ACA Marketplace

About half of all Missouri enrollees chose bronze plans in 2026 — the lowest-premium option with the highest deductibles — a significant shift from last year, when mid-level silver plans were the most popular.

Experts say the current enrollment numbers may still fall in the coming weeks. Many enrollees were automatically re-enrolled and remain in a grace period to pay their premiums.

The plans are the result of legislation Gov. Mike Kehoe passed in July, after four years of debate. Consumers can choose from four plans, with optional dental and vision coverage.