Brian Johnson | Apr 08 2025 18:00

Health Insurance for the Self-Employed: What You Need to Know

Being your own boss comes with plenty of perks—flexibility, independence, and control over your career. But when it comes to benefits like health coverage, things can get a little tricky. If you’re self-employed, understanding your health insurance options is key to protecting both your well-being and your wallet.

 

Here’s a breakdown of what you need to know about health insurance for self employed individuals, including plan types, costs, and tax benefits.

Types of Health Insurance for the Self-Employed

 

As someone who’s self-employed, you have a few solid options when it comes to choosing a health insurance plan:

 

1. Marketplace Plans (Affordable Care Act):
The Health Insurance Marketplace (healthcare.gov or your state exchange) offers a range of plans categorized by tier: Bronze, Silver, Gold, and Platinum. These plans must cover essential benefits and can’t deny you coverage based on pre-existing conditions. Depending on your income, you might also qualify for subsidies that lower your monthly premium.

 

2. Private Health Insurance Plans:
You can also purchase a plan directly from a private insurer. This route gives you more choices, especially if you’re looking for specific coverage or network providers. However, these plans may not qualify for government subsidies.

 

3. Health Sharing Ministries:
While not technically insurance, health sharing ministries are member-based groups where members share healthcare costs. These are typically faith-based and can be more affordable, but they come with limitations and may not cover all types of care.

 

4. COBRA Coverage:
If you’ve recently left a job that provided health insurance, you may be eligible for COBRA, which lets you temporarily keep your old plan. Keep in mind that you’ll pay the full premium yourself, which can be costly.

 

5. Spouse’s Employer Plan:
If your spouse has a job with benefits, joining their employer-sponsored plan could be a cost-effective and simple solution.

How Much Does It Cost?

 

The cost of health insurance for self employed people depends on several factors: your age, where you live, the type of plan you choose, and your annual income. On average, individual plans can range from $300–$600 per month before subsidies.

 

Higher-tier plans have higher premiums but lower out-of-pocket costs. Lower-tier plans have lower premiums but come with higher deductibles. Balancing these based on your health needs is key.

Don’t Forget About Tax Deductions

 

One big advantage of being self-employed is that you may be able to deduct 100% of your health insurance premiums (for yourself, your spouse, and dependents) from your taxable income. This applies whether you itemize or not, which can result in significant savings.

 

Additionally, if you have a Health Savings Account (HSA)-eligible plan, you can contribute pre-tax dollars to your HSA to use for medical expenses—another smart tax strategy.

Ready to Find the Right Plan?

 

Choosing the right health insurance for self employed individuals doesn’t have to be overwhelming. At Johnson Insurance, we specialize in helping freelancers, small business owners, and entrepreneurs like you find flexible, affordable coverage that fits your unique lifestyle.

 

Explore your options today with Johnson Insurance—your health, your plan, your peace of mind.

We would love to connect with you!