Health Insurance for Self-Employed Professionals: What Are Your Options?

If you're self-employed, you already wear a lot of hats: CEO, accountant, marketer, and everything in between. One of the biggest responsibilities that falls squarely on your shoulders is securing health insurance for yourself. Without access to an employer-sponsored plan, understanding your options becomes essential for both your personal well-being and your financial future.

Why It Matters

Health care is expensive. According to the Kaiser Family Foundation, the average annual premium for individual coverage in 2023 was $8,435, with self-employed individuals often paying the full amount out of pocket. Add in deductibles and outside costs, and one health event could seriously disrupt your finances.

At the same time, nearly 30% of self-employed workers reported that cost is the primary reason they remain uninsured, according to a 2022 Commonwealth Fund survey.

So what are your options?

1. Marketplace Plans (ACA)

The Affordable Care Act (ACA) established health insurance marketplaces where self-employed individuals can shop for coverage. All ACA-compliant plans must cover essential health benefits and cannot deny coverage for preexisting conditions.

Pros:

• Potential eligibility for premium tax credits and cost-sharing reductions based on income
• Wide range of plan types (Bronze, Silver, Gold, Platinum)
• Guaranteed coverage

Cons:

• Premiums can be high if your income exceeds subsidy thresholds
• Network restrictions may apply

2. Health Savings Account (HSA)-Eligible High Deductible Plans

Choosing a high deductible health plan (HDHP) can reduce your monthly premium and allow you to open a Health Savings Account (HSA). Contributions are tax-deductible, grow tax-free, and can be withdrawn tax-free for qualified medical expenses.

This option works well for self-employed individuals who are generally healthy and want to save for future health costs.

3. Private Insurance Plans

You can also shop directly through private insurers or with the help of an independent agent. These plans may offer broader networks or tailored benefits, though they are often more expensive than ACA plans without subsidies.

4. Association Health Plans

Some professional associations offer group health insurance for members. These plans may offer lower premiums and better coverage, but availability varies based on your industry and location.

5. Short-Term Health Insurance

Short-term plans can serve as a temporary solution but often come with limited benefits, exclusions for preexisting conditions, and high out-of-pocket costs. They’re not ideal for long-term coverage.

Final Thought

As a self-employed professional, choosing the right health insurance is about balancing cost, coverage, and risk tolerance. The good news is that you have options, and with the right strategy, you can protect your health and your business.

Need help evaluating your options? Contact our office. We’ll help you find a plan that fits your needs and your budget.