Employees split health insurance with their employer. Freelancers pay the whole thing — and the premium is only half the question. A cheap Bronze plan with a $7,000 deductible can cost you more in a bad year than a pricey Gold plan, and the "right" plan depends on your age, your health, and how much of your income the premium eats. Most freelancers pick a plan by premium alone and discover the deductible the month they get hurt. Enter your age, household size, and annual income, then your plan tier and the monthly premium you were quoted (or an estimate to sanity-check). Add the plan's deductible, any premium subsidy (APTC) you qualify for, and whether the plan is HSA-eligible. The estimator returns your true monthly and annual cost, what share of income insurance eats, your worst-case year (premiums + full deductible), and a verdict on what the numbers are really telling you. Informational only — not insurance advice, and not a quote engine. This tool does arithmetic on numbers you enter; it does not fetch live premiums, does not compute ACA subsidies for you, and does not recommend plans. Premiums vary enormously by state, county, age, and insurer — the only real number is a quote from healthcare.gov (or your state's exchange) for your ZIP code. The "illustrative" defaults below are placeholders to show the math, not market data. Subsidy rules have changed repeatedly in recent years; enter your actual advance premium tax credit from your exchange application, or leave it at zero. Methodology: net monthly premium = quoted premium − subsidy (floor $0). Annual premium cost = net premium × 12. Budget share = annual cost ÷ income. Worst-case year = annual premium + deductible (premiums paid plus the full deductible spent — a conservative proxy for a bad-health year; it ignores copays/coinsurance after the deductible and the out-of-pocket maximum, both of which the FAQs explain). The verdict compares budget share against rough affordability bands and flags deductible-vs-premium trade-offs and HSA eligibility. Worked example — defaults (35, single, $75k income, Silver, $550 premium, $5,000 deductible, no subsidy): Second example — with subsidy: the same freelancer qualifies for a $280/month APTC. Net premium drops to $270/mo, annual cost $3,240 (4.3% of income), worst case $8,240. The subsidy cuts the annual cost by $3,360 — more than any tier-shopping ever could. This is why the subsidy line is the most valuable input on the page: freelancers with variable income routinely misjudge their MAGI and leave thousands unclaimed or owe it back. Third example — Bronze vs Gold at the same age: Bronze quoted at $380/mo with a $7,500 deductible; Gold at $720/mo with a $1,500 deductible. Healthy year: Bronze costs $4,560, Gold $8,640 — Bronze wins by $4,080. Bad year (deductible fully spent): Bronze $4,560 + $7,500 = $12,060; Gold $8,640 + $1,500 = $10,140 — Gold wins by $1,920. The breakeven is the year you spend about $4,080 more in care under Bronze — roughly a surgery or an ER visit with imaging. Your health history, not the premium, should cast the deciding vote. Fourth example — the HSA kicker: a 35-year-old on an HSA-eligible Bronze HDHP contributes the individual max to an HSA. Contributions are pre-tax (saving ~22% marginal = real money), growth is tax-free, and medical withdrawals are tax-free — the only triple-advantaged account in the US code. Over a decade of funding it, the HSA can quietly become a second retirement account (after 65, non-medical withdrawals work like a Traditional IRA). The deductible still hurts in a bad year — but the HSA balance is exactly the fund that pays it. Fifth example — the income-share alarm: a freelancer earning $45,000 quoted $620/month with no subsidy: annual $7,440 = 16.5% of income. The verdict flags it red — and rightly so, because the fix is rarely a cheaper plan (cheaper plans just move cost into the deductible). The real fixes: verify subsidy eligibility (at $45k there is likely APTC money), deduct premiums above-the-line at tax time, and price the $7,440 into rates — $620/month is $5.17/hour of every 120-hour month, a line item your hourly rate must carry. There is no national number — it depends on your state, county, age, and plan. A healthy 30-year-old might see $350/month; a 55-year-old in an expensive county might see $900+ for the same tier. That is why this tool asks for your quoted premium instead of baking in a fake average. Get the real number for your ZIP code on healthcare.gov (or your state exchange) — it takes minutes and it is the only figure that matters. They describe cost-sharing, not quality of care — every marketplace plan covers the same essential health benefits. Bronze: lowest premium, highest deductible (you pay most routine costs). Silver: the middle — and the tier premium subsidies are calculated against. Gold: