Missouri Marketplace Health Insurance: 2027 Plans and In-Network Doctors

6 insurers sell 98 medical plans on HealthCare.gov in Missouri for 2027, and 36 dental plans are also available. Anthem Blue Cross and Blue Shield offers the most, 20 plans, and has the largest network, with 24,738 Missouri doctors, practices and hospitals. Individual deductibles run from $0 to $12,000, and 3 insurers offer $0-deductible plans.

6 insurers 98 medical plans Deductibles $0 to $12,000 46,273 doctors and facilities in a network

Source: CMS Marketplace plan files for plan year 2027 and insurer provider directories. Updated November 8, 2026.

NPI Profile does not sell insurance or enroll anyone in a plan. This free tool uses public files from CMS and insurers to help you compare plans and check whether your doctor is in a plan's network.

Are your doctors in these plans?

Add up to 3 doctors and every plan below shows whether they are in network.

All 98 plans

Monthly premiums are not shown: they depend on your age, county, household size and income. HealthCare.gov lists them for your household.

Deductible: what you pay for covered care before the plan starts to pay. Out-of-pocket max: the most you pay in a year for covered in-network care. After that, the plan pays 100%.
UnitedHealthcare

UHC Gold Copay Focus $0 Ded

GoldEPO
Deductible$0$0 family
Out-of-pocket max$8,000$16,000 family
Having a baby$2,460CMS example
$0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, No Referrals
Plan ID 95426MO0410018Sold statewide45% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Gold Copay Focus+ $0 Ded

GoldEPO
Deductible$0$0 family
Out-of-pocket max$8,000$16,000 family
Having a baby$2,460CMS example
$0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals
Plan ID 95426MO0420008Sold statewide45% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Oscar Health

Gold Elite Saver Plus

GoldEPO
Deductible$0$0 family
Out-of-pocket max$11,750$23,500 family
Having a baby$3,690CMS example
Plan ID 69512MO0010089Sold in 25 Missouri counties35% coinsuranceNo referral needed
Network: Individual Missouri
Details
Ambetter Health

Elite Bronze

Expanded BronzeEPOHSA
Deductible$0$0 family
Out-of-pocket max$11,800$23,600 family
Having a baby$5,060CMS example
Plan ID 99723MO0090053Sold in 109 Missouri counties50% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Elite Bronze + Vision + Adult Dental

Expanded BronzeEPOHSA
Deductible$0$0 family
Out-of-pocket max$11,800$23,600 family
Having a baby$5,060CMS example
Plan ID 99723MO0110053Sold in 109 Missouri counties50% coinsuranceNo referral needed
Network: Premier
Details
Oscar Health

Bronze Elite + PCP Saver Plus

Expanded BronzeEPOHSA
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$4,200CMS example
Plan ID 69512MO0010005Sold in 25 Missouri counties50% coinsuranceNo referral needed
Network: Individual Missouri
Details
UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded

Expanded BronzeEPOHSA
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$3,860CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals
Plan ID 95426MO0410019Sold statewide50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Bronze Copay Focus+ $0 Indiv Med Ded

Expanded BronzeEPOHSA
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$3,860CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals
Plan ID 95426MO0420006Sold statewide50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$3,160CMS example
$0 Virtual Urgent Care, $0 Insulin, No Referrals
Plan ID 95426MO0410006Sold statewide30% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$3,160CMS example
$0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals
Plan ID 95426MO0420007Sold statewide30% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Ambetter Health

Everyday Gold

GoldEPO
Deductible$800$1,600 family
Out-of-pocket max$7,250$14,500 family
Having a baby$4,160CMS example
Plan ID 99723MO0090063Sold in 109 Missouri counties35% coinsuranceNo referral needed
Network: Premier
Details
Deductible$800$1,600 family
Out-of-pocket max$7,250$14,500 family
Having a baby$4,160CMS example
Plan ID 99723MO0110063Sold in 109 Missouri counties35% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Complete Gold

