What to Do For Health Insurance When You're Self-Employed? - Jenna Kutcher (2024)

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Jenna Kutcher

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May 4, 2018

What to Do For Health Insurance When You're Self-Employed? - Jenna Kutcher (1)

Figuring out insurance as a self-employed couple is really hard and scary. For a long time, Drew kept his 9-5 because we felt like we didn’t really have options that made sense. In fact, we get asked about this a ton! This question has hit my inbox so many times that we created a canned response to answer it. And today, I thought I’d share with all of you what we do for health insurance because Drew and I are both self-employed entrepreneurs.

This can be a stressful part of owning your own business and I’m hoping sharing my experience might help someone else who is in the middle of making this decision. We joined an organization called Christian Healthcare Ministries or CHM this past January and have been really happy. Here are a few things that might be helpful in determining if it could be the right fit for you and help you with your health insurance needs as an entrepreneur.

CHM is a cost-sharing ministry.

What this means is that every month people pay their dues and all of that money goes into a pool to share medical costs. The way CHM sums it up is this: affordable,biblical, andcompassionatefaith-based healthcare cost solution for Christians in all 50 states and around the world.

Recognized under the national healthcare law, CHM isn’t insurance, but is thousands of Christians uniting to share in paying each other’s medical bills. When you go to the doctors office, you claim self-pay and then you submit your bills to CHM after. This means you don’t have an insurance card BUT this also cuts the bills significantly because they aren’t going back and forth between the insurance and the provider.

No “out of network” expenses.

One great blessing is you have more freedom in choosing where you go for care. Since you aren’t covered by a network, you can choose the right facilities and hospitals for you. Along with that, you don’t get things covered like preventative healthcare but we still opt to do a physical and pay out of pocket because it’s truly not that expensive and worth it. Since both of us are very healthy people, we’ve only used CHM for when we had our miscarriage (and surgery) but beyond that we are happy to pay for any preventative care whether that be a physical, chiropractic care, etc.

You “submit” your medical bills, which means as they come in, you submit them into the portal and then once approved they send you a check so you can pay them! For our miscarriage, 100% of our bills were covered by CHM, so we paid out of pocket and then after the 60 day period, they send you a check to compensate for the expenses. It did take a bit of time for everything to get processed and some members will opt to make minimal payments until they receive reimbursem*nt but we just paid out of pocket and then waited for that processing period to replenish our bank account.

It is a ministry.

You DO have to confirm you are living a Christ-centered life and these videos helped explain the system to me. There was a lot of research we did and a lot of questions we asked before joining but since CHM is a not for profit organization, all of your monthly dues are also a write off at the end of the year which is a great benefit for entrepreneurs. If this sounds like it might be a fit to help you with your health insurance needs, here is a referral link that will get you to the top of the application list.

One of the best parts of this ministry is each month we get a letter telling us what our money went towards whether it was Billy’s cancer treatment or to help a new baby in the NICU. To me, this is how we were designed to help one another and I am proud to be a part of something that not only supports our health in our times of need but gives to others when we are well. Whether you go with CHM or not, the most important thing is that you don’t let health insurance be the reason you don’t make the leap to chase your dreams.

Ready to make the leap to working for yourself?

Tune in for more tips on what to do before leaving your 9-5!

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What to Do For Health Insurance When You're Self-Employed? - Jenna Kutcher (2024)

FAQs

Is health insurance more expensive for self employed? ›

Since you no longer have an employer who is paying some of your premium, you will be paying more for your insurance. Industry-specific insurance: Depending on your industry, you may be able to find discounted health insurance through a freelancers union.

What does individual coverage mean? ›

Individual coverage refers to insurance policies that only provide insurance for one individual instead of a group. Individual coverage often occurs in health insurance. Many employers offer group insurance, or health insurance to many of their employees.

Is an amount you must pay toward your medical expenses before your insurance begins to pay? ›

The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself.

What is percent coinsurance? ›

Coinsurance is an insured individual's share of the costs of a covered expense (it usually applies to health-care insurance). It is expressed as a percentage. If you have a "30% coinsurance" policy, it means that, when you have a medical bill, you are responsible for 30% of it.

Is health insurance 100% deductible for self-employed? ›

Self-employed people who qualify are allowed to deduct 100% of their health insurance premiums (including dental and long-term care coverage) for themselves, their spouses, their dependents, and any nondependent children aged 26 or younger at the end of the year.

What's the best health insurance for self-employed? ›

Best Health Insurance Companies for the Self-Employed
  • Best Overall: Blue Cross Blue Shield.
  • Lowest Copays: Oscar.
  • Best Bronze and Silver Pricing: Kaiser Permanente.
  • Best for Premium Tax Credits: Aetna.

What are the disadvantages of individual health insurance? ›

Private Health Insurance Also Has its Disadvantages
  • Cost. The cost is one of the main limitations of private health insurance. ...
  • Coverage Limitations. Some private health insurance plans may impose limitations on pre