Complete Silver + Vision + Adult Dental
Silver · EPO · Ambetter Health · Missouri
At age 40 it costs between $547.58 and $815.96 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $5,950 | $8,850 | $30 | $3 |
| up to 150% of the federal poverty level | $0 | $1,650 | No Charge | No Charge |
| 150% to 200% | $0 | $3,350 | $15 | $3 |
| 200% to 250% | $5,250 | $7,700 | $25 | $3 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 99723MO0110013 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Silver |
| Plan type | EPO |
| Deductible (individual) | $5,950 |
| Deductible (family) | $11,900 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,850 |
| Family maximum | $17,700 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $55 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 97.07% |
| 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 | $428.48 | $486.31 | $547.58 | $765.24 | $1,162.85 |
| Jefferson County | $428.48 | $486.31 | $547.58 | $765.24 | $1,162.85 |
| Lincoln County | $428.48 | $486.31 | $547.58 | $765.24 | $1,162.85 |
| Saint Charles County | $428.48 | $486.31 | $547.58 | $765.24 | $1,162.85 |
| Saint Louis County | $428.48 | $486.31 | $547.58 | $765.24 | $1,162.85 |
| Saint Louis City | $428.48 | $486.31 | $547.58 | $765.24 | $1,162.85 |
| Sainte Genevieve County | $428.48 | $486.31 | $547.58 | $765.24 | $1,162.85 |
| Warren County | $428.48 | $486.31 | $547.58 | $765.24 | $1,162.85 |
| Washington County | $428.48 | $486.31 | $547.58 | $765.24 | $1,162.85 |
| Cass County | $468.19 | $531.38 | $598.33 | $836.16 | $1,270.63 |
| Clay County | $468.19 | $531.38 | $598.33 | $836.16 | $1,270.63 |
| Jackson County | $468.19 | $531.38 | $598.33 | $836.16 | $1,270.63 |
| Platte County | $468.19 | $531.38 | $598.33 | $836.16 | $1,270.63 |
| Barry County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Cedar County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Christian County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Dade County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Dallas County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Douglas County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Greene County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Hickory County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Laclede County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Lawrence County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Ozark County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Polk County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Stone County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Taney County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Webster County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Wright County | $513.59 | $582.92 | $656.36 | $917.26 | $1,393.87 |
| Barton County | $544.84 | $618.38 | $696.29 | $973.06 | $1,478.67 |
| Jasper County | $544.84 | $618.38 | $696.29 | $973.06 | $1,478.67 |
| McDonald County | $544.84 | $618.38 | $696.29 | $973.06 | $1,478.67 |
| Newton County | $544.84 | $618.38 | $696.29 | $973.06 | $1,478.67 |
| Carter County | $548.60 | $622.65 | $701.10 | $979.79 | $1,488.88 |
| Crawford County | $548.60 | $622.65 | $701.10 | $979.79 | $1,488.88 |
| Dent County | $548.60 | $622.65 | $701.10 | $979.79 | $1,488.88 |
| Howell County | $548.60 | $622.65 | $701.10 | $979.79 | $1,488.88 |
| Iron County | $548.60 | $622.65 | $701.10 | $979.79 | $1,488.88 |
| Oregon County | $548.60 | $622.65 | $701.10 | $979.79 | $1,488.88 |
| Phelps County | $548.60 | $622.65 | $701.10 | $979.79 | $1,488.88 |
| Pulaski County | $548.60 | $622.65 | $701.10 | $979.79 | $1,488.88 |
| Reynolds County | $548.60 | $622.65 | $701.10 | $979.79 | $1,488.88 |
| Ripley County | $548.60 | $622.65 | $701.10 | $979.79 | $1,488.88 |
| Shannon County | $548.60 | $622.65 | $701.10 | $979.79 | $1,488.88 |
| Texas County | $548.60 | $622.65 | $701.10 | $979.79 | $1,488.88 |
| Bates County | $560.88 | $636.59 | $716.79 | $1,001.72 | $1,522.21 |
| Benton County | $560.88 | $636.59 | $716.79 | $1,001.72 | $1,522.21 |
| Henry County | $560.88 | $636.59 | $716.79 | $1,001.72 | $1,522.21 |
| Johnson County | $560.88 | $636.59 | $716.79 | $1,001.72 | $1,522.21 |