GoldEPO
Deductible$1,450$2,900 family
Out-of-pocket max$9,500$19,000 family
Having a baby$3,310CMS example
Plan ID 99723MO0090016Sold in 109 Missouri counties20% coinsuranceNo referral needed
Network: Premier
Details
Deductible$1,450$2,900 family
Out-of-pocket max$9,500$19,000 family
Having a baby$3,310CMS example
Plan ID 99723MO0110010Sold in 109 Missouri counties20% coinsuranceNo referral needed
Network: Premier
Details
UnitedHealthcare

UHC Gold Advantage

GoldEPO
Deductible$2,000$4,000 family
Out-of-pocket max$8,100$16,200 family
Having a baby$4,960CMS example
$0 Virtual Urgent Care, $0 Insulin, No Referrals
Plan ID 95426MO0410020Sold statewide35% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Gold Advantage+

GoldEPO
Deductible$2,000$4,000 family
Out-of-pocket max$8,100$16,200 family
Having a baby$4,960CMS example
$0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals
Plan ID 95426MO0420001Sold statewide35% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Blue Cross and Blue Shield of Kansas City

Blue KC Simply Blue Gold with $0 Spira Care Blue Metro

GoldEPO
Deductible$2,100$4,200 family
Out-of-pocket max$8,400$16,800 family
Having a baby$4,250CMS example
Plan ID 34762MO0590024Sold in Clay and Jackson counties25% coinsuranceNo referral needed
Network: Blue Metro w Spira Care
Details
Anthem Blue Cross and Blue Shield

Anthem Gold Pathway 2500 Standard

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980021Sold in 81 Missouri counties25% coinsuranceNo referral needed
Network: Pathway and Pharmacy Base Network
Details
Anthem Blue Cross and Blue Shield

Anthem Gold Pathway Essentials 2500 Standard

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0990019Sold in 4 Missouri counties25% coinsuranceNo referral needed
Network: Pathway Essentials Dental Prime, and Pharmacy Base Network
Details
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,770CMS example
Plan ID 53461MO0080055Sold in 31 Missouri counties25% coinsuranceNo referral needed
Network: Balance by Medica
Details
Blue Cross and Blue Shield of Kansas City

Blue KC Standard Gold BlueSelect

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,530CMS example
Plan ID 34762MO0590027Sold in 6 Missouri counties25% coinsuranceNo referral needed
Network: BlueSelect
Details
Blue Cross and Blue Shield of Kansas City

Blue KC Standard Gold Preferred-Care Blue

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,530CMS example
Plan ID 34762MO0590013Sold in 24 Missouri counties25% coinsuranceNo referral needed
Network: Preferred-Care Blue
Details
Oscar Health

Gold Classic Standard

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,720CMS example
Plan ID 69512MO0010053Sold in 25 Missouri counties25% coinsuranceNo referral needed
Network: Individual Missouri
Details
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,770CMS example
Plan ID 53461MO0070055Sold in 10 Missouri counties25% coinsuranceNo referral needed
Network: Medica with MU Health
Details
Ambetter Health

Signature Gold

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,500CMS example
Plan ID 99723MO0090071Sold in 109 Missouri counties25% coinsuranceNo referral needed
Network: Premier
Details
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,500CMS example
Plan ID 99723MO0110072Sold in 109 Missouri counties25% coinsuranceNo referral needed
Network: Premier
Details
UnitedHealthcare

UHC Gold Standard

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,760CMS example
$0 Insulin, No Referrals
Plan ID 95426MO0410009Sold statewide25% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Gold Standard+

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,760CMS example
$0 Insulin, Dental + Vision, No Referrals
Plan ID 95426MO0420009Sold statewide25% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Deductible$2,600$5,200 family
Out-of-pocket max$6,000$12,000 family
Having a baby$4,370CMS example
Plan ID 53461MO0080074Sold in 31 Missouri counties20% coinsuranceNo referral needed
Network: Balance by Medica
Details
Deductible$2,600$5,200 family
Out-of-pocket max$6,000$12,000 family
Having a baby$4,370CMS example
Plan ID 53461MO0070074Sold in 10 Missouri counties20% coinsuranceNo referral needed
Network: Medica with MU Health
Details
Oscar Health

