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ACA vs. Private Health Insurance for Realtors

By Martin Elefant · Licensed insurance agent · Updated October 2026 · 5 min read

Realtors in your state ask us this more than any other group. Here's the direct comparison for a commission-based income.

ACA (HealthCare.gov)

Priced on income, which for you means after-expense MAGI. If you qualify for a subsidy, it's unbeatable. The risks: a strong year pushes you over the cliff and you repay subsidies at tax time; most plans are HMO and tied to one hospital system; enrollment is only Nov 1 – Jan 15.

Private shared-network PPO

Priced on age and health — your income is irrelevant. National PPO on Cigna, Aetna and PHCS PPO, no referrals, enroll any month, month to month. The risk: underwriting. A serious pre-existing condition can be declined.

Decision guide for agents

Under the subsidy line after deductions → ACA. Over the line and healthy → private PPO, usually $300–$500 a month less. Over the line with a significant condition → ACA at full price, or a small-group plan if your brokerage or spouse opens one.

How it varies by state

Rules, carriers and prices vary by state — pick your state on our quoter to see exactly what's available where you live. A few states (New Jersey, California, Massachusetts, Rhode Island, DC) have their own individual mandate; most don't.

Check your options and we'll show both markets for your ZIP.

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Martin Elefant
Licensed insurance agent · NPN 20765405 · Lyons Life LLC · 1099 Private Health

See your real options

Both markets, one call. Or call (561) 363-7776.

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