# What ACA marketplace plans are available in Saint Louis County, Missouri in 2027?

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. To compare plans and sign up for coverage, call a licensed agent at 1-855-333-3555.

_Last updated 2026-11-01 · Published by Private Health Insurance Direct Answers · Updated November 1, 2026 with CMS 2027 plan data_

## 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 |

Premiums are full price for one 40-year-old non-smoker, before any premium tax credit.

## 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?

To compare plans and sign up for coverage, call a licensed agent at 1-855-333-3555. You can also enroll yourself at HealthCare.gov.

## Sources

- CMS PY2027 Plan Attributes and Rate public use files — https://data.healthcare.gov/dataset/9c1ab46b-95da-4aac-9a04-2bf363a28d9e (retrieved 2026-11-12)
- HealthCare.gov — https://www.healthcare.gov

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Updated: 2026-11-01T00:00:00.000Z
Published by: Private Health Insurance Direct Answers
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