Gold Simple

GoldEPO
Deductible$2,750$5,500 family
Out-of-pocket max$10,000$20,000 family
Having a baby$4,330CMS example
Plan ID 69512MO0010064Sold in 25 Missouri counties20% coinsuranceNo referral needed
Network: Individual Missouri
Details
Anthem Blue Cross and Blue Shield

Anthem Heart Healthy Silver Pathway 3100

SilverEPO
Deductible$3,100$6,200 family
Out-of-pocket max$11,900$23,800 family
Having a baby$6,670CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980013Sold in 81 Missouri counties30% coinsuranceNo referral needed
Network: Pathway and Rx Choice Tiered Network
Details
Anthem Blue Cross and Blue Shield

Anthem Heart Healthy Silver Pathway Essentials 3100

SilverEPO
Deductible$3,100$6,200 family
Out-of-pocket max$11,900$23,800 family
Having a baby$6,670CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980056Sold in 4 Missouri counties30% coinsuranceNo referral needed
Network: Pathway Essentials, Dental Prime and RX Choice Tiered Network
Details
Deductible$3,500$7,000 family
Out-of-pocket max$4,700$9,400 family
Having a baby$4,760CMS example
Plan ID 53461MO0080077Sold in 31 Missouri counties20% coinsuranceNo referral needed
Network: Balance by Medica
Details
Deductible$3,500$7,000 family
Out-of-pocket max$4,700$9,400 family
Having a baby$4,760CMS example
Plan ID 53461MO0070077Sold in 10 Missouri counties20% coinsuranceNo referral needed
Network: Medica with MU Health
Details
UnitedHealthcare

UHC Silver Advantage

SilverEPO
Deductible$3,500$7,000 family
Out-of-pocket max$10,300$20,600 family
Having a baby$5,860CMS example
$0 Virtual Urgent Care, $0 Insulin, No Referrals
Plan ID 95426MO0410016Sold statewide30% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Advantage+

SilverEPO
Deductible$3,500$7,000 family
Out-of-pocket max$10,300$20,600 family
Having a baby$5,860CMS example
$0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals
Plan ID 95426MO0420002Sold statewide30% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Deductible$3,525$7,050 family
Out-of-pocket max$9,300$18,600 family
Having a baby$5,870CMS example
Plan ID 53461MO0080075Sold in 31 Missouri counties30% coinsuranceNo referral needed
Network: Balance by Medica
Details
Deductible$3,525$7,050 family
Out-of-pocket max$9,300$18,600 family
Having a baby$5,870CMS example
Plan ID 53461MO0070075Sold in 10 Missouri counties30% coinsuranceNo referral needed
Network: Medica with MU Health
Details
Ambetter Health

Summit Silver

SilverEPO
Deductible$4,100$8,200 family
Out-of-pocket max$9,800$19,600 family
Having a baby$6,000CMS example
Plan ID 99723MO0090021Sold in 109 Missouri counties30% coinsuranceNo referral needed
Network: Premier
Details
Deductible$4,200$8,400 family
Out-of-pocket max$8,700$17,400 family
Having a baby$5,660CMS example
Plan ID 53461MO0080078Sold in 31 Missouri counties20% coinsuranceNo referral needed
Network: Balance by Medica
Details
Deductible$4,200$8,400 family
Out-of-pocket max$8,700$17,400 family
Having a baby$5,660CMS example
Plan ID 53461MO0070078Sold in 10 Missouri counties20% coinsuranceNo referral needed
Network: Medica with MU Health
Details
Oscar Health

Bronze Classic 4700

Expanded BronzeEPOHSA
Deductible$4,700$9,400 family
Out-of-pocket max$12,000$24,000 family
Having a baby$7,700CMS example
Plan ID 69512MO0010024Sold in 25 Missouri counties50% coinsuranceNo referral needed
Network: Individual Missouri
Details
Blue Cross and Blue Shield of Kansas City

