Department of Insurance | St. Louis Public Radio

Department of Insurance

Susannah Lohr | St. Louis Public Radio

Next year, Blue Cross Blue Shield of Kansas City will leave the individual health care marketplace in Missouri that was set up under the Affordable Care Act. And when it does, about 18,000 patients in 25 western Missouri counties will lose their health insurance. If those enrollees sign on to Healthcare.gov this fall to buy a replacement plan, they may have no options to choose from.

That's because those 25 counties could become "bare."

National Institutes for Health

Missouri’s insurance regulator could block Aetna and Humana from offering certain insurance plans in the state if they go forward with a $37 billion dollar merger announced last year.