Licensed in Missouri
Health insurance and Medicare in Missouri
Health Insurance Solutions is an independent agency licensed in Missouri. Our agents compare ACA marketplace, Medicare and other health plans for people in Missouri at no cost to you. Open enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027 on HealthCare.gov.
Facts reviewed
Missouri at a glance for 2027
- Marketplace
- HealthCare.govFederal marketplace
- Open enrollment for 2027
- November 1, 2026 to January 15, 2027
- For coverage on January 1
- Pick a plan by December 15, 2026
- Medicaid
- Expanded in 2021MO HealthNet
- Medicare plan changes
- October 15 to December 7, 2026
- Medicare counseling
- Missouri SHIPFree and unbiased
What changes in Missouri for 2027?
Smaller marketplace savings
The extra savings that started in 2021 ended after 2025. For 2027, people who qualify pay between 2.15% and 10.22% of household income for the benchmark silver plan, and households above 400% of the federal poverty level get no premium tax credit.
Medicaid work requirements
Federal law requires states that expanded Medicaid to start work requirements by January 1, 2027. Most expansion adults ages 19 to 64 must show 80 hours a month of work, school, job training or volunteering unless they qualify for an exemption, such as being pregnant, having a disability or being the parent of a child 13 or younger.
Medicare plan changes
Medicare's annual enrollment period runs October 15 to December 7, 2026. If you have a Medicare Advantage plan, you can switch again from January 1 to March 31, 2027.
How much help can I get with health insurance in Missouri for 2027?
Enter your household size and expected income to see your estimated 2027 premium and whether MO HealthNet may apply.
You expect to pay about $289 a month
That is 8.68% of your income for the benchmark silver plan, at 251% of the poverty level. Add the benchmark plan price above to see your tax credit.
Poverty level used: $15,960 for 1 person (2026 guidelines).
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This is an estimate, not a quote. Open the full calculator.
How do I get health insurance in Missouri?
Mark your dates
Open enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027 on HealthCare.gov.
Check Medicaid and savings
Adults earning up to 138% of the federal poverty level can get MO HealthNet. Above that, HealthCare.gov shows the savings you qualify for when you apply.
Compare plans with a licensed agent
A Health Insurance Solutions agent licensed in Missouri compares the plans available in your ZIP code, explains the tradeoffs and helps you enroll. Our help costs you nothing.
Enroll before the deadline
Pick a plan by December 15, 2026 for coverage that starts January 1, 2027. After open enrollment ends, you usually need a qualifying life event, like losing other coverage or moving, to enroll.
Talk to an agent licensed in Missouri
We compare plans, explain the tradeoffs and help you enroll. It costs you nothing.
Get helpWhat should people with Medicare in Missouri know?
Medicare dates are the same in every state. Each state sets its own Medigap rules, so that is where Missouri differs.
How Medicare coverage works- Annual enrollment period
- October 15 to December 7, 2026. Join, switch or drop a Medicare Advantage or Part D plan for 2027.
- Medicare Advantage open enrollment
- January 1 to March 31, 2027. If you have a Medicare Advantage plan, you can switch to another one or return to Original Medicare.
- Medigap if you are under 65
- Yes, for people under 65 who have Medicare because of a disability.
- Switching Medigap plans
- Anniversary rule: each year, in a window around your policy's anniversary date, you can switch to the same Medigap plan from another insurer without health questions.
- Free, unbiased counseling
- Missouri SHIP. Find a local counselor at shiphelp.org.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
Plans we help with in Missouri
Local guides for Missouri cities
Find insurers and hospitals in Missouri
Browse state-specific insurer and hospital listings, see the sources, and learn what to confirm before you choose a plan.
Explore Missouri insurers and hospitalsMissouri health insurance questions
When is open enrollment for 2027 health insurance in Missouri?
Open enrollment for 2027 coverage in Missouri runs from November 1, 2026 to January 15, 2027 on HealthCare.gov. Pick a plan by December 15, 2026 for coverage that starts January 1, 2027.
Can I get health insurance in Missouri after open enrollment ends?
Yes, if you have a qualifying life event. Losing other coverage, moving, getting married or having a baby usually opens a 60-day special enrollment period on HealthCare.gov. Medicaid and CHIP accept applications all year.
Can I still get help paying for a marketplace plan in Missouri in 2027?
Yes, if your household income is between 100% and 400% of the federal poverty level. The extra savings that started in 2021 ended after 2025. For 2027, people who qualify pay between 2.15% and 10.22% of household income for the benchmark silver plan, and households above 400% of the federal poverty level get no premium tax credit.
Has Missouri expanded Medicaid?
Yes. Missouri expanded Medicaid in 2021, so adults ages 19 to 64 with income up to 138% of the federal poverty level can qualify for MO HealthNet.
Do Medicaid work requirements apply in Missouri?
Yes. Federal law requires states that expanded Medicaid to start work requirements by January 1, 2027. Most expansion adults ages 19 to 64 must show 80 hours a month of work, school, job training or volunteering unless they qualify for an exemption, such as being pregnant, having a disability or being the parent of a child 13 or younger.
Can I switch Medigap plans in Missouri without health questions?
Yes, in some cases. Anniversary rule: each year, in a window around your policy's anniversary date, you can switch to the same Medigap plan from another insurer without health questions.
Where can I get free Medicare counseling in Missouri?
In Missouri, free and unbiased Medicare counseling comes from the State Health Insurance Assistance Program, called Missouri SHIP. You can find a local counselor at shiphelp.org.
Is Health Insurance Solutions licensed in Missouri?
Yes. Health Insurance Solutions is an independent insurance agency licensed in Missouri and 21 other states. Our agents compare plans from multiple insurers and help you enroll, at no cost to you.
Sources
Facts reviewed
Rules change. Confirm dates and eligibility with your marketplace, your state Medicaid agency or Medicare before you enroll.
- MO HealthNet, Missouri's Medicaid program(opens in a new tab)
- HealthCare.gov: Dates and deadlines for 2027 coverage(opens in a new tab)
- Healthinsurance.org: Open enrollment dates by state for 2027 coverage(opens in a new tab)
- IRS Revenue Procedure 2026-26 (2027 premium tax credit percentages)(opens in a new tab)
- NAIC: State Medigap rules, birthday rule and under-65 coverage (May 2026)(opens in a new tab)
- Medicare.gov: Joining a plan and enrollment periods(opens in a new tab)
- SHIP national locator for free Medicare counseling(opens in a new tab)
Other states we serve
- Alaska
- Arizona
- Florida
- Georgia
- Idaho
- Indiana
- Iowa
- Kansas
- Louisiana
- Michigan
- Minnesota
- Montana
- Nebraska
- Nevada
- North Carolina
- Ohio
- Oklahoma
- South Carolina
- Tennessee
- Texas
- Utah