Blue KC First Choice Silver with $0 Spira Care BlueSelect

SilverEPO
Deductible$4,900$9,800 family
Out-of-pocket max$8,500$17,000 family
Having a baby$8,070CMS example
Plan ID 34762MO0590004Sold in 6 Missouri counties40% coinsuranceNo referral needed
Network: BlueSelect w Spira Care
Details
Anthem Blue Cross and Blue Shield

Anthem Heart Healthy Bronze Pathway 4900 HSA

Expanded BronzeEPOHSA
Deductible$4,900$9,800 family
Out-of-pocket max$12,000$24,000 family
Having a baby$7,970CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980018Sold in 81 Missouri counties30% coinsuranceNo referral needed
Network: Pathway and Rx Choice Tiered Network
Details
Anthem Blue Cross and Blue Shield

Anthem Heart Healthy Bronze Pathway Essentials 4900 HSA

Expanded BronzeEPOHSA
Deductible$4,900$9,800 family
Out-of-pocket max$12,000$24,000 family
Having a baby$7,970CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980057Sold in 4 Missouri counties30% coinsuranceNo referral needed
Network: Pathway Essentials, Dental Prime and RX Choice Tiered Network
Details
Anthem Blue Cross and Blue Shield

Anthem Silver Pathway 5350

SilverEPO
Deductible$5,350$10,700 family
Out-of-pocket max$10,000$20,000 family
Having a baby$7,920CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980015Sold in 81 Missouri counties35% coinsuranceNo referral needed
Network: Pathway and Rx Choice Tiered Network
Details
Anthem Blue Cross and Blue Shield

Anthem Silver Pathway Essentials 5350

SilverEPO
Deductible$5,350$10,700 family
Out-of-pocket max$10,000$20,000 family
Having a baby$7,920CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980050Sold in 4 Missouri counties35% coinsuranceNo referral needed
Network: Pathway Essentials, Dental Prime and RX Choice Tiered Network
Details
Blue Cross and Blue Shield of Kansas City

Blue KC First Silver Preferred-Care Blue

SilverEPO
Deductible$5,500$11,000 family
Out-of-pocket max$8,800$17,600 family
Having a baby$8,370CMS example
Plan ID 34762MO0590028Sold in 24 Missouri counties40% coinsuranceNo referral needed
Network: Preferred-Care Blue
Details
Oscar Health

Bronze Simple Chronic Care CKM

Expanded BronzeEPOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,100CMS example
Plan ID 69512MO0010077Sold in 25 Missouri counties50% coinsuranceNo referral needed
Network: Individual Missouri
Details
Oscar Health

Bronze Simple Diabetes

Expanded BronzeEPOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,100CMS example
Plan ID 69512MO0010055Sold in 25 Missouri counties50% coinsuranceNo referral needed
Network: Individual Missouri
Details
Oscar Health

Silver Simple PCP Saver

SilverEPO
Deductible$5,750$11,500 family
Out-of-pocket max$10,000$20,000 family
Having a baby$7,750CMS example
Plan ID 69512MO0010025Sold in 25 Missouri counties40% coinsuranceNo referral needed
Network: Individual Missouri
Details
Deductible$6,000$12,000 family
Out-of-pocket max$11,000$22,000 family
Having a baby$8,000CMS example
Plan ID 69512MO0010058Sold in 25 Missouri counties45% coinsuranceNo referral needed
Network: Individual Missouri
Details
Anthem Blue Cross and Blue Shield

Anthem Silver Pathway 6400 Standard

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980020Sold in 81 Missouri counties40% coinsuranceNo referral needed
Network: Pathway and Pharmacy Base Network
Details
Anthem Blue Cross and Blue Shield

Anthem Silver Pathway Essentials 6400 Standard

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0990018Sold in 4 Missouri counties40% coinsuranceNo referral needed
Network: Pathway Essentials Dental Prime, and Pharmacy Base Network
Details
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,370CMS example
Plan ID 53461MO0080057Sold in 31 Missouri counties40% coinsuranceNo referral needed
Network: Balance by Medica
Details
Blue Cross and Blue Shield of Kansas City

