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How To Sign Up for Obamacare in Missouri for 2023
For 2023 health plans, Missouri open enrollment has ended. However, you may still be able to purchase health insurance for this year if you qualify for a special enrollment period. For example, if you’ve recently lost your job or significant income, you might qualify for a 60-day special enrollment period that will allow you to sign up for a new health insurance plan. (See What Happens If I Missed the Enrollment Deadline?)
To get covered, you can go directly to the online health insurance marketplace for Missouri. If you need personalized help, you can reach out to an enrollment assistant. Most enrollment helpers are working remotely during the COVID crisis.
Where's the Missouri Health Care Exchange?
You can find the health insurance exchange for Missouri at Healthcare.gov. This is where you can learn about the various health insurance options available to you under the Affordable Care Act. If you see a plan you like, you'll be guided through the enrollment process online.
Missouri Medicaid Expansion: Do I Qualify for Medicaid Under the ACA?
The Affordable Care Act (Obamacare) expanded Medicaid eligibility to include more people who couldn’t otherwise obtain health insurance. As written, the ACA would extend Medicaid to all adults with incomes at or below 138% of the federal poverty level. (For a single person in Missouri in 2021, that’s $18,754. For a family of four, it’s $38,295.)
However, the U.S. Supreme Court later ruled that it was up to individual states to decide whether to expand Medicaid. As of October 2021, 12 states have not expanded their programs.
Missouri Has Expanded Medicaid
In August 2020, Missouri voters approved a ballot measure to expand Medicaid by constitutional amendment. Missouri began accepting Medicaid applications on August 10, 2021, with coverage retroactive to July 1. Missouri's constitutional amendment prohibits burdens or restrictions on enrollment under the expansion, including work requirements or monthly premiums.
The Medicaid Coverage Gap
The Affordable Care Act assumed that Medicaid would be expanded to cover all Americans with incomes at or below 138% of the federal poverty level. And it created health plan subsidies for people with incomes between 100% - 400% of the poverty level.
That means, until Medicaid expansion takes effect, Missouri residents with incomes below the poverty level may fall into a coverage gap where they can get neither Medicaid nor ACA subsidies.
Get Help Finding a Health Insurance Plan in Missouri
Get Help From Missouri's Health Insurance Exchange
The following links and telephone numbers take you to the official help resources for Healthcare.gov, the health insurance marketplace for Missouri.
Help by phone: 800-318-2596 (TTY: 855-889-4325)
In-person help: Go to Find Local Help, where you can enter your city and state or zip code to find an application assister, insurance agent, or health insurance broker in your area.
Get Help From a Licensed Insurance Broker
To directly connect with a Missouri insurance broker who can help you evaluate insurance plans and choose a plan that's appropriate for your situation, call 800-943-6832. (We receive advertising income from the licensed brokers who offer their services through this telephone number.)
More Information
For more detailed information, see How Do I Sign Up for Obamacare in Missouri?