2026 CMS Marketplace plan selections represented across 112 county records.
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
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.
61,362 selections, 16.8% of the state total represented in this county dataset.
Selection-weighted county average gross premium where CMS reports the measure.
Selection-weighted county average APTC where CMS reports the measure.
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.
Atchison County
278 2026 Marketplace plan selections reported by CMS.
Audrain County
1,314 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.
Bollinger County
927 2026 Marketplace plan selections reported by CMS.
Boone County
7,218 2026 Marketplace plan selections reported by CMS.
Buchanan County
4,922 2026 Marketplace plan selections reported by CMS.
Butler County
2,984 2026 Marketplace plan selections reported by CMS.
Caldwell County
538 2026 Marketplace plan selections reported by CMS.
Callaway County
1,880 2026 Marketplace plan selections reported by CMS.
Camden County
3,087 2026 Marketplace plan selections reported by CMS.
Cape Girardeau County
4,554 2026 Marketplace plan selections reported by CMS.
Carroll County
450 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.
Chariton County
407 2026 Marketplace plan selections reported by CMS.
Christian County
6,797 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.
Clinton County
937 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.
Crawford County
1,512 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.
Daviess County
457 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.
Douglas County
1,154 2026 Marketplace plan selections reported by CMS.
Dunklin County
2,467 2026 Marketplace plan selections reported by CMS.
Franklin County
6,177 2026 Marketplace plan selections reported by CMS.
Gasconade County
1,141 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.
Harrison County
384 2026 Marketplace plan selections reported by CMS.
Henry County
1,143 2026 Marketplace plan selections reported by CMS.
Hickory County
640 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.
Jefferson County
10,931 2026 Marketplace plan selections reported by CMS.
Johnson County
2,345 2026 Marketplace plan selections reported by CMS.
Knox County
246 2026 Marketplace plan selections reported by CMS.
Laclede County
3,168 2026 Marketplace plan selections reported by CMS.
Lafayette County
1,628 2026 Marketplace plan selections reported by CMS.
Lawrence County
2,725 2026 Marketplace plan selections reported by CMS.
Lewis County
1,557 2026 Marketplace plan selections reported by CMS.
Lincoln County
3,015 2026 Marketplace plan selections reported by CMS.
Linn County
502 2026 Marketplace plan selections reported by CMS.
Livingston County
637 2026 Marketplace plan selections reported by CMS.
Macon County
765 2026 Marketplace plan selections reported by CMS.
Madison County
647 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.
McDonald County
1,937 2026 Marketplace plan selections reported by CMS.
Miller County
1,602 2026 Marketplace plan selections reported by CMS.
Mississippi County
930 2026 Marketplace plan selections reported by CMS.
Moniteau County
652 2026 Marketplace plan selections reported by CMS.
Monroe County
536 2026 Marketplace plan selections reported by CMS.
Montgomery County
660 2026 Marketplace plan selections reported by CMS.
Morgan County
1,134 2026 Marketplace plan selections reported by CMS.
New Madrid County
1,241 2026 Marketplace plan selections reported by CMS.
Newton County
3,901 2026 Marketplace plan selections reported by CMS.
Nodaway County
902 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.
Pemiscot County
1,325 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.
Pulaski County
1,875 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.
Randolph County
1,174 2026 Marketplace plan selections reported by CMS.
Ray County
1,102 2026 Marketplace plan selections reported by CMS.
Reynolds County
360 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.
Schuyler County
208 2026 Marketplace plan selections reported by CMS.
Scotland County
514 2026 Marketplace plan selections reported by CMS.
Scott County
2,576 2026 Marketplace plan selections reported by CMS.
Shannon County
671 2026 Marketplace plan selections reported by CMS.
Shelby County
260 2026 Marketplace plan selections reported by CMS.
St. Charles County
17,815 2026 Marketplace plan selections reported by CMS.
St. Clair County
629 2026 Marketplace plan selections reported by CMS.
St. Francois County
2,943 2026 Marketplace plan selections reported by CMS.
St. Louis County
61,362 2026 Marketplace plan selections reported by CMS.
St. Louis city County
22,766 2026 Marketplace plan selections reported by CMS.
Ste. Genevieve County
692 2026 Marketplace plan selections reported by CMS.
Stoddard County
1,816 2026 Marketplace plan selections reported by CMS.
Stone County
2,890 2026 Marketplace plan selections reported by CMS.
Sullivan County
347 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.
Washington County
1,212 2026 Marketplace plan selections reported by CMS.
Wayne County
809 2026 Marketplace plan selections reported by CMS.
Webster County
2,566 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.