Elite Bronze
Expanded Bronze · EPO · Ambetter Health · Missouri
At age 40 it costs between $439.11 and $654.33 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 99723MO0090053 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Expanded Bronze |
| Plan type | EPO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $3,800 |
| Most you could pay in a year | $10,500 |
| Family maximum | $21,000 |
| Primary care visit | $50 |
| Specialist visit | $115 |
| Emergency room | $2,500 |
| Inpatient stay | 50% |
| Generic drugs | $3 |
| Preferred brand drugs | $195 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-855-650-3789 · TTY 1-855-650-3789 |
Where it is sold, and what it costs there
109 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Franklin County | $343.60 | $389.98 | $439.11 | $613.65 | $932.51 |
| Jefferson County | $343.60 | $389.98 | $439.11 | $613.65 | $932.51 |
| Lincoln County | $343.60 | $389.98 | $439.11 | $613.65 | $932.51 |
| Saint Charles County | $343.60 | $389.98 | $439.11 | $613.65 | $932.51 |
| Saint Louis County | $343.60 | $389.98 | $439.11 | $613.65 | $932.51 |
| Saint Louis City | $343.60 | $389.98 | $439.11 | $613.65 | $932.51 |
| Sainte Genevieve County | $343.60 | $389.98 | $439.11 | $613.65 | $932.51 |
| Warren County | $343.60 | $389.98 | $439.11 | $613.65 | $932.51 |
| Washington County | $343.60 | $389.98 | $439.11 | $613.65 | $932.51 |
| Cass County | $375.45 | $426.12 | $479.81 | $670.53 | $1,018.94 |
| Clay County | $375.45 | $426.12 | $479.81 | $670.53 | $1,018.94 |
| Jackson County | $375.45 | $426.12 | $479.81 | $670.53 | $1,018.94 |
| Platte County | $375.45 | $426.12 | $479.81 | $670.53 | $1,018.94 |
| Barry County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Cedar County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Christian County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Dade County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Dallas County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Douglas County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Greene County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Hickory County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Laclede County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Lawrence County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Ozark County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Polk County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Stone County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Taney County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Webster County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Wright County | $411.86 | $467.45 | $526.34 | $735.56 | $1,117.76 |
| Barton County | $436.91 | $495.89 | $558.36 | $780.31 | $1,185.76 |
| Jasper County | $436.91 | $495.89 | $558.36 | $780.31 | $1,185.76 |
| McDonald County | $436.91 | $495.89 | $558.36 | $780.31 | $1,185.76 |
| Newton County | $436.91 | $495.89 | $558.36 | $780.31 | $1,185.76 |
| Carter County | $439.93 | $499.31 | $562.22 | $785.70 | $1,193.95 |
| Crawford County | $439.93 | $499.31 | $562.22 | $785.70 | $1,193.95 |
| Dent County | $439.93 | $499.31 | $562.22 | $785.70 | $1,193.95 |
| Howell County | $439.93 | $499.31 | $562.22 | $785.70 | $1,193.95 |
| Iron County | $439.93 | $499.31 | $562.22 | $785.70 | $1,193.95 |
| Oregon County | $439.93 | $499.31 | $562.22 | $785.70 | $1,193.95 |
| Phelps County | $439.93 | $499.31 | $562.22 | $785.70 | $1,193.95 |
| Pulaski County | $439.93 | $499.31 | $562.22 | $785.70 | $1,193.95 |
| Reynolds County | $439.93 | $499.31 | $562.22 | $785.70 | $1,193.95 |
| Ripley County | $439.93 | $499.31 | $562.22 | $785.70 | $1,193.95 |
| Shannon County | $439.93 | $499.31 | $562.22 | $785.70 | $1,193.95 |
| Texas County | $439.93 | $499.31 | $562.22 | $785.70 | $1,193.95 |
| Bates County | $449.78 | $510.49 | $574.81 | $803.29 | $1,220.68 |
| Benton County | $449.78 | $510.49 | $574.81 | $803.29 | $1,220.68 |
| Henry County | $449.78 | $510.49 | $574.81 | $803.29 | $1,220.68 |
| Johnson County | $449.78 | $510.49 | $574.81 | $803.29 | $1,220.68 |
| Lafayette County | $449.78 | $510.49 | $574.81 | $803.29 | $1,220.68 |
| Pettis County | $449.78 | $510.49 | $574.81 | $803.29 | $1,220.68 |
| Saint Clair County | $449.78 | $510.49 | $574.81 | $803.29 | $1,220.68 |
| Saline County | $449.78 | $510.49 | $574.81 | $803.29 | $1,220.68 |
| Vernon County | $449.78 | $510.49 | $574.81 | $803.29 | $1,220.68 |
| Audrain County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Boone County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Callaway County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Camden County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Chariton County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Cole County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Cooper County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Gasconade County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Howard County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Maries County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Miller County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Moniteau County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Monroe County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Montgomery County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Morgan County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Osage County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Randolph County | $469.51 | $532.89 | $600.03 | $838.54 | $1,274.24 |
| Bollinger County | $490.76 | $557 | $627.18 | $876.48 | $1,331.89 |
| Butler County | $490.76 | $557 | $627.18 | $876.48 | $1,331.89 |
| Cape Girardeau County | $490.76 | $557 | $627.18 | $876.48 | $1,331.89 |
| Dunklin County | $490.76 | $557 | $627.18 | $876.48 | $1,331.89 |
| Madison County | $490.76 | $557 | $627.18 | $876.48 | $1,331.89 |
| Mississippi County | $490.76 | $557 | $627.18 | $876.48 | $1,331.89 |
| New Madrid County | $490.76 | $557 | $627.18 | $876.48 | $1,331.89 |
| Pemiscot County | $490.76 | $557 | $627.18 | $876.48 | $1,331.89 |
| Perry County | $490.76 | $557 | $627.18 | $876.48 | $1,331.89 |
| Scott County | $490.76 | $557 | $627.18 | $876.48 | $1,331.89 |
| Stoddard County | $490.76 | $557 | $627.18 | $876.48 | $1,331.89 |
| Wayne County | $490.76 | $557 | $627.18 | $876.48 | $1,331.89 |
| Andrew County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Atchison County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Buchanan County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Caldwell County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Carroll County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Clinton County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Daviess County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| DeKalb County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Gentry County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Grundy County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Harrison County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Holt County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Livingston County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Mercer County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Nodaway County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Ray County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Worth County | $499.10 | $566.46 | $637.83 | $891.37 | $1,354.52 |
| Adair County | $512 | $581.11 | $654.33 | $914.42 | $1,389.55 |
| Knox County | $512 | $581.11 | $654.33 | $914.42 | $1,389.55 |
| Linn County | $512 | $581.11 | $654.33 | $914.42 | $1,389.55 |
| Macon County | $512 | $581.11 | $654.33 | $914.42 | $1,389.55 |
| Pike County | $512 | $581.11 | $654.33 | $914.42 | $1,389.55 |
| Putnam County | $512 | $581.11 | $654.33 | $914.42 | $1,389.55 |
| Ralls County | $512 | $581.11 | $654.33 | $914.42 | $1,389.55 |
| Shelby County | $512 | $581.11 | $654.33 | $914.42 | $1,389.55 |
| Sullivan County | $512 | $581.11 | $654.33 | $914.42 | $1,389.55 |
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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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. 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.