Health Insurance Options for the Self-Employed

Being self-employed means no employer plan to fall back on. The good news: there are solid options — and you may even be able to deduct your premiums. Here's a full breakdown.

Request an insurance quote or contact a licensed advisor.

Category: Health Insurance

Published: April 18, 2025 · Reading time: 6 min read

If you're self-employed, a freelancer, or a small business owner, finding health insurance can feel daunting. But there are good options — and potential tax advantages to boot.

Option 1: ACA Marketplace (Best for Most)
The ACA Health Insurance Marketplace can be an option for self-employed individuals. Why?
- Plans must cover essential health benefits
- You may qualify for Premium Tax Credits that dramatically reduce your monthly cost
- Coverage is guaranteed — no one can deny you or charge you more based on health

If your income is between 100–400% of the Federal Poverty Level (or higher under enhanced subsidies), you likely qualify for tax credits.

Option 2: Spouse's Employer Plan
If your spouse has employer-sponsored coverage, joining their plan is often the most affordable option. Compare the added cost to your spouse's premium vs. an individual marketplace plan.

Option 3: Professional Association Plans
Many trade and professional associations offer group health plans to members. These can sometimes be competitive with marketplace plans, especially for healthy individuals.

Option 4: Health Sharing Ministries
Not technically insurance, these cost-sharing programs can reduce monthly costs — but they're not regulated like insurance and may not cover all conditions.

The Tax Deduction
Self-employed individuals can typically deduct 100% of health insurance premiums paid for themselves and their family — a significant benefit. Consult your tax advisor for details.

*Chime Insurance Group advisors are certified marketplace agents who can compare all available plans and help you apply for subsidies at no cost to you.*