silver Tier | $618 | $7,416 | $6,103 | $3,306 |
Cox Healthplans | Bronze Level | $473 | $5,676 | $7,950 | $7,950 |
Anthem | Catastrophic Plans | $476 | $5,709 | $10,600 | $10,600 |
* We calculate average monthly rates by taking the rounded average of each provider’s monthly plan rates in Missouri. We calculate average monthly savings by subtracting the statewide average monthly rate from each provider’s average. Your actual rates will vary based on age, location and chosen plan.

Oscar Insurance Company
Most Affordable Silver Health Insurance in Missouri
Average Monthly Rate
$618Average MOOP
$6,837Average Deductible
$3,240
- pros
Gold costs $50 less than Silver monthly ($570 vs. $620) with a $1,318 lower deductible
EPO network allows specialist visits without referrals
HSA-eligible Expanded Bronze plan at $487 monthly
consPrimary care covered only at in-network providers, with no out-of-network reimbursement
Expanded Bronze out-of-pocket maximum of $7,603, the highest MOOP among Oscar's Missouri plans
Oscar has the cheapest health insurance in Missouri. Its Gold coverage is 17% below the state average and costs less per month than the insurer's own Silver plan at $620 with a $3,306 deductible. Oscar's EPO-only plans in Missouri range from $487 monthly for Expanded Bronze to $620 for Silver.
Oscar covers in-network care only, with no out-of-network reimbursement for routine visits, so a visit to an out-of-network primary care doctor means paying full price no matter which plan tier you pick.
If you plan to buy Bronze-tier plans and want lowest premium, you should opt for Cox Healthplans. It costs $14 less monthly than Oscar's Expanded Bronze or $168 less per year.

Cox HealthPlans
Cheapest Bronze Health Insurance in Missouri
Average Monthly Rate
$473Average MOOP
$7,950Average Deductible
$7,950
- pros
Cheapest Bronze plan in Missouri at $473 monthly
Direct ties to CoxHealth's hospital network for southwest Missouri residents
No referral requirement for in-network CoxHealth specialists
consCoverage area limited to Missouri
Bronze deductible of $7,950, the highest among Missouri's top-tier carriers
Limited network access outside the Springfield region
Southwest Missouri residents who already see CoxHealth doctors get the lowest Bronze premium in the state with Cox Healthplans. It's $7,950 deductible is the highest of any plan covered and fits healthy enrollees who rarely use care beyond preventive visits.
Cox Healthplans is the health plan subsidiary of CoxHealth, a hospital system based in Springfield, Missouri, and it sells coverage only within the state. Its EPO plans require care inside the CoxHealth network for full benefits, a structure that works well for southwest Missouri residents already using CoxHealth facilities.
For CoxHealth, the provider access is not much help if you live in St. Louis and Kansas City and you should confirm specific doctors are in-network before enrolling. Also, if you're managing a chronic condition, you should weigh that $7,950 deductible against Oscar's Gold plan. It costs $97 more monthly but carries a deductible nearly $6,000 lower.

Anthem
Cheapest Catastrophic Health Insurance in Missouri
Average Monthly Rate
$476Average MOOP
$10,600Average Deductible
$10,600
- pros
Cheapest Catastrophic plan in Missouri at $476 monthly
Backed by the national Blue Cross Blue Shield network
consCatastrophic deductible of $10,600, the highest of any plan covered on this page
Catastrophic coverage restricted to under-30 or hardship-exemption enrollees only
Anthem has the cheapest Catastrophic plan in Missouri at $476 monthly, $3 more than Cox's cheapest Bronze plan. Anthem's Catastrophic plan is also available on the national Blue Cross Blue Shield network and works best if you split time between Missouri and another state as you'd still find in-network care while traveling. It's Silver Pathway Essentials 7200 plan at $645 monthly stands out for its $0 virtual primary care visits and $0 select drug copays.
Anthem's Catastrophic plan only works within a narrow eligibility window. You have to be under 30 or qualify for a hardship exemption to buy it and the $10,600 deductible is the highest. If you are outside that window, Cox's Bronze plan provides more value at $473 monthly with a $7,950 deductible or Oscar's Gold plan at $570 with a $1,988 deductible. A 35-year-old without a hardship exemption can't legally buy this plan at any price, no matter how attractive the $476 premium looks.
