QHP Index

Silver plans in Madison County

13 Silver plans sold in Madison County, Missouri, from 3 insurers, priced at age 50.

What people in Madison County actually paid

The prices below are the sticker price. Most people do not pay it. In 2026, the average plan in Madison County listed at $924 a month and the average person paid $153 after the advance premium tax credit.

Across the 115 Missouri counties CMS published, the averages are $849 and $170; across the country, $829 and $183. Those are our averages of the county figures; every other number here is CMS’s own.

197 of the 647 people who enrolled here — 30.4% — 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 50: 212730405060

PlanMetalType Premium at 50DeductibleMax out of pocket
Standard Silver
Ambetter Health
SilverEPO $1,044.47 $6,000 $8,900
Complete Silver
Ambetter Health
SilverEPO $1,060.91 $5,950 $8,850
Standard Silver + Vision + Adult Dental
Ambetter Health
SilverEPO $1,076.05 $6,000 $8,900
UHC Silver Standard (No Referrals)
UnitedHealthcare
SilverEPO $1,092.86 $6,000 $8,900
Complete Silver + Vision + Adult Dental
Ambetter Health
SilverEPO $1,092.98 $5,950 $8,850
UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
SilverEPO $1,093 $3,500 $10,300
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
SilverEPO $1,114.85 $0 $10,600
UHC Silver Standard+ (Dental + Vision, No Referrals)
UnitedHealthcare
SilverEPO $1,120.59 $6,000 $8,900
UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UnitedHealthcare
SilverEPO $1,120.74 $3,500 $10,300
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
SilverEPO $1,167.13 $7,200 $8,625
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
SilverEPO $1,180.47 $5,350 $8,600
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
SilverEPO $1,187.60 $6,000 $8,900
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Blue Cross and Blue Shield
SilverEPO $1,196.30 $3,100 $10,150

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.

Counties next to this one

Madison County is in Rating Area 10 of Missouri. A rating area is the group of counties an insurer must price together, so a plan sold in two of them carries the same price in each. 11 other counties share it and are listed first; the rest are the largest in Missouri.

CountyPlansInsurersCheapest at 40Average paid after credit
Bollinger County same rating area 393 $558.74$164
Butler County same rating area 393 $558.74$159
Cape Girardeau County same rating area 393 $558.74$176
Dunklin County same rating area 393 $558.74$138
Mississippi County same rating area 393 $558.74$132
New Madrid County same rating area 393 $558.74$160
Pemiscot County same rating area 393 $558.74$159
Perry County same rating area 393 $558.74$187
Scott County same rating area 393 $558.74$152
Stoddard County same rating area 393 $558.74$139
Wayne County same rating area 393 $558.74$113
Saint Charles County 685 $365.07$232

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 Madison County, 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. CMS landscape file as loaded 17 September 2026. The state and national averages are our arithmetic over CMS’s county figures; nothing else 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.