Posted by u/sick_of_marketplace

Self-employed health insurance, what should I do?

Answered by Ask a Shop Owner ·

Family of 4, self-employed, health insurance is killing me. Any better options?

u/askashopowner Owner-business owner advisor

Top answer

Three real options. Marketplace with subsidies (if income qualifies). Health share ministry ($400 to $700/mo family, not insurance but works for most non-catastrophic needs, does have restrictions). Or an HSA-eligible high deductible plan through the marketplace paired with maxing your HSA.

For most business owners, the HDHP + HSA combo is the winner. Premium is lower, HSA contributions are triple tax-advantaged, and if you rarely use healthcare you build a medical retirement account.

Talk to an independent broker in your state, not a captive agent. They pull from all carriers and their fee is paid by the insurer, not you. Same quotes you would get direct, plus expert help.

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