Cheapest Missouri Health Insurance Providers by Profile
We found one point surprising that Oscar alone sells the cheapest Silver-tier plan across every age group in Missouri, from $371 monthly for children to $1,317 for 60-year-olds. But the most affordable plan for you depends on age, plan type preference and metal level. You should also weigh premiums against deductibles and maximum out-of-pocket (MOOP) costs.
Children | Oscar | $371 | $4,456 | $6,103 | $3,306 |
Teens | Oscar | $443 | $5,318 | $6,103 | $3,306 |
Young Adults | Oscar | $497 | $5,964 | $6,103 | $3,306 |
Adults | Oscar | $620 | $7,444 | $6,103 | $3,306 |
EPO | Oscar | $620 | $7,444 | $6,103 | $3,306 |
Seniors | Oscar | $1,317 | $15,808 | $6,103 | $3,306 |
* Rates shown are averages for silver-tier plans, using the following ages for each group: teens age 18, young adults age 26, adults age 40, seniors age 60. For plan type costs, we used average rates for 40-year-olds.
In our analysis, the 60-year-old senior rate is $1,317 monthly, more than double the $620 a 40-year-old pays for the same Oscar Silver plan. Seniors paying $1,317 monthly for a marketplace plan should check Medicare eligibility first. Adults 65 and older qualify for Medicare, where premiums for comparable coverage are lower for most enrollees.
Cheapest Missouri Health Insurance by Metal Level
Cox Healthplans has the cheapest Bronze plans in Missouri at $473 monthly. Oscar has the cheapest Silver at $620 and the cheapest Gold at $570. Platinum plans aren't available in Missouri.
Bronze | Cox Healthplans | $473 | $5,676 | $7,950 | $7,950 |
Catastrophic | Anthem | $476 | $5,709 | $10,600 | $10,600 |
Expanded Bronze | Oscar | $487 | $5,842 | $7,603 | $4,425 |
Gold | Oscar | $570 | $6,845 | $6,806 | $1,988 |
Silver | Oscar | $620 | $7,444 | $6,103 | $3,306 |
* Rates shown are the provider's average at the given metal tier for 40-year-olds.
Oscar's Gold plan reduces your out-of-pocket maximum to $6,806 vs. $7,603 for Oscar's Expanded Bronze tier, a $797 difference in maximum annual exposure. Anthem's Catastrophic plan carries a $10,600 ceiling, $3,794 more than Oscar's Gold tier.
Anthem's Catastrophic plan at $476 monthly is only $3 less than Cox Healthplans' cheapest Bronze plan at $473. Catastrophic coverage is the right choice only if you qualify by age (under 30) or through a hardship exemption and can cover the $10,600 deductible out of pocket.
Compare Cheap Missouri Health Insurance Plans
Find affordable health insurance options in Missouri that match your needs.
| Oscar | Silver Simple Pcp Saver | $614 | EPO | Silver | $6,157 | $3,000 | 40 | No |
| Oscar | Silver Classic Standard | $619 | EPO | Silver | $5,657 | $3,100 | 40 | No |
| Oscar | Silver Simple Diabetes | $620 | EPO | Silver | $6,143 | $3,643 | 40 | No |
| Oscar | Silver Simple Women'S Health With Menopause Benefits | $623 | EPO | Silver | $6,250 | $3,481 | 40 | No |
| Oscar | Silver Elite Saver Plus | $625 | EPO | Silver | $6,307 | No Data | 40 | No |
| Medica | Medica With Ssm Health Silver $0 Copay Pcp Visits | $626 | EPO | Silver | $6,457 | $1,964 | 40 | No |
| Medica | Medica With Ssm Health Silver Share | $629 | EPO | Silver | $5,736 | $1,850 | 40 | No |
| Blue Cross Blue Shield | Blue Kc Simply Blue Silver With Spira Care Blue Metro Epo | $629 | EPO | Silver | $5,300 | $2,643 | 40 | No |
| Medica | Medica With Ssm Health Silver Standard | $635 | EPO | Silver | $5,657 | $3,100 | 40 | No |
| Anthem | Anthem Silver Pathway Essentials 7200 ($0 Virtual Pcp + $0 Select Drugs + Incentives) | $645 | EPO | Silver | $5,493 | $3,700 | 40 | No |
How to Find the Cheapest Health Insurance in Missouri
Use these steps to identify affordable coverage that covers your health care needs.
