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Health Coverage for the Self-Employed

If you are self-employed and not otherwise eligible for employer’s group health coverage you may enroll in flexible, high-quality, qualified health insurance coverage that works well for people who run their own businesses. You may enroll in a qualified health insurance plan if you are a freelancer, consultant, independent contractor, or other self-employed worker.


You are considered self-employed if you own a business that reports income to the IRS.




It is recommended that you contact your local insurance agency and schedule an appointment to determine if you qualify for a premium tax credit subsidy and other savings on a qualified health insurance plan. Tax credit (subsidy) is based on your income and household size. To receive the tax credit, your household income must fall between 100%-400% of the federal poverty level.


You will also learn if you qualify for free or low-cost coverage through Medicaid or CHIP programs in your state. This will depend on your income, household sizes, and other factors. In order to qualify for Medicaid your household income must be below the federal poverty level.


You may choose from several categories of health insurance plans. The lower cost plans that mainly protect you in worst-case scenarios; to plans with higher monthly premiums but less out-of-pocket costs when you receive health care services.




As you apply for coverage; you will have to estimate your modified adjusted gross income and also your household income. The premium tax credit savings is based on your estimated modified adjusted gross income for the year you’re applying for coverage, not last year’s income.


Estimating your income for the upcoming year may seem like a difficult task… Contacting your local health insurance agency and finding an insurance agent to guide you through this process is highly recommended, and the insurance agent’s services come at NO COST TO YOU.


Most Americans under the age of 65 are required to have minimum essential health coverage or pay a penalty that is increasing each year. This is true no matter what your job status is.