Health insurance for self employed workers is critical because, as your own boss, being out of commission could mean being out of money to pay your bills. You might think health insurance can only help with significant issues – your appendix bursts, you break an arm or have a baby – but that’s just the tip of the spear. Medications, vaccinations, screenings, annual exams, vision checks, and routine blood work are just some of the everyday medical expenses that you can end up paying for on a regular or semi-regular basis, and they can quickly add up.
PROTECTION FROM HIGH MEDICAL COSTS
RECEIVE PREVENTIVE CARE
REDUCE PRESCRIPTION COSTS
As an independent contractor, you get to decide when you work, who you work for, and what projects you work on. And you deserve that same flexibility to apply to your health insurance. Finding the right health plan that meets your needs also meets the needs of your business, especially when simply having insurance can cut costs when you need care.
WHAT DOES HEALTH INSURANCE COVER?
Different types of health insurance offer different coverage, but some options can include:
- Outpatient care
- Trips to the emergency room
- Treatment in the hospital for inpatient care
- Care before and after your baby is born
- Behavioral health treatment
- Prescription drugs
- Physical therapy following an injury, disability, or chronic condition
- Lab tests
- Preventive services
- Pediatric services
WHAT ARE THE DIFFERENT TYPES OF HEALTH INSURANCE?
There are three types of health plans: HMO, EPO, and PPO. An HMO (Health Maintenance Organization) delivers services exclusively through a network of doctors, nurses, and hospitals. You are required to have a primary care physician ("PCP") who coordinates all of your care, including referrals for specialists.
An EPO (Exclusive Provider Organization) is similar to an HMO — you have access to a specific network of care providers, and you can see specialists without a primary care physician's referral. There are typically no out-of-network benefits or national network with an EPO.
If you like the idea of a plan with a specific network of providers but want a little more flexibility seeing specialists, EPOs can be a great option. If this type of organization is still too binding given your health needs, a PPO is likely to be the best option for you.
A PPO (Preferred Provider Organization) sets up networks with "preferred" providers so you can decide to use any provider in your network at any time. If you need to see several doctors and have specific preferences regarding care, a PPO will be cost-effective and provide you with better options for health care.
HOW DO YOU FIND THE BEST PLAN FOR ME?
Our brokers scour the ends of the earth, AKA search through all national and regional carriers in the individual market, both on and off the Marketplace. (CA excluded)
HOW MUCH DOES HEALTH INSURANCE FOR SELF EMPLOYED WORKERS COST?
Many factors determine how much health insurance will cost, such as your income, your location/state, the number of people in your family, the amount of coverage you want, and your deductible limits. Under the ACA, insurance companies cannot charge you more if you have pre-existing medical conditions.
HOW DO YOU MAKE SURE I GET THE BEST RATE?
Thanks to our handy dandy subsidy calculator, we can provide an instant snapshot of available subsidy dollars based on your income, age, and zip code.
HOW LONG DOES IT TAKE TO GET A QUOTE?
Within minutes we can have a plan comparison that illustrates plan features and costs. Proposals can be emailed, printed, and sent via text directly from our system, depending on your preference.
WHEN CAN I ENROLL IN AN INDIVIDUAL INSURANCE PLAN?
Most states have open enrollment periods from November 1 through December 15, although some states have longer enrollment periods. During this time, you can change your current health insurance plan or obtain new coverage. Recently President Biden signed an executive order to open enrollment beginning February 15th, 2021 and running through August 15th, 2021. During this time anyone can shop their options.
You can also enroll in an insurance plan during a qualifying life event such as a marriage, divorce, death, or birth.
WHAT IF I NEED HEALTH INSURANCE OUTSIDE OF THE ENROLLMENT PERIOD?
If you need health insurance and don’t have a qualifying life event, gap medical insurance, or short term insurance, is a great option that you can get as soon as the next day.
CAN I GET COVERAGE IF I HAVE A PRE-EXISTING CONDITION?
Under current law, for ACA health plans that meet minimum essential coverage (MEC) requirements, health insurance companies can’t refuse to cover you or charge you more just because you have a “pre-existing condition” — that is, a health problem you had before the date that new health coverage starts. These rules went into effect for plan years beginning on or after January 1, 2014.
WHAT IF I AM ABOUT TO TURN 65?
First off, happy birthday! And second, Woligo has a designated Medicare team that will go over the ABC’s of Medicare and explain all of your options. In most cases, an individual becomes eligible for Medicare the first day of their birth month, the year they turn 65. An individual becoming eligible for Medicare has a window to shop their options 3 months prior to their 65th birthday and 3 months after with no penalty.