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Affordable Health Insurance in your state: What Most People Don't Know

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

Five facts most 1099 contractors learn the expensive way.

1. "Affordable" on the marketplace means subsidized

HealthCare.gov prices are designed to be offset by the premium tax credit. Without it, you're paying the full cost of a guaranteed-issue pool.

2. There's a second market

Private shared-network plans on Cigna, Aetna and PHCS PPO price on health instead of income. For healthy people above the subsidy line they're often half the price, with a PPO.

3. Your doctor probably takes the PPO, not the HMO

National PPO networks are what most employer plans use. Many doctors in Houston and Atlanta are in the Cigna, Aetna and PHCS PPO network and not in the narrow marketplace HMOs.

4. You can enroll in a private plan any month

No waiting for November. Apply by the 20th, coverage on the 1st.

5. The deduction applies either way

If your state has an income tax, the self-employed health premium deduction lowers state taxable income too; in no-income-tax states like Texas, Tennessee and Florida it only helps federally.

And one your state-specific thing

Rules, carriers and prices vary by state — pick your state on our quoter to see exactly what's available where you live.

Check your options to see what affordable actually looks like for your situation.

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

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