| Lafayette County | $560.88 | $636.59 | $716.79 | $1,001.72 | $1,522.21 |
| Pettis County | $560.88 | $636.59 | $716.79 | $1,001.72 | $1,522.21 |
| Saint Clair County | $560.88 | $636.59 | $716.79 | $1,001.72 | $1,522.21 |
| Saline County | $560.88 | $636.59 | $716.79 | $1,001.72 | $1,522.21 |
| Vernon County | $560.88 | $636.59 | $716.79 | $1,001.72 | $1,522.21 |
| Audrain County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Boone County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Callaway County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Camden County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Chariton County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Cole County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Cooper County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Gasconade County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Howard County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Maries County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Miller County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Moniteau County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Monroe County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Montgomery County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Morgan County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Osage County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Randolph County | $585.49 | $664.52 | $748.25 | $1,045.67 | $1,589 |
| Bollinger County | $611.98 | $694.59 | $782.10 | $1,092.98 | $1,660.89 |
| Butler County | $611.98 | $694.59 | $782.10 | $1,092.98 | $1,660.89 |
| Cape Girardeau County | $611.98 | $694.59 | $782.10 | $1,092.98 | $1,660.89 |
| Dunklin County | $611.98 | $694.59 | $782.10 | $1,092.98 | $1,660.89 |
| Madison County | $611.98 | $694.59 | $782.10 | $1,092.98 | $1,660.89 |
| Mississippi County | $611.98 | $694.59 | $782.10 | $1,092.98 | $1,660.89 |
| New Madrid County | $611.98 | $694.59 | $782.10 | $1,092.98 | $1,660.89 |
| Pemiscot County | $611.98 | $694.59 | $782.10 | $1,092.98 | $1,660.89 |
| Perry County | $611.98 | $694.59 | $782.10 | $1,092.98 | $1,660.89 |
| Scott County | $611.98 | $694.59 | $782.10 | $1,092.98 | $1,660.89 |
| Stoddard County | $611.98 | $694.59 | $782.10 | $1,092.98 | $1,660.89 |
| Wayne County | $611.98 | $694.59 | $782.10 | $1,092.98 | $1,660.89 |
| Andrew County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Atchison County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Buchanan County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Caldwell County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Carroll County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Clinton County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Daviess County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| DeKalb County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Gentry County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Grundy County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Harrison County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Holt County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Livingston County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Mercer County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Nodaway County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Ray County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Worth County | $622.38 | $706.39 | $795.39 | $1,111.56 | $1,689.12 |
| Adair County | $638.47 | $724.66 | $815.96 | $1,140.30 | $1,732.79 |
| Knox County | $638.47 | $724.66 | $815.96 | $1,140.30 | $1,732.79 |
| Linn County | $638.47 | $724.66 | $815.96 | $1,140.30 | $1,732.79 |
| Macon County | $638.47 | $724.66 | $815.96 | $1,140.30 | $1,732.79 |
| Pike County | $638.47 | $724.66 | $815.96 | $1,140.30 | $1,732.79 |
| Putnam County | $638.47 | $724.66 | $815.96 | $1,140.30 | $1,732.79 |
| Ralls County | $638.47 | $724.66 | $815.96 | $1,140.30 | $1,732.79 |
| Shelby County | $638.47 | $724.66 | $815.96 | $1,140.30 | $1,732.79 |
| Sullivan County | $638.47 | $724.66 | $815.96 | $1,140.30 | $1,732.79 |
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.