Blue KC Standard Silver BlueSelect

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$7,950CMS example
Plan ID 34762MO0590022Sold in 6 Missouri counties40% coinsuranceNo referral needed
Network: BlueSelect
Details
Blue Cross and Blue Shield of Kansas City

Blue KC Standard Silver Preferred-Care Blue

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$7,950CMS example
Plan ID 34762MO0590019Sold in 24 Missouri counties40% coinsuranceNo referral needed
Network: Preferred-Care Blue
Details
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,370CMS example
Plan ID 53461MO0070057Sold in 10 Missouri counties40% coinsuranceNo referral needed
Network: Medica with MU Health
Details
Ambetter Health

Signature Silver

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$7,910CMS example
Plan ID 99723MO0090070Sold in 109 Missouri counties40% coinsuranceNo referral needed
Network: Premier
Details
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$7,910CMS example
Plan ID 99723MO0110027Sold in 109 Missouri counties40% coinsuranceNo referral needed
Network: Premier
Details
Oscar Health

Silver Classic Standard

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,320CMS example
Plan ID 69512MO0010052Sold in 25 Missouri counties40% coinsuranceNo referral needed
Network: Individual Missouri
Details
UnitedHealthcare

UHC Silver Standard

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,360CMS example
$0 Insulin, No Referrals
Plan ID 95426MO0410008Sold statewide40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Standard+

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,360CMS example
$0 Insulin, Dental + Vision, No Referrals
Plan ID 95426MO0420004Sold statewide40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Oscar Health

Silver Simple Chronic Care CKM

SilverEPO
Deductible$6,500$13,000 family
Out-of-pocket max$10,500$21,000 family
Having a baby$8,400CMS example
Plan ID 69512MO0010078Sold in 25 Missouri counties45% coinsuranceNo referral needed
Network: Individual Missouri
Details
Oscar Health

Silver Simple Diabetes

SilverEPO
Deductible$6,500$13,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,400CMS example
Plan ID 69512MO0010045Sold in 25 Missouri counties45% coinsuranceNo referral needed
Network: Individual Missouri
Details
Blue Cross and Blue Shield of Kansas City

Blue KC Community Silver Preferred-Care Blue

SilverEPO
Deductible$6,900$13,800 family
Out-of-pocket max$8,550$17,100 family
Having a baby$8,260CMS example
Plan ID 34762MO0590009Sold in 24 Missouri counties40% coinsuranceNo referral needed
Network: Preferred-Care Blue
Details
Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway 6900 HSA

Expanded BronzeEPOHSA
Deductible$6,900$13,800 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,770CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980014Sold in 81 Missouri counties40% coinsuranceNo referral needed
Network: Pathway and Rx Choice Tiered Network
Details
Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway Essentials 6900 HSA

Expanded BronzeEPOHSA
Deductible$6,900$13,800 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,770CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980049Sold in 4 Missouri counties40% coinsuranceNo referral needed
Network: Pathway Essentials, Dental Prime and RX Choice Tiered Network
Details
Ambetter Health

Complete Silver

SilverEPO
Deductible$6,950$13,900 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,110CMS example
Plan ID 99723MO0090011Sold in 109 Missouri counties40% coinsuranceNo referral needed
Network: Premier
Details
Deductible$6,950$13,900 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,110CMS example
Plan ID 99723MO0110013Sold in 109 Missouri counties40% coinsuranceNo referral needed
Network: Premier
Details
Anthem Blue Cross and Blue Shield

Anthem Silver Pathway 7000

SilverEPO
Deductible$7,000$14,000 family
Out-of-pocket max$9,725$19,450 family
Having a baby$9,760CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980016Sold in 81 Missouri counties50% coinsuranceNo referral needed
Network: Pathway and Rx Choice Tiered Network
Details
Anthem Blue Cross and Blue Shield