- 1Choose a plan type within your budget
Set a monthly budget before comparing plans. In Missouri, the gap between the cheapest Bronze plan ($473 at Cox Healthplans) and the cheapest Gold plan ($570 at Oscar) is $97 monthl, or $1,164 per year. That $1,164 in added premiums buys a deductible that drops from $7,950 to $1,988. Adults who use health care at least a few times annually spend less with Gold than Bronze once deductibles are factored in.
- 2Check if you qualify for subsidies
Subsidies are available for Missouri households earning between 100% and 400% of the Federal Poverty Level $15,960 to $63,840 for a single person in 2026. Apply through HealthCare.gov. The system calculates your eligibility based on income and household size during enrollment. Lower-income households receive larger credits; subsidy amounts drop as earnings increase.
- 3Check Medicare options if you qualify
Adults 65 and older should compare Medicare costs before buying a marketplace plan. A 60-year-old pays $1,317 monthly for Oscar's Silver plan in Missouri. Medicare Part B premiums are lower for most new enrollees and Medicare Advantage and Medicare Supplement plans can reduce out-of-pocket costs further. Check Medicare eligibility at Medicare.gov before purchasing a marketplace plan.
- 4Verify prescription coverage
Check the formulary for any medications you take regularly before enrolling. Insurers rank drugs in tiers and a prescription in a lower tier at one insurer may cost more at another.
- 5Shop during Open Enrollment period
Open Enrollment is from November 1 through January 15. Missing this window means waiting until the next period unless you experience a qualifying life event. Job loss, divorce and marriage all qualify, as does having a baby. A gap in coverage leaves you responsible for the full cost of any care during that period.
- 6Research Missouri insurance requirements
Missouri residents shop through HealthCare.gov, not a state-run exchange. Missouri expanded Medicaid in 2021, so adults earning up to 138% of the Federal Poverty Level may qualify for MO HealthNet at no monthly premium. Check eligibility at MO.gov before buying a marketplace plan.
Make sure you're getting the best rate for your coverage. Compare quotes from the top insurance companies.
Cheap Missouri Health Insurance: FAQ
We've answered the frequently asked questions about affordable health insurance in Missouri:
Oscar offers the most affordable health insurance in Missouri, with Silver-tier plans averaging $618 monthly for 40-year-olds. Gold-tier plans from Oscar cost $570 monthly, less than Silver, with a lower deductible of $1,988 versus $3,306.
Cheap health insurance plans carry high deductibles, Cox Healthplans' Bronze plan in Missouri has a $7,950 deductible, and Anthem's Catastrophic plan reaches $10,600. Out-of-pocket maximums on Bronze plans from Oscar run $7,603. You pay those costs before coverage takes effect on most services.
You may qualify for subsidies if your income is between 100% and 400% of the Federal Poverty Level, $15,960 to $63,840 for a single person in 2026. Missouri residents apply through HealthCare.gov. The system determines your eligibility based on income and household size during enrollment.
Missouri residents can enroll during Open Enrollment from November 1 to January 15. You can also enroll during Special Enrollment after a qualifying life event such as job loss, marriage or having a baby.
How We Decided the Cheapest Health Insurance Companies in Missouri
To identify Missouri's most affordable health insurance options, we gathered plan information from the federal health insurance marketplace for consumers aged 18 to 60, specifically examining costs for 18, 26, 40, 50 and 60-year-olds.
Our cheapest overall rankings focus on 40-year-olds' monthly premiums as this age group is most common demographically and provides clear comparison. Age-specific rankings reflect their respective premium costs. Lower premiums often come with higher deductibles and out-of-pocket maximums, which can increase your costs when receiving care.
Related Pages
About Mark Fitzpatrick

Mark Fitzpatrick, a licensed Property and Casualty (P&C) Insurance Producer in Connecticut, is MoneyGeek's resident insurance expert. He has spent nearly a decade analyzing the market, first at LendingTree and now at MoneyGeek, where he produces original research on hundreds of carriers and millions of rates across auto, home, renters, health and life insurance.
He covers economics and insurance at MoneyGeek, and his work has been featured in The Washington Post, The New York Times and NPR, among other outlets.
Like all MoneyGeek analysts, he draws on independent cost and consumer experience data. No insurance company partnership influences his recommendations.
Mark holds a B.A. from Boston College and an M.A. in Economics and International Relations from Johns Hopkins University. He started his career in financial risk management at State Street and is also a five-time “Jeopardy!” champion.






