Roy is a 63-year-old, retired resident of Cedar County. He signed up for health insurance through the Marketplace and was able to get a plan for only $46.24 per month for him and his wife. He was recently diagnosed with diabetes, which resulted in a few hospitalizations and emergency room visits. But, due to an error on his application last year, he discovered that he isn’t eligible for tax credits and might lose his health insurance next year. He worries that he will not be able to afford a plan on the Marketplace without that financial help. He makes too much to be eligible for Medicaid and too little to qualify for tax subsidies. He is in the Medicaid gap. If Missouri had expanded Medicaid, Roy would not have to worry about whether he will be able to afford the necessary medical care for his diabetes.