ACA plans available
23
Plan year 2026
CMS Marketplace county · plan year 2026
Lewis, Missouri ACA premiums
County-level marketplace aggregates from CMS Public Use Files. Listed rates are age-27 premiums unless noted.
Data updated 2026-08-30
- $704
- Silver avg/mo
- 23
- ACA plans
- 2
- Issuers
- +20.1%
- YoY premium
Silver avg $704/mo
Lewis, Missouri has 23 ACA marketplace plans from 2 issuers (plan year 2026). Average Silver premium is $704/mo; Bronze averages $548/mo and Gold $652/mo. Figures are CMS Marketplace Public Use File county aggregates for age-27 rates.
- County Silver corpus place #398 of 2055 (highest = #1)
- Benchmark (2nd-lowest Silver) $648/mo
- Plan year 2026 CMS PUF
Silver rank is not plan-count rank
According to CMS Marketplace Public Use Files, Lewis, Missouri ranks #398 of 2,055 counties by listed Silver average ($704/mo) and #1,888 of 2,055 by plan count (23 plans).
- #398 of 2,055
- Silver average among 2,055 counties
- $704
- Listed Silver average /mo
- #1,888 of 2,055
- Plan count among 2,055 counties
- 23
- Listed ACA plans in this county
Highest listed Silver average = #1. Most listed plans = #1. County of residence still governs which plans CMS files for that FIPS.
Lewis, Missouri offers 23 ACA marketplace plans from 2 issuers for plan year 2026. Bronze plans start at $478/mo and Silver plans start at $648/mo (age 27 listed rates). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.
$704
Avg Silver Premium/mo
$648
Benchmark Premium/mo
+20.1%
Year-over-Year Change
$5,665
Avg Deductible
High-premium band
Lewis in the high-premium third
$704/mo Silver avg sits in the top third of tracked federal-marketplace counties. Corpus place #398 of 2055 (highest Silver = #1).
Bronze starts at $478/mo; Silver spans $648–$772/mo (age 27). Benchmark (2nd-lowest Silver) is $648/mo, the subsidy ceiling.
Source: CMS Marketplace Public Use Files, plan year 2026. Informational only; confirm options at HealthCare.gov. How we place counties.
Premiums by Metal Level
Bronze-tier cards fold CMS Expanded Bronze into Bronze (same population as county_trends and methodology). Plan rows and the premium-vs-deductible chart below keep the CMS source label.
Bronze
8 plans$548/mo avg
$478 - $598
Silver
9 plans$704/mo avg
$648 - $772
Gold
5 plans$652/mo avg
$621 - $727
Catastrophic plan available: avg $504/mo (1 plan) - only for individuals under 30 or with a hardship exemption.
Benchmark premium & subsidies
The benchmark (second-lowest Silver) premium in Lewis is $648/mo for a 27-year-old. This is the amount used to calculate your premium tax credit. If your expected contribution (based on income) is less than the benchmark, you receive a subsidy for the difference.
Issuers in market
2
Some competition
Benchmark Silver
$648 /mo
Sets your subsidy ceiling
Avg deductible
$5,665
Across all metal tiers
F
Marketplace Access Score
12/100
Lewis
Based on benchmark premium, plan and issuer counts, and average deductible across 2,055 tracked ACA marketplace counties, not plan quality, network adequacy, or provider access.
Affordability F
$648/mo
Benchmark Silver premium; rank #398 of 2055 tracked counties (cheapest first)
Plan Choice F
23 plans
ACA marketplace plan count; rank #1888 of 2055 tracked counties (most first)
Issuer Competition F
2 issuers
Distinct marketplace issuers; rank #1823 of 2055 tracked counties (most first)
Cost Predictability F
$5,665
Average deductible across tracked plans; rank #85 of 2055 tracked counties (lowest first)
Lewis ACA plans by premium and deductible
Each marker is the Lewis average for one metal tier, monthly premium (age 27) plotted against the average annual deductible, both computed directly from this county's plans. The classic ACA tradeoff is visible: lower-premium Bronze tiers carry the highest deductibles, while Gold and Platinum invert it.
