Health insurance in Cass County, Missouri
5 insurers sell 54 marketplace plans here, and 8.2% of under-65 residents have no coverage at all.
Source: CMS Marketplace Open Enrollment Public Use Files and US Census Small Area Health Insurance Estimates, 2026 release.
Who sells here, and how much choice that gives
5 insurers compete in Cass County with 54 plans between them, about 11 plans each. It gained 1 since the previous plan year, up from 4.
How many people here have no coverage
8.2% of Cass County's 92,931 under-65 residents have no health coverage — 7,641 people. That is close to the Missouri rate of 9.2%, and puts Cass County in the bottom quarter of the 1,817 counties on this site (1372nd).
How much the marketplace is used
5,352 Cass County residents selected a marketplace plan for 2026: 58 per thousand under-65 residents, 1458th of 1,817. That is under the 78 per thousand typical of published counties. 684 of them — 13% — were new rather than renewing.
Cass County against Missouri
Cass County is the 11th largest of the 12 Missouri counties we publish. Its uninsured rate runs 1.0 points lower than Missouri overall and its 5 insurers sit between the state's 2 and 6. Marketplace use is close to the Missouri rate.
| Cass County | Missouri | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 8.2% | 9.2% | 9.9% |
| Insurers selling | 5 | 2–6 | 4 |
| Plans offered | 54 | — | 57 |
| Selections per 1,000 | 58 | 74 | 78 |
| New rather than renewing | 13% | 13% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Platte County | 94,270 | 6.4% | 5 | 55 |
| Franklin County | 85,622 | 8.8% | 4 | 48 |
| Jasper County | 103,631 | 12.1% | 4 | 48 |
| Boone County | 155,950 | 7.6% | 4 | 48 |
All of them have fewer insurers than this county's 5, which makes it the stronger market locally.
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