Anthem Silver Pathway Essentials 7000

SilverEPO
Deductible$7,000$14,000 family
Out-of-pocket max$9,725$19,450 family
Having a baby$9,760CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980051Sold in 4 Missouri counties50% coinsuranceNo referral needed
Network: Pathway Essentials, Dental Prime and RX Choice Tiered Network
Details
Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway 7500 HSA Standard

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,070CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980019Sold in 81 Missouri counties50% coinsuranceNo referral needed
Network: Pathway and Pharmacy Base Network
Details
Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway Essentials 7500 HSA Standard

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,070CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0990017Sold in 4 Missouri counties50% coinsuranceNo referral needed
Network: Pathway Essentials Dental Prime, and Pharmacy Base Network
Details
Medica

Balance by Medica Bronze Standard

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,370CMS example
Plan ID 53461MO0080073Sold in 31 Missouri counties50% coinsuranceNo referral needed
Network: Balance by Medica
Details
Blue Cross and Blue Shield of Kansas City

Blue KC Standard Bronze BlueSelect

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,860CMS example
Plan ID 34762MO0590018Sold in 6 Missouri counties50% coinsuranceNo referral needed
Network: BlueSelect
Details
Blue Cross and Blue Shield of Kansas City

Blue KC Standard Bronze Preferred-Care Blue

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,860CMS example
Plan ID 34762MO0590020Sold in 24 Missouri counties50% coinsuranceNo referral needed
Network: Preferred-Care Blue
Details
Oscar Health

Bronze Classic Standard

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,320CMS example
Plan ID 69512MO0010050Sold in 25 Missouri counties50% coinsuranceNo referral needed
Network: Individual Missouri
Details
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,370CMS example
Plan ID 53461MO0070073Sold in 10 Missouri counties50% coinsuranceNo referral needed
Network: Medica with MU Health
Details
Ambetter Health

Signature Expanded Bronze

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,820CMS example
Plan ID 99723MO0090069Sold in 109 Missouri counties50% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Signature Expanded Bronze + Vision + Adult Dental

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,820CMS example
Plan ID 99723MO0110070Sold in 109 Missouri counties50% coinsuranceNo referral needed
Network: Premier
Details
UnitedHealthcare

UHC Bronze Standard

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,360CMS example
HSA, $0 Insulin, No Referrals
Plan ID 95426MO0410013Sold statewide50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Bronze Standard+

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,360CMS example
HSA, $0 Insulin, Dental + Vision, No Referrals
Plan ID 95426MO0420005Sold statewide50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Deductible$8,000$16,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,670CMS example
Plan ID 53461MO0080076Sold in 31 Missouri counties50% coinsuranceNo referral needed
Network: Balance by Medica
Details
Deductible$8,000$16,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,670CMS example
Plan ID 53461MO0070076Sold in 10 Missouri counties50% coinsuranceNo referral needed
Network: Medica with MU Health
Details
Oscar Health

Silver Core Plan

SilverEPO
Deductible$9,000$18,000 family
Out-of-pocket max$10,300$20,600 family
Having a baby$9,800CMS example
Plan ID 69512MO0010088Sold in 25 Missouri counties50% coinsuranceNo referral needed
Network: Individual Missouri
Details
Ambetter Health

Everyday Bronze

Expanded BronzeEPOHSA
Deductible$9,350$18,700 family
Out-of-pocket max$11,100$22,200 family
Having a baby$9,460CMS example
Plan ID 99723MO0090018Sold in 109 Missouri counties50% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Everyday Bronze + Vision + Adult Dental

Expanded BronzeEPOHSA
Deductible$9,350$18,700 family
Out-of-pocket max$11,100$22,200 family
Having a baby$9,460CMS example
Plan ID 99723MO0110009Sold in 109 Missouri counties50% coinsuranceNo referral needed
Network: Premier
Details
Blue Cross and Blue Shield of Kansas City

Blue KC First Bronze Preferred-Care Blue

Expanded BronzeEPOHSA
Deductible$9,900$19,800 family
Out-of-pocket max$12,000$24,000 family
Having a baby$11,270CMS example
Plan ID 34762MO0590010Sold in 24 Missouri counties50% coinsuranceNo referral needed
Network: Preferred-Care Blue
Details
Blue Cross and Blue Shield of Kansas City

