Self-employed professionals typically choose between marketplace plans (which may include income-based subsidies), private plans purchased directly from a carrier, and supplemental coverage layered on top of either. Without an employer plan to fall back on, finding coverage can feel like an extra job in itself, here's a clearer way to think about it.
Marketplace plans are often the starting point
Many self-employed individuals start by comparing marketplace plans. If you're self-employed, Marketplace eligibility and savings are generally based on your estimated annual household income, including your expected net self-employment income.
Private plans are worth comparing too
Depending on your income and needs, private plans purchased directly or through a broker may also be worth comparing, particularly if marketplace subsidies don't apply to your situation.
Supplemental coverage can help fill gaps
Some self-employed professionals pair a major medical plan with supplemental coverage, like accident or critical illness plans, as an extra layer of financial protection, worth a conversation if predictable healthcare costs are a concern for your business.
A practical tip
Because self-employment income can vary month to month, it's worth revisiting your coverage and subsidy eligibility whenever your income changes meaningfully, rather than assuming your original plan or subsidy amount is still the best fit.