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Open enrollment 2027 · Missouri

Medicare Advantage in St. Louis County, MO, for 2027.

CMS lists 81 Medicare Advantage plans here for 2027, 1 more than 2026 (80). 131,161 people in the county had an individual Medicare Advantage plan in October 2026.

Sources: CMS CY2027 plan file (October 2026 release), CMS CY2026 plan file (September 2026 release), CMS enrollment by county (CPSC), October 2026, CMS 2027 Plan Crosswalk (October 1, 2026), CMS 2027 Star Ratings Data Tables (October 8, 2026). Member counts are floors because CMS hides counts of 10 or fewer.

The county in numbers

2027 plans811 more than 2026 (80)
$0 premium plans56of 81
Insurers11parent companies
Must pick a plan3,177their plan ends here
Rated 4 stars or more44of 79 rated plans

Plans that end here for 2027

5 plans with members in the county end or leave it, plus 90 with 10 or fewer members here. CMS moves 5,102 members to another plan, and 106,457 stay in the same plan.

PlanInsurerMembersWhy
AARP Medicare Advantage from UHC ST-2 (PPO)UnitedHealth2,820Plan terminated
HealthSpring True Choice Savings (PPO)Health Care Service148Plan terminated
UHC Medicare Advantage AM-0002 (Regional PPO)UnitedHealth92Plan terminated
UHC Complete Care Support AM-1A (Regional PPO C-SNP)UnitedHealth82Plan terminated
UHC Complete Care AM-1 (Regional PPO C-SNP)UnitedHealth35Plan terminated

Where CMS moves members

2026 plan2027 planMembers
UHC Dual Complete MO-S3 (HMO-POS D-SNP)UHC Dual Complete MO-S3 (HMO-POS D-SNP)4,528
UHC Dual Complete MO-V001 (HMO-POS D-SNP)UHC Dual Advantage MO-V1 (HMO-POS D-SNP)456
Wellcare Giveback (HMO-POS)Wellcare Simple (HMO-POS)118

Who holds the members

  • UnitedHealth55,862
  • CVS Health24,051
  • Lumeris Group Holdings21,589
  • Humana18,709
  • Elevance Health6,145
  • Devoted Health1,796

Individual Medicare Advantage members by parent company, October 2026.

Top rated plans sold here

  • UHC Nursing Home Plan MO-F001 (PPO I-SNP)UnitedHealth5.0
  • Humana Essentials Plus Giveback (HMO)Humana4.5
  • Humana Essentials Plus Giveback (HMO)Humana4.5
  • Humana Full Access (PPO)Humana4.5
  • Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana4.5
  • Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)Humana4.5
  • Humana Gold Plus SNP-DE H4461-044 (HMO-POS D-SNP)Humana4.5
  • Humana Total Complete (HMO)Humana4.5

2027 overall Star Rating, 4.5 or more. Each plan's measure stars are in the county lookup.

See every plan, premium and copay in the free lookup.

Sort all 81 plans, open each plan's benefits and star measures, and see what each insurer paid agents in 2026.

Open St. Louis in the lookup

Working this county for AEP?

The AEP 2027 County Kit puts this county and your others in one file: the plans that end, where members land, what is still sold and a crosswalk sheet, with every number tied to its CMS file.

See the AEP 2027 County Kit

All Missouri county pages. Facts from public CMS files, prepared by Health and Tech Now. Not plan advice. Check a plan's Summary of Benefits before you enroll.