Missourians can expect to have a range of health insurance options in each county, according to the state Department of Commerce and Insurance.
DCI is taking comments on preliminary information about Affordable Care Act-compliant health insurance plans and premiums for 2026. The department is reviewing submitted rate changes and plans to ensure compliance with state and federal regulations.
The department found there were at least two health insurers offering plans on and off the exchange in each county for those not getting their insurance through their employer. There are nine insurance companies offering coverage in Missouri, and five offering plans off the exchange for small group markets (small businesses employing between two and 50 people).
“This year has been more difficult than usual for companies establishing their health insurance rates,” DCI Director Angela Nelson said in a statement. “Significant changes at the federal level during a time when companies were already working on their rates for plan year 2026 have introduced a lot of uncertainty. The situation is still fluid, and continued discussions at the federal level may further impact the rate filings.”
Texas County shows: Ambetter from Home State Health, Anthem Blue Cross and Blue Shield, Medica, United Healthcare, Ambetter (off-exchange)
Rates are here: https://bit.ly/4mEdnEg
The rate information released covers only Affordable Care Act-compliant plans, according to DCI, and other health products’ rates will be released by the department after a review by staff.
Rates are not final until October, and Missourians should expect premium increases for most individual market plans and changes to coverage areas and networks.