Blue KC First Choice Bronze with $0 Spira Care BlueSelect

Expanded BronzeEPOHSA
Deductible$9,900$19,800 family
Out-of-pocket max$12,000$24,000 family
Having a baby$11,270CMS example
Plan ID 34762MO0590014Sold in 6 Missouri counties50% coinsuranceNo referral needed
Network: BlueSelect w Spira Care
Details
Blue Cross and Blue Shield of Kansas City

Blue KC Simply Blue First Bronze with $0 Spira Care Blue Metro

Expanded BronzeEPOHSA
Deductible$9,900$19,800 family
Out-of-pocket max$12,000$24,000 family
Having a baby$11,270CMS example
Plan ID 34762MO0590026Sold in Clay and Jackson counties50% coinsuranceNo referral needed
Network: Blue Metro w Spira Care
Details
Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway 11700 HSA

Expanded BronzeEPOHSA
Deductible$11,700$23,400 family
Out-of-pocket max$11,700$23,400 family
Having a baby$11,760CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980022Sold in 81 Missouri countiesNo coinsuranceNo referral needed
Network: Pathway and Rx Choice Tiered Network
Details
Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway Essentials 11700 HSA

Expanded BronzeEPOHSA
Deductible$11,700$23,400 family
Out-of-pocket max$11,700$23,400 family
Having a baby$11,760CMS example
$0 Select Drugs + Incentives
Plan ID 32753MO0980052Sold in 4 Missouri countiesNo coinsuranceNo referral needed
Network: Pathway Essentials, Dental Prime and RX Choice Tiered Network
Details
UnitedHealthcare

UHC Bronze Essential

BronzeEPOHSA
Deductible$11,750$23,500 family
Out-of-pocket max$11,750$23,500 family
Having a baby$11,260CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals
Plan ID 95426MO0410021Sold statewideNo coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Anthem Blue Cross and Blue Shield

Anthem Catastrophic Pathway Essentials HSA

CatastrophicEPOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
+ Incentives
Plan ID 32753MO0980058Sold in 4 Missouri countiesNo coinsuranceNo referral needed
Network: Pathway Essentials, Dental Prime and RX Choice Tiered Network
Details
Anthem Blue Cross and Blue Shield

Anthem Catastrophic Pathway HSA

CatastrophicEPOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
+ Incentives
Plan ID 32753MO0980017Sold in 81 Missouri countiesNo coinsuranceNo referral needed
Network: Pathway and Rx Choice Tiered Network
Details

Insurers selling Missouri Marketplace plans

Select an insurer to see only its plans. No 2027 plans from Cox HealthPlans, which sold plans here for 2026.

InsurerPlansDeductiblesOut-of-pocket maxDoctors in networkDirectory updatedAction
Anthem Blue Cross and Blue Shield 20 $2,500 to $12,000 $8,600 to $12,000 24,738 Nov 5, 2026 See plans
Ambetter Health 17 $0 to $9,350 $7,250 to $12,000 17,613 Nov 4, 2026 See plans
UnitedHealthcare 17 $0 to $11,750 $8,000 to $12,000 18,059 Nov 4, 2026 See plans
Medica 16 $2,500 to $8,000 $4,700 to $12,000 18,387 Oct 14, 2026 See plans
Blue Cross and Blue Shield of Kansas City 14 $2,100 to $9,900 $8,300 to $12,000 12,107 Oct 29, 2026 See plans
Oscar Health 14 $0 to $9,000 $8,600 to $12,000 13,757 Nov 5, 2026 See plans

Dental-only insurers

8 insurers sell stand-alone dental plans in Missouri but no medical plans.

InsurerDental plansDentists in network
Dominion National61,273
BEST Life51,431
Renaissance Dental51,441
EMI Health4567
DentaQuest3237
Guardian31,237
Humana32,156
TRUASSURE INSURANCE COMPANY31,258

Where the in-network doctors are

Doctors and facilities in Missouri listed by at least one Marketplace insurer, by city and by primary specialty.

