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By Michael Sprague, Licensed Health Insurance Agent · Reviewed by Heather Sprague, Licensed Health Insurance Agent

Cox HealthPlans, the insurance arm of Springfield-based CoxHealth, will stop selling plans on HealthCare.gov after 2026. It will keep selling off-exchange individual plans in Greene, Christian, Webster, Stone, Taney, Barry and Lawrence counties, and CoxHealth is partnering with Oscar Health to offer Marketplace plans in eight Missouri counties.

If you have a Cox HealthPlans plan, you need to pick a new one during open enrollment to avoid a gap. A licensed Vivna agent can compare your options for free at 888-730-6031.

Key Takeaways
  • Cox HealthPlans Marketplace plans end December 31, 2026.
  • Off-exchange Cox plans do not come with a premium tax credit. If you get a subsidy, pick a Marketplace plan.
  • CoxHealth is partnering with Oscar Health for 2027 Marketplace plans in eight counties.
  • Pick a new plan by December 15 so coverage starts January 1.
  • Five other insurers remain on the Missouri Marketplace for 2027.

Where Cox HealthPlans Is Leaving the Marketplace

Cox HealthPlans sells only in southwest Missouri:

StateWhere to enrollKey deadline
MissouriHealthCare.govEnroll by December 15 for January 1. Open enrollment ends January 15

When Your Cox HealthPlans Plan Ends

Your Cox HealthPlans Marketplace plan stays in place through December 31, 2026. Cox will not sell plans on HealthCare.gov for 2027.

Cox will still sell individual plans directly, off the exchange, in seven counties. Those plans are full price. Premium tax credits are only available on Marketplace plans bought through HealthCare.gov.

What You Need to Do Now

If you get a subsidy now, pick a Marketplace plan on HealthCare.gov by December 15 so you keep it. If you do not get a subsidy, compare an off-exchange Cox plan with Marketplace plans before you decide.

Need a Replacement Plan Fast?

We compare every Marketplace insurer in your ZIP code, check your subsidy and handle the switch at no cost to you. Call 888-730-6031 or request a free quote.

Your Replacement Options

  • Oscar and CoxHealth: New Oscar Marketplace plans built with CoxHealth are offered in eight Missouri counties for 2027.
  • Other Missouri insurers: Ambetter, Anthem, Blue Cross and Blue Shield of Kansas City, Oscar and UnitedHealthcare all sell Marketplace plans for 2027. See our Missouri open enrollment guide.

Key 2027 Deadlines

DateWhat it means
November 1, 2026Open enrollment opens
December 15, 2026Last day to pick a plan for January 1 coverage on HealthCare.gov
December 31, 2026Your current plan ends
January 15, 2027Open enrollment ends. Plans picked after December 15 start February 1

Losing coverage because your insurer leaves may also qualify you for a special enrollment period, but do not wait. Picking a plan during open enrollment is the only way to avoid a gap.

Do Not Forget Dental, Vision and Extras

If your Cox HealthPlans plan included or was paired with dental, vision or supplemental benefits, check whether those end too. You can add dental insurance, vision insurance or hospital indemnity coverage to a new plan.

If Your Insurer Is Leaving, You Are Not Alone

At least a dozen insurers announced Marketplace exits for 2027, according to healthinsurance.org, including Cigna in 11 states. Rising costs and the end of the enhanced federal subsidies are the main reasons. See our guides to Cigna leaving the Marketplace and what to do when your insurer leaves.

For Missouri dates, insurers and rate changes, see our Missouri open enrollment guide and our guide to Medica leaving the Marketplace, which affects the Kansas City area.

Cox HealthPlans Leaving the Marketplace: FAQ

Is Cox HealthPlans leaving the Marketplace

Yes. Cox will not sell plans on HealthCare.gov for 2027. It will keep selling off-exchange plans in seven southwest Missouri counties.

Can I keep my subsidy with Cox

Not with an off-exchange Cox plan. Premium tax credits only apply to Marketplace plans bought through HealthCare.gov.

What is the Oscar and CoxHealth partnership

CoxHealth is working with Oscar Health to offer Marketplace plans in eight Missouri counties for 2027.

What is the deadline to switch

December 15 for coverage that starts January 1. Open enrollment ends January 15.

Next Steps for Cox HealthPlans Members

Choose a new plan by December 15. If you get a subsidy, stay on HealthCare.gov. Compare networks, especially CoxHealth hospitals and doctors, and total yearly costs.

Want a licensed agent to help? Call 888-730-6031, Monday through Friday, 9 a.m. to 6 p.m. Eastern, or request a free quote.

Sources

  1. CoxHealth: New ACA Marketplace coverage with Oscar Health
  2. Becker's Payer: Missouri health system to stop offering ACA plans
  3. healthinsurance.org: Missouri Marketplace

Related Guides

Michael Sprague, licensed health insurance agent at Vivna Insurance

About the author: Michael Sprague

Michael co-founded Vivna Insurance, a licensed independent agency in Deerfield Beach, Florida. He has worked in health insurance sales for more than a decade. Today, he helps Florida families and self-employed clients compare marketplace, short-term and supplemental plans. Licensed health insurance agent, Vivna Insurance (Agency NPN 19168641). Call 888-730-6031.

Reviewed by Heather Sprague, licensed health insurance agent.

Vivna Insurance is a licensed independent agency, not a government website. Our help is free; we are paid by the insurance companies we work with. Coverage options, deadlines and costs vary by plan and state.

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