Missouri Health Insurance Pool
832 Weathered Rock Court | PO Box 104538
Jefferson City, MO 65110-4538
phone: 800-821-2231 | fax: 573-526-2004
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
State Pool Plan Options
All five MHIP state pool plans are comprehensive major medical plans that use a preferred provider organization (PPO). Enrollees must receive care from a PPO network provider to receive maximum benefits.
Download the State Pool Certificate of Coverage. - Requires Adobe Acrobat Reader.
MHIP Events
Board Meetings - Held MonthlyView 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 Options Overview
| Plan I | Plan II | Plan III | Plan IV | Plan V | ||||||
| Network | Non-Network | Network | Non-Network | 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. |
This plan is designed to be used with a Health Savings Account. Contact the carrier serving your area for more information. | ||||||||
| Deductible | $500 | $1,000 | $1,000 | $2,000 | $2,500 | $5,000 | $5,000 | $10,000 | $2,500 combined medical/pharmacy deductible, network and non-network |
|
| Coinsurance | 20% after deductible |
50% after deductible |
20% after deductible |
50% after deductible |
20% after deductible |
50% after deductible |
20% after deductible |
50% after deductible |
20% after deductible |
50% after deductible |
| Out-of-Pocket Maximum |
$3,000 | No Limit | $6,000 | No Limit | $7,500 | No Limit | $10,000 | No Limit | $5,000 | $10,000 |
| Prescription Deductible |
$100 | $100 | $250 | $500 | $2,500 combined medical/pharmacy deductible, network and non-network |
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| Prescription Coinsurance |
30% of drug's cost after pharmacy deductible |
You pay drug's cost and are reimbursed up to 70% |
30% of drug's cost after pharmacy deductible |
You pay drug's cost and are reimbursed up to 70% |
30% of drug's cost after pharmacy deductible |
You pay drug's cost and are reimbursed up to 70% |
30% of drug's cost after pharmacy deductible |
You pay drug's cost and are reimbursed up to 70% |
30% of drug's cost after deductible |
30% of drug's cost after deductible |
| Prescription Out-of-Pocket Maximum |
$3,000 | $3,000 | $3,150 | $3,400 | $5,000, combined with medical plan |
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Click here to view MHIP State High Risk Pool Program benefits.