highest premium, lowest deductible. Pick by expected care use: healthy and cash-flush → Bronze; chronic conditions or planned procedures → Gold; unsure → Silver. What you pay out of pocket each year before the plan starts sharing costs. A $5,000 deductible means the first $5,000 of covered care is yours (preventive care is usually covered pre-deductible by law). After the deductible, you typically pay coinsurance (e.g. 20%) until you hit the out-of-pocket maximum — the true ceiling on a bad year. The calculator's worst-case line (premiums + deductible) is conservative; the out-of-pocket max is the precise ceiling, found in the plan documents. Yes — premium tax credits are based on income, not employment. If your household income falls in the eligible range, the advance premium tax credit (APTC) lowers your monthly premium directly. Freelancers' variable income makes this tricky: estimate MAGI carefully, because underestimating means repaying the excess at tax time. Subsidy rules and thresholds have changed with recent legislation — use your exchange application's figure, not a remembered one. Generally yes, as an above-the-line deduction (the self-employed health insurance deduction). Premiums for you, your spouse, and dependents can reduce your taxable income even if you do not itemize — subject to the rule that the deduction cannot exceed your net self-employment profit. Model it in the deduction finder; at a 22% marginal rate, a $6,600 premium year saves ~$1,450 in tax. A Health Savings Account: the only triple-tax-advantaged account in the US code. Contributions are pre-tax, growth is tax-free, and medical withdrawals are tax-free. You need an HSA-eligible high-deductible health plan to contribute. For freelancers it doubles as an emergency medical fund and, after 65, a backup retirement account. The catch: you need the cash flow to fund it while also covering a high deductible. Only if you can also afford the deductible. Compare total exposure: (premium × 12) + deductible. A $380 Bronze with a $7,500 deductible is a $12,060 bad year; a $720 Gold with a $1,500 deductible is a $10,140 bad year. The cheap plan is only cheap in years you stay healthy — and the year you need insurance is definitionally not that year. Size your emergency fund to the deductible, whichever tier you pick. COBRA lets you keep your employer plan up to 18 months — at full price plus 2%. It is almost always more expensive than a marketplace plan (you now pay the employer's share too), but it preserves your doctors and your progress toward the deductible mid-year. Compare the COBRA premium against marketplace quotes for your ZIP before reflexively declining it. You can, but the math is worse than it looks. The uninsured pay chargemaster rates (often 3–5× insured rates), one ER visit can erase a year of profit, and medical debt is the most common freelance business-killer that has nothing to do with business. At minimum, a Bronze catastrophe plan plus a funded HSA is cheap armor. Budget it like rent: non-optional. Family plans cost more but usually less per person than separate individual plans. The calculator takes household size as context; the real comparison is the family-plan quote versus alternatives (a spouse's employer plan, CHIP for kids). Note the "family glitch" fix: if a spouse's employer offer is unaffordable for the family, dependents may now qualify for marketplace subsidies — check current rules on healthcare.gov. During Open Enrollment (typically Nov–Jan) or after a qualifying life event. For freelancers, quitting a job (losing employer coverage) is a qualifying event that opens a 60-day special enrollment window — do not let it lapse. Outside those windows you generally cannot buy marketplace coverage, which is one more reason to treat the enrollment calendar as a business deadline. No. It is arithmetic on your inputs: premiums, deductibles, subsidies, and shares. It does not know your health, your state's market, or current subsidy law. Use it to budget and to compare quotes side by side — then confirm plan details in the official plan documents and subsidy figures in your exchange application.Key takeaways
How it works
Worked example
Frequently asked questions
How much does health insurance cost for a freelancer?
What do the Bronze, Silver, and Gold tiers mean?
What is the deductible, exactly?
Can freelancers get ACA subsidies?
Are freelancer health premiums tax-deductible?
What is an HSA and why do freelancers love it?
Should I pick the cheapest premium?
What about COBRA from my old job?
What if I am young and healthy — can I skip insurance?
How does household size change the math?
When can I enroll?
Is this tool a substitute for professional advice?
Net monthly premium
Annual premium cost
Share of income
Worst-case year (premiums + deductible)
Insurance cost per day
What the numbers say