Top cities

Saint Louis9,228
Kansas City6,166
Springfield3,031
Columbia2,461
Lees Summit1,207
Chesterfield1,008
Joplin982
Independence904
Cape Girardeau781
Saint Joseph731
Jefferson City631
Saint Charles598

Top specialties

Nurse Practitioner7,129
Counselor4,689
Internal Medicine3,452
Social Worker2,895
Dentist2,669
Family Medicine2,030
Physician Assistant1,575
Pediatrics1,549
Clinic/Center1,506
Pharmacy1,492
Physical Therapist1,372
Chiropractor1,262

Questions about Missouri Marketplace plans

Which insurers sell Marketplace plans in Missouri?
6 insurers sell medical plans for 2027: Anthem Blue Cross and Blue Shield, Ambetter Health, UnitedHealthcare, Medica, Blue Cross and Blue Shield of Kansas City, and Oscar Health. 8 more insurers sell dental plans only.
When can I enroll in a Missouri Marketplace plan for 2027?
Open enrollment for 2027 coverage runs Nov 1, 2026 to Jan 15, 2027 on HealthCare.gov. Outside those dates you need a qualifying life event, such as losing other coverage, moving or having a baby.
Which insurer has the most doctors in Missouri?
Anthem Blue Cross and Blue Shield lists 24,738 Missouri doctors, practices and hospitals, 15,561 of them accepting new patients. Directories can be out of date, so call the office to confirm before you enroll.
What is the lowest deductible on a Missouri Marketplace plan?
10 plans have a $0 individual deductible. Deductibles run from $0 to $12,000. A lower deductible usually means a higher monthly premium, so compare the out-of-pocket maximum too.
Which plan year does this page cover?
Plans, deductibles and out-of-pocket maximums are from the 2027 CMS plan files. A doctor counts as in network only when the insurer's directory lists them for 2027 plans.
Which insurers stopped selling Marketplace plans in Missouri for 2027?
Cox HealthPlans sold medical plans in Missouri for 2026 and has no 2027 plans in the CMS plan files. People enrolled in those plans can choose a new plan during open enrollment.
Are all Missouri plans sold in every county?
No. 81 plans are sold only in some counties, and 17 plans are sold statewide. Choose your county above the plan list to see only the plans sold where you live.
Why are there no monthly premiums on this page?
Premiums depend on your age, county, household size and income, and most enrollees get a subsidy, so a single price would mislead. Prices are listed on HealthCare.gov. This page compares what the plans cover: deductibles, out-of-pocket maximums, coinsurance and networks.

About this data

NPI Profile is not an insurance company, agent or broker, and it does not sell insurance or enroll anyone in a plan. It is a free reference tool built on public files that CMS and insurers publish, to help you compare Marketplace plans and check whether your current or future doctor is in a plan's network. It is not affiliated with CMS, HealthCare.gov, any state exchange or any insurer. Confirm costs and networks with the insurer and the doctor's office, and enroll on HealthCare.gov.

SourceWhat it provides hereSource date
CMS Marketplace public use filesPlans, deductibles, out-of-pocket maximums and coverage examples, and the counties where each plan is soldPlan year 2027
Insurer provider directoriesWhich doctors, practices and hospitals each insurer lists in its networks. Only providers with an address in Missouri are counted.Updated November 8, 2026
NPPES NPI registryProvider names, practice addresses and primary specialtiesMatched November 8, 2026
  • Only individual-market plans sold on HealthCare.gov are included; small-business (SHOP) and off-exchange plans are left out. A plan an insurer files once per region is shown once.
  • A doctor counts as in network only when the insurer's directory lists them for 2027 plans.
  • Deductibles, out-of-pocket maximums and coinsurance are for one person, in network, for the standard version of each plan. Coverage examples (having a baby, managing type 2 diabetes, a simple fracture) are what CMS's standard scenarios cost under each plan.
  • Directories can be out of date. Call the doctor's office and the insurer to confirm before you enroll.