Lewis ACA marketplace plans: premium vs deductible
How Lewis's Silver premium compares nationwide
2,055 federal-marketplace counties with a tracked Silver average, banded by monthly premium.
Lewis vs 2,055 tracked counties
Average Silver premium (age 27), CMS Marketplace Public Use Files
$704 398th of 2055 higher than 1,654 of 2,055 counties
Counties, banded by average Silver premium
Each bar is a $1-wide band; taller bars hold more counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.
Source CMS Marketplace Public Use Files · 2026-08-30
Issuers in Lewis
| Issuer | Plans | Avg Premium (Age 27) |
|---|---|---|
| UnitedHealthcare | 13 | $605/mo |
| Anthem Blue Cross and Blue Shield | 10 | $662/mo |
All Plans in Lewis
| Plan Name | Metal | Type | Premium (27) | Premium (40) | Deductible | OOP Max |
|---|---|---|---|---|---|---|
| Anthem Catastrophic Pathway (+ Incentives) Anthem Blue Cross and Blue Shield | Catastrophic | EPO | $503.82 | $614.39 | $10,600 | $10,600 |
| UHC Bronze Essential (No Referrals) UnitedHealthcare | Bronze | EPO | $477.82 | $582.68 | $10,600 | $10,600 |
| Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Bronze | EPO | $559.85 | $682.72 | $10,150 | $10,150 |
| UHC Bronze Standard (No Referrals) UnitedHealthcare | Expanded Bronze | EPO | $507.64 | $619.05 | $7,500 | $10,000 |
| UHC Bronze Standard+ (Dental + Vision, No Referrals) UnitedHealthcare | Expanded Bronze | EPO | $524.09 | $639.11 | $7,500 | $10,000 |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare | Expanded Bronze | EPO | $535.60 | $653.15 | $0 | $10,600 |
| Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Expanded Bronze | EPO | $586.35 | $715.03 | $6,900 | $10,150 |
| Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Expanded Bronze | EPO | $593.94 | $724.29 | $4,900 | $10,150 |
| Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Expanded Bronze | EPO | $598.48 | $729.83 | $7,500 | $10,000 |
| UHC Silver Standard (No Referrals) UnitedHealthcare | Silver | EPO | $648.23 | $790.49 | $6,000 | $8,900 |
| UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare | Silver | EPO | $648.31 | $790.59 | $3,500 | $10,300 |
| UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare | Silver | EPO | $661.27 | $806.40 | $0 | $10,600 |
| UHC Silver Standard+ (Dental + Vision, No Referrals) UnitedHealthcare | Silver | EPO | $664.68 | $810.55 | $6,000 | $8,900 |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) UnitedHealthcare | Silver | EPO | $664.76 | $810.66 | $3,500 | $10,300 |
| Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Silver | EPO | $753.06 | $918.33 | $7,200 | $8,625 |
| Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Silver | EPO | $761.67 | $928.82 | $5,350 | $8,600 |
| Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Silver | EPO | $766.27 | $934.44 | $6,000 | $8,900 |
| Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Silver | EPO | $771.87 | $941.27 | $3,100 | $10,150 |
| UHC Gold Standard (No Referrals) UnitedHealthcare | Gold | EPO | $620.60 | $756.80 | $2,000 | $8,200 |
| UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) UnitedHealthcare | Gold | EPO | $624.05 | $761.00 | $1,500 | $8,100 |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) UnitedHealthcare | Gold | EPO | $640.50 | $781.07 | $1,500 | $8,100 |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) UnitedHealthcare | Gold | EPO | $645.94 | $787.70 | $0 | $8,000 |
| Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) Anthem Blue Cross and Blue Shield | Gold | EPO | $727.04 | $886.60 | $2,000 | $8,200 |
Silver Premium Trend (2022-2026)
| Year | Avg Premium | Min | Max | Plans | Issuers |
|---|---|---|---|---|---|
| 2022 | $574/mo | $539 | $601 | 6 | 1 |
| 2023 | $578/mo | $569 | $586 | 6 | 1 |
| 2024 | $607/mo | $594 | $623 | 5 | 1 |
| 2025 | $581/mo | $545 | $624 | 9 | 2 |
| 2026 | $704/mo | $648 | $772 | 9 | 2 |
What this means for Lewis
Use Lewis's own numbers here, not a national average, before you enroll.
- $704/mo Silver average sits in the top third of tracked counties nationally -- run the metal-tier math before defaulting to Silver. Compare metal tiers
- 23 plans from 2 issuers puts Lewis in the thinnest third of tracked counties -- check the rest of Missouri for more options. All of Missouri
Averages and tercile bands are CMS Marketplace Public Use File aggregates for this county; your actual premium depends on your age, household income, and chosen plan.
Frequently Asked Questions
Why is Lewis's Silver premium in the high band?
Lewis ranks #398 of 2055 tracked federal-marketplace counties by average Silver premium (highest = #1; CMS PUF sort). Local Silver avg is $704/mo. See /methodology#corpus-placement.
Why does Lewis carry a thin ACA plan book?
Lewis lists 23 marketplace plans from 2 issuers - a bottom-third inventory vs other tracked counties (plan year 2026).
What is the floor premium in high-cost Lewis?
The lowest-premium plan in Lewis starts at $478/mo (Bronze tier, age 27). Silver plans start at $648/mo. Actual premiums vary by age and may be reduced by premium tax credits.
How does the Lewis benchmark premium affect subsidies?
The benchmark (second-lowest Silver) premium in Lewis is $648/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.
Why did Lewis premiums rise +20.1% year-over-year?
The average age-27 premium in Lewis changed by +20.1% between plan years 2025 and 2026, measured across Bronze, Silver, Gold, Platinum and Catastrophic plans. Premium trends are tracked from 2022 to 2026.
How limited is issuer competition in Lewis?
Only 2 issuers sell marketplace plans in Lewis (UnitedHealthcare and Anthem Blue Cross and Blue Shield). Narrow competition often correlates with higher benchmark premiums.
Which insurance companies offer plans in Lewis?
There are 2 insurance issuers offering ACA marketplace plans in Lewis, including UnitedHealthcare, Anthem Blue Cross and Blue Shield. Competition among issuers affects plan variety and pricing. More issuers generally mean more choices and potentially lower premiums.
Disclaimer
This page is for informational purposes only and does not constitute insurance or financial advice. Premiums shown are for a 27-year-old non-tobacco user unless otherwise noted. Your actual premium depends on age, location, tobacco use, and subsidy eligibility. Visit HealthCare.gov for official enrollment. Source: CMS Marketplace PUF, PY2026.
Read our methodology - how this data is sourced, computed, and verified.
Counties With a Similar Benchmark Premium
The closest counties nationwide to Lewis, MO's $648/mo benchmark premium.
One of 2,054 counties nationwide with a tracked benchmark premium, 5 are shown here.
Nationwide counties with similar marketplace profiles
Two CMS Marketplace peer sets for Lewis, MO, both outside MO so the neighborhoods are not state containment (the similar-premium list above may still include same-state rating-area siblings). Peers are drawn from counties with ≥20 plans, the rankings-scale corpus.
Similar benchmark premium
Nearest other-state counties by benchmark premium ($648/mo here).
Similar issuer competition
Nearest other-state counties by issuer count (2 here).
Data sources
Data sourced from the CMS Health Insurance Marketplace Public Use Files. See our methodology for details. Retrieved and formatted by PlainHealthPlan
PlainHealthPlan is rendered directly from CMS Health Insurance Marketplace Public Use Files, no number is typed in by an editor. Plan and premium figures for this county come from the live CMS Marketplace PUF aggregates. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.