Being your own boss has its perks—flexibility, independence, and the freedom to build something on your own terms. But when it comes to health insurance, many self-employed professionals face one of their biggest challenges: finding affordable, reliable coverage.
If you’re self-employed in 2025, here’s what you need to know about your health insurance options, what’s changed this year, and how Cosmo Insurance Agency can help you choose the right plan.
Why Health Insurance Still Matters in 2025
Even with the rise of health-sharing ministries and gig-economy coverage alternatives, traditional health insurance remains a vital safety net. Medical costs continue to rise, and a single emergency room visit or extended illness can take a serious toll—both physically and financially.
That’s why it’s critical for self-employed individuals, freelancers, consultants, and small business owners to explore all available options.
Top Health Insurance Options for the Self-Employed in 2025
1. Marketplace (ACA) Plans
The Health Insurance Marketplace, established by the Affordable Care Act, continues to be a strong option in 2025. You can browse a wide range of plans during open enrollment or after qualifying life events.
What’s New in 2025:
- Expanded subsidies are still in place for many income levels.
- Plan comparison tools have improved, helping you find plans with better provider networks and prescription coverage.
Pro Tip: If your income fluctuates, Cosmo can help you estimate it accurately to avoid under- or overpaying your premiums.
2. Health Reimbursement Arrangements (HRAs)
If you’ve set up an LLC or have a small team, you may qualify to set up an HRA. This allows your business to reimburse you (or employees) for qualified medical expenses—including individual health insurance premiums.
Types of HRAs to Consider:
- QSEHRA (for businesses with fewer than 50 employees)
- ICHRA (more flexible; works with larger teams or solo entrepreneurs)
3. Private Individual Plans
Some carriers offer individual plans outside the marketplace with unique perks like:
- Broader networks
- Faster claims processing
- Custom benefit riders
Cosmo works with multiple private carriers in New Jersey, Maryland, and beyond, so we can help you compare options not available on the public exchange.
4. Health Sharing Plans
These aren’t traditional insurance but can be a temporary solution. Participants pool funds to cover major medical expenses. However, coverage is not guaranteed and may not be ideal for those with pre-existing conditions.
Use with caution—and always compare with ACA-compliant options.
5. Medicaid (if eligible)
If you’ve had a slower business year and your income is low enough to qualify, Medicaid could offer free or low-cost coverage. Eligibility varies by state, so reach out to our team to see if you qualify.
How to Choose the Right Plan
Choosing a health insurance plan as a self-employed professional requires weighing the right mix of cost, coverage, flexibility, and risk. Here are a few things to keep in mind:
- Your average monthly income and potential fluctuations
- Whether you need family or individual coverage
- Preferred doctors, hospitals, and medications
- How often you use healthcare services
Working with a broker like Cosmo Insurance Agency gives you access to personalized guidance, multi-carrier comparisons, and ongoing support.
Ready to Take Control of Your Health Coverage?
Cosmo Insurance Agency is here to make health insurance simpler for self-employed professionals. We offer:
- Free consultations
- Support with ACA, private, and HRA plans
- Local expertise in New Jersey, Maryland, and beyond
Let’s protect your health—and your business—this 2025.
Call us today or book a free consultation to explore your best options.
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