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Missouri Marketplace intelligence

ACA Marketplace in St. Francois County, Missouri: 2026 plan data

Quick answer · plan year 2026 data

In St. Francois County, Missouri, 2 insurers offered 23 individual-market medical plans for plan year 2026 (2 Bronze, 1 Catastrophic, 6 Expanded Bronze, 5 Gold, 9 Silver). The benchmark plan (second-lowest-cost silver) was $552 a month for a 40-year-old before tax credits, and the lowest-cost bronze (Bronze or Expanded Bronze tier) was $406. CMS counted 2,943 plan selections in St. Francois County.

Insurers in the 2026 data: Anthem Blue Cross and Blue Shield, UnitedHealthcare.

These are plan-year 2026 figures from CMS, not a 2027 plan list or a personal quote. What you pay depends on your age, household income and the plan you choose.

Use verified 2026 CMS county evidence as a local benchmark when comparing Marketplace coverage. Historical averages are context, not a personal quote or current plan list.

2,943

2026 Marketplace plan selections reported by CMS.

87.9%

of selections received advance premium tax credits (APTC).

$686 → $152

Average monthly premium and average after APTC among the CMS county measures.

Local premium benchmark

How the CMS averages compare

These county averages describe 2026 Marketplace selections; they are not a personal quote.

Average premium$686
Average after APTC$152

$534 lower on average among the reported measures (78% difference).

What this means when comparing coverage

CMS reports 2,588 APTC recipients in the county, with average APTC of $606. These are county-level historical Marketplace measures, not a quote or guarantee of your eligibility, premium, savings, plan availability, or provider network.

Check ACA eligibility factors · Understand Marketplace savings · Missouri ACA overview

Your next step

Turn the county benchmark into a personal coverage decision.

County averages cannot tell you what you qualify for. Check your household eligibility factors first, then review Marketplace savings and get personal help if you want someone to walk through the options with you.

Local evidence

What stands out in St. Francois County's 2026 ACA Marketplace data?

CMS reports 2,943 plan selections in St. Francois County. That ranks #23 of 112 Missouri counties in this CoveragePath CMS dataset by Marketplace selections. This is enrollment context, not an estimate of how many county residents are eligible.

87.9% of reported selections received APTC. The average premium was $686 and the average after APTC was $152 — a $534 difference in these county-level CMS averages. These averages are not a personal quote or subsidy estimate.

For separate population context, the 2024 ACS uninsured estimate is 10.3%. ACS population insurance statistics and ACA Marketplace eligibility are different measures.

Local marketplace facts

What is available in St. Francois County?

Plan selections by age
Under 35: 26.8% · 35-54: 43.4% · 55-64: 29.3% · 65+: 0.5% Source: CMS 2026 Open Enrollment Period County-Level Public Use File (2026-oep-county-level-public-use-file.zip, sha256 020e6531b06497f0)
Benchmark (second-lowest-cost) silver, monthly, age 40, before tax credits
$552 Source: CMS QHP Landscape PUF, plan year 2026, individual market medical (individual_market_medical.zip, sha256 4ae312a4e2fc9b41)
Consumers eligible for cost-sharing reductions
978 of 2,943 (33.2%) Source: CMS 2026 Open Enrollment Period County-Level Public Use File (2026-oep-county-level-public-use-file.zip, sha256 020e6531b06497f0)
New, returning and auto-renewed consumers
12.2% new to the Marketplace, 87.8% returning; 1,473 (50.1% of all) were automatically re-enrolled Source: CMS 2026 Open Enrollment Period County-Level Public Use File (2026-oep-county-level-public-use-file.zip, sha256 020e6531b06497f0)
Insurers offering Marketplace plans
Anthem Blue Cross and Blue Shield, UnitedHealthcare Source: CMS QHP Landscape PUF, plan year 2026, individual market medical (individual_market_medical.zip, sha256 4ae312a4e2fc9b41)
Lowest-cost bronze, monthly, age 40, before tax credits
$406 Source: CMS QHP Landscape PUF, plan year 2026, individual market medical (individual_market_medical.zip, sha256 4ae312a4e2fc9b41)
Plans by metal level
Bronze: 2 · Catastrophic: 1 · Expanded Bronze: 6 · Gold: 5 · Silver: 9 Source: CMS QHP Landscape PUF, plan year 2026, individual market medical (individual_market_medical.zip, sha256 4ae312a4e2fc9b41)

How St. Francois County compares with Missouri

St. Francois County accounts for about 0.8% of the 2026 Marketplace selections in this Missouri county dataset. These comparisons use the same sourced county inventory shown on this page.

The county average premium is -$37 versus the selection-weighted Missouri county benchmark of $723.

The county average after APTC is -$21 versus the selection-weighted benchmark of $173.

The ACS county uninsured estimate is +1.5 points versus the population-weighted Missouri county benchmark of 8.8%.

Method: premium benchmarks are weighted by Marketplace plan selections; the ACS uninsured benchmark is weighted by the ACS county population universe. Suppressed CMS values are not estimated.

Population coverage context

Health coverage context in St. Francois County

10.3%

ACS estimate for the uninsured share of the Census S2701 population universe.

62,050

People in the ACS health-insurance coverage population universe for this county.

The U.S. Census Bureau's 2024 ACS 5-Year estimate describes population health-insurance coverage in St. Francois County. It is useful local context, but it does not measure ACA Marketplace eligibility, enrollment, premiums, subsidies, or plan availability. The Marketplace figures above come separately from CMS.

Check the factors that affect ACA eligibility · Compare Missouri Marketplace context

Population context source: U.S. Census Bureau, 2020-2024 ACS 5-Year Subject Table S2701 · County FIPS 29187

Source: Centers for Medicare & Medicaid Services, 2026 OEP County-Level Public Use File · Verified September 17, 2026 · County FIPS 29187