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Missouri Marketplace intelligence

Missouri ACA Marketplace coverage, explained with current sources.

Missouri uses HealthCare.gov for Marketplace enrollment. CMS reports 364,175 cumulative 2026 Open Enrollment plan selections across Missouri counties in the 2026 County-Level Public Use File.

Source: Centers for Medicare & Medicaid Services · Verified September 17, 2026

2026 Missouri Marketplace evidence364,175 plan selections112 county records from the CMS 2026 OEP public-use file. Historical evidence for 2027 decisions; not a personal quote.

State evidence snapshot

What stands out in Missouri's 2026 Marketplace data?

Across the 112 counties in this CoveragePath CMS dataset, CMS reports 364,175 Marketplace plan selections. The largest county total is St. Louis County with 61,362 selections.

86.5% of selections in counties with unsuppressed APTC counts received advance premium tax credits. The selection-weighted county premium benchmarks are $723 before APTC and $173 after APTC. These are historical county aggregates, not household quotes.

What stands out in Missouri

Turn statewide totals into local context.

364,175

2026 CMS Marketplace plan selections represented across 112 county records.

St. Louis County

61,362 selections, 16.8% of the state total represented in this county dataset.

$723

Selection-weighted county average gross premium where CMS reports the measure.

$634

Selection-weighted county average APTC where CMS reports the measure.

Largest county markets in the file:St. Louis · 61,362Jackson · 45,566St. Louis city · 22,766

CoveragePath calculations use 2026 CMS county public-use-file measures. Weighted figures are descriptive historical benchmarks, not 2027 quotes, plan availability or eligibility determinations.

What the Missouri data can tell you

Enrollment

Use current CMS enrollment data to understand Marketplace participation without treating plan selections as active enrollment or a guarantee of coverage.

Financial assistance

Eligibility for premium tax credits depends on current federal rules and household circumstances. CoveragePath verifies rule changes before publishing numeric guidance.

County intelligence

CoveragePath now publishes verified 2026 CMS Marketplace benchmarks for 112 evidence-ranked Missouri counties, including enrollment, premium and APTC measures.

2026 ACA Marketplace data by Missouri county

Choose your county to review its verified CMS Marketplace enrollment, premium and financial-assistance benchmarks. County figures are historical measures, not a quote or guarantee of eligibility or plan availability.

Andrew County

843 2026 Marketplace plan selections reported by CMS.

Barry County

3,049 2026 Marketplace plan selections reported by CMS.

Barton County

830 2026 Marketplace plan selections reported by CMS.

Bates County

1,360 2026 Marketplace plan selections reported by CMS.

Benton County

1,563 2026 Marketplace plan selections reported by CMS.

Boone County

7,218 2026 Marketplace plan selections reported by CMS.

Butler County

2,984 2026 Marketplace plan selections reported by CMS.

Camden County

3,087 2026 Marketplace plan selections reported by CMS.

Carter County

480 2026 Marketplace plan selections reported by CMS.

Cass County

5,352 2026 Marketplace plan selections reported by CMS.

Cedar County

988 2026 Marketplace plan selections reported by CMS.

Clark County

939 2026 Marketplace plan selections reported by CMS.

Clay County

13,063 2026 Marketplace plan selections reported by CMS.

Cole County

2,732 2026 Marketplace plan selections reported by CMS.

Cooper County

942 2026 Marketplace plan selections reported by CMS.

Dade County

618 2026 Marketplace plan selections reported by CMS.

Dallas County

1,323 2026 Marketplace plan selections reported by CMS.

DeKalb County

452 2026 Marketplace plan selections reported by CMS.

Dent County

909 2026 Marketplace plan selections reported by CMS.

Gentry County

464 2026 Marketplace plan selections reported by CMS.

Greene County

21,204 2026 Marketplace plan selections reported by CMS.

Grundy County

374 2026 Marketplace plan selections reported by CMS.

Henry County

1,143 2026 Marketplace plan selections reported by CMS.

Holt County

257 2026 Marketplace plan selections reported by CMS.

Howard County

504 2026 Marketplace plan selections reported by CMS.

Howell County

2,219 2026 Marketplace plan selections reported by CMS.

Iron County

574 2026 Marketplace plan selections reported by CMS.

Jackson County

45,566 2026 Marketplace plan selections reported by CMS.

Jasper County

7,999 2026 Marketplace plan selections reported by CMS.

Knox County

246 2026 Marketplace plan selections reported by CMS.

Lewis County

1,557 2026 Marketplace plan selections reported by CMS.

Linn County

502 2026 Marketplace plan selections reported by CMS.

Macon County

765 2026 Marketplace plan selections reported by CMS.

Maries County

800 2026 Marketplace plan selections reported by CMS.

Marion County

1,357 2026 Marketplace plan selections reported by CMS.

Miller County

1,602 2026 Marketplace plan selections reported by CMS.

Monroe County

536 2026 Marketplace plan selections reported by CMS.

Morgan County

1,134 2026 Marketplace plan selections reported by CMS.

Newton County

3,901 2026 Marketplace plan selections reported by CMS.

Oregon County

738 2026 Marketplace plan selections reported by CMS.

Osage County

537 2026 Marketplace plan selections reported by CMS.

Ozark County

617 2026 Marketplace plan selections reported by CMS.

Perry County

940 2026 Marketplace plan selections reported by CMS.

Pettis County

2,308 2026 Marketplace plan selections reported by CMS.

Phelps County

1,756 2026 Marketplace plan selections reported by CMS.

Pike County

804 2026 Marketplace plan selections reported by CMS.

Platte County

5,225 2026 Marketplace plan selections reported by CMS.

Polk County

2,063 2026 Marketplace plan selections reported by CMS.

Putnam County

241 2026 Marketplace plan selections reported by CMS.

Ralls County

422 2026 Marketplace plan selections reported by CMS.

Ray County

1,102 2026 Marketplace plan selections reported by CMS.

Ripley County

785 2026 Marketplace plan selections reported by CMS.

Saline County

1,023 2026 Marketplace plan selections reported by CMS.

Scott County

2,576 2026 Marketplace plan selections reported by CMS.

Shelby County

260 2026 Marketplace plan selections reported by CMS.

Stone County

2,890 2026 Marketplace plan selections reported by CMS.

Taney County

4,908 2026 Marketplace plan selections reported by CMS.

Texas County

1,434 2026 Marketplace plan selections reported by CMS.

Vernon County

1,404 2026 Marketplace plan selections reported by CMS.

Warren County

1,900 2026 Marketplace plan selections reported by CMS.

Wayne County

809 2026 Marketplace plan selections reported by CMS.

Wright County

1,368 2026 Marketplace plan selections reported by CMS.

Continue your coverage path

Start with eligibility factors, then review savings and Special Enrollment guidance. Final eligibility and plan availability must be verified through the Marketplace.