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Are There Better Health Insurance Options for Freelancers in Texas?
Freelancers in Texas — designers, writers, developers, photographers, musicians — usually buy whatever HealthCare.gov shows them in November and move on. There's often a better fit.
If your income is modest or variable
The marketplace is probably right, and you may qualify for a larger subsidy than you think once expenses are deducted. Medicaid is not expanded in Texas.
If you've grown past the subsidy line
Successful freelancers hit the 400% cliff and suddenly pay full price. If you're healthy, a private shared-network PPO on Cigna, Aetna and PHCS PPO is priced on your health, not your 1099s — usually 30–50% less, with a national network that travels with you.
If you work across state lines
Marketplace HMOs are local. A national PPO covers you in-network in every state, which matters for freelancers who split time between Texas and somewhere else.
If you have a pre-existing condition
Stay on the marketplace. Private plans underwrite; the marketplace doesn't.
The Texas picture
Texas has the highest uninsured rate in the country, and because Medicaid wasn't expanded, adults under the poverty line fall into a coverage gap with no subsidy at all. Texas has no state income tax, so the self-employed health insurance deduction only reduces your federal bill — which makes the premium itself the number to attack.
Check your options — we'll show you both.