Missouri Health Insurance Pool
832 Weathered Rock Court | PO Box 104538
Jefferson City, MO 65110-4538
phone: 800-821-2231 | fax: 573-526-2004
Managed health care coverage for Missourians who are unable to obtain standard health coverage because of high-risk health conditions, exhaustion of COBRA benefits, or other lack of availability... Read more
The federal Patient Protection and Affordable Care Act, signed in March 2010 by President Barack Obama, provides $5 billion for a temporary national high-risk pool. This is intended to make health insurance available to uninsured individuals before market reforms take effect in 2014.
The law allocates $81 million for Missouri's federal high-risk pool, which is being operated by MHIP. This pool is separate from MHIP's state pool.
MHIP's federal pool offers three plans.
Download the Federal Pool Certificate of Coverage. - Requires Adobe Acrobat Reader.
Level One Establishment Grant Documents View and download the ShowMe Exchange Grant application and documents on our Board of Directors page.
From the Department of Insurance The latest from the Department of Insurance, Financial Institutions & Professional Registration
Additional Resources Contact information for assistance groups to help patients manage a variety of health conditions
| Plan I | Plan II | Plan III | ||||
| Network | Non-Network | Network | Non-Network | Network | Non-Network | |
| Description | You pay the deductible and coinsurance amounts until you meet the out-of-pocket maximum. You have a separate deductible, coinsurance and out-of-pocket maximum for prescription drugs. |
|||||
| Deductible | $1,000 | $2,000 | $2,500 | $5,000 | $5,000 | $5,000 |
| Coinsurance | 20% after deductible |
50% after deductible |
20% after deductible |
50% after deductible |
20% after deductible |
50% after deductible |
| Out-of-Pocket Maximum |
$3,500 | $3,500 | $3,500 | |||
| Prescription Deductible |
$100 | $100 | $100 | |||
|
Prescription Generic |
$25 |
You pay drug's cost and are reimbursed up to 70% |
$25 |
You pay drug's cost and are reimbursed up to 70% |
$10 |
You pay drug's cost and are reimbursed up to 70% |
| Prescription Out-of-Pocket Maximum |
$2,450 | $2,450 | $2,450 | |||