QHP Index

Silver plans in Saint Louis City

24 Silver plans sold in Saint Louis City, Missouri, from 5 insurers, priced at age 27.

What people in Saint Louis City actually paid

The prices below are the sticker price. Most people do not pay it. In 2026, the average plan in Saint Louis City listed at $606 a month and the average person paid $140 after the advance premium tax credit.

7,168 of the 22,766 people who enrolled here — 31.5% — paid $10 a month or less.

What you pay depends on your income and your household, and only HealthCare.gov can work it out for you. These are the county's published averages, not a quote.

Premiums at age 27: 212730405060

PlanMetalType Premium at 27DeductibleMax out of pocket
Standard Silver
Ambetter Health
SilverEPO $429.10 $6,000 $8,900
Complete Silver
Ambetter Health
SilverEPO $435.86 $5,950 $8,850
Standard Silver + Vision + Adult Dental
Ambetter Health
SilverEPO $442.07 $6,000 $8,900
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
SilverEPO $447.48 $7,200 $8,625
Complete Silver + Vision + Adult Dental
Ambetter Health
SilverEPO $449.03 $5,950 $8,850
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
SilverEPO $452.59 $5,350 $8,600
Silver Simple PCP Saver
Oscar Insurance Company
SilverEPO $454.87 $5,100 $10,000
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
SilverEPO $455.32 $6,000 $8,900
Silver Classic Standard
Oscar Insurance Company
SilverEPO $458.16 $6,000 $8,900
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
SilverEPO $458.66 $3,100 $10,150
Silver Simple Diabetes
Oscar Insurance Company
SilverEPO $459.07 $6,500 $10,000
Silver Simple Women's Health with Menopause Benefits
Oscar Insurance Company
SilverEPO $461.20 $6,000 $10,150
Silver Elite Saver Plus
Oscar Insurance Company
SilverEPO $462.68 $0 $10,150
UHC Silver Standard (No Referrals)
UnitedHealthcare
SilverEPO $502.66 $6,000 $8,900
UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
SilverEPO $502.73 $3,500 $10,300
Balance by Medica Silver $0 Copay PCP Visits
Medica
SilverEPO $507.41 $3,500 $10,450
Balance by Medica Silver Share
Medica
SilverEPO $509.51 $3,525 $8,850
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
SilverEPO $512.78 $0 $10,600
Medica with SSM Health Silver $0 Copay PCP Visits
Medica
SilverEPO $513.56 $3,500 $10,450
Balance by Medica Silver Standard
Medica
SilverEPO $514.50 $6,000 $8,900
UHC Silver Standard+ (Dental + Vision, No Referrals)
UnitedHealthcare
SilverEPO $515.42 $6,000 $8,900
UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UnitedHealthcare
SilverEPO $515.49 $3,500 $10,300
Medica with SSM Health Silver Share
Medica
SilverEPO $515.64 $3,525 $8,850
Medica with SSM Health Silver Standard
Medica
SilverEPO $520.74 $6,000 $8,900

Silver is the only level that carries cost-sharing reductions. If your income is under 250% of the federal poverty level, a Silver plan’s deductible and copays drop automatically — often far below what Gold offers for more money. Each plan’s page shows exactly what it becomes.

Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.

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When next year’s premiums are posted for Saint Louis City, or an insurer arrives or leaves.

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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. What people actually paid comes from the CMS open-enrollment county public use file for 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.