Compare ACA marketplace plans, private insurance, and local carrier options available to St. Louis residents in 2026. Licensed brokers help you find the lowest rate.
Get Your St. Louis Quote →Living in St. Louis gives you access to all plans available statewide on HealthCare.gov, plus direct-purchase private plans from major Missouri carriers. With Missouri's Medicaid expansion, low-income adults may also qualify for free coverage.
Enroll during Open Enrollment (Nov 1 – Jan 15) or during a Special Enrollment Period. Tax credits based on your income can make Silver plans extremely affordable.
Available year-round directly from carriers. Good for those who don't qualify for subsidies or need immediate coverage outside open enrollment.
Temporary plans to bridge a gap. Lower cost but limited benefits — not a substitute for comprehensive coverage.
| Carrier | Rating | Est. Monthly Premium |
|---|---|---|
| Anthem BCBS | ★★★★☆ | $375–$425/mo |
| Cigna | ★★★★☆ | $380–$435/mo |
| Ambetter | ★★★☆☆ | $298–$370/mo |
Premiums for a 40-year-old non-smoker in St. Louis, MO before subsidies.
Our licensed MO brokers shop every plan available in St. Louis and find your exact subsidy amount. Takes under 5 minutes.
Get Free St. Louis Quotes →The benchmark Silver plan in St. Louis averages approximately $387/month before ACA subsidies. With tax credits (available to households earning 100–400% of the federal poverty level), many St. Louis residents pay $0–$150/month.
Anthem BCBS is consistently top-rated in Missouri for network size and member satisfaction. However, the best plan for St. Louis residents depends on your preferred doctors, prescription needs, and income level.
Yes — licensed brokers at TrustedQuotes can enroll you in any plan available in St. Louis at no extra cost. The broker fee is paid by the insurance company, not you.
Hospital networks vary by carrier. Before enrolling, ask your broker to verify that your preferred St. Louis hospital and doctors are in-network. This is the most common source of surprise bills.