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MHIP

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

Missouri Health Insurance Pool - managed health care coverage for Missourians who are unable to obtain standard health coverage because of high-risk health conditions.

Federal Pool Plan Options

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.

Plan Options Overview


Check Eligibility Apply Now Find a Provider

MHIP Events

Board Meetings - Held Monthly
View Board Calendar

News & Important Information

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
Copayments
(30-day supply)

Generic
Preferred Brand
Non-Preferred Brand

 

 

$25
$50
$100

You pay
drug's cost
and are
reimbursed
up to 70%

 

 

$25
$50
$100

You pay
drug's cost
and are
reimbursed
up to 70%

 

 

$10
$20
$40

You pay
drug's cost
and are
reimbursed
up to 70%
Prescription
Out-of-Pocket
Maximum
$2,450 $2,450 $2,450