Finding affordable health insurance as a self-employed individual, freelancer, or small business owner can be challenging without an employer to share costs. However, several options exist including marketplace plans with subsidies, professional associations, and tax deductions that make coverage more affordable.
Health Insurance for Self-Employed
$350 - $700/moUpdated March 2026
Frequently Asked Questions
What is the best health insurance for self-employed?
The best options for self-employed individuals: ACA marketplace plans (especially with premium subsidies), professional association group plans, health sharing ministries ($200-$500/mo), and high-deductible plans paired with HSAs for tax savings. Compare all options based on your income and health needs.
Is self-employed health insurance tax deductible?
Yes. Self-employed individuals can deduct 100% of health insurance premiums as an above-the-line deduction (reduces adjusted gross income). This includes premiums for yourself, spouse, and dependents. The deduction applies to medical, dental, and long-term care insurance.
How much does health insurance cost for freelancers?
Freelancer health insurance costs $350-$700/month before subsidies. With marketplace subsidies (based on income), many freelancers pay $50-$200/month. High-deductible plans cost less ($200-$400/mo) but have higher out-of-pocket costs.
Can self-employed people get subsidies on the marketplace?
Yes. Self-employed individuals qualify for marketplace premium subsidies based on their projected annual income. Since self-employment income varies, you can estimate conservatively and reconcile at tax time. Subsidies are available for incomes up to 400% of the poverty level.
What is a health sharing ministry?
Health sharing ministries are organizations where members share medical costs. Monthly costs ($200-$500 for individuals) are lower than traditional insurance. Limitations: they are not insurance, pre-existing conditions may not be shared, not regulated by state insurance laws, and coverage is not guaranteed. They work best for healthy individuals who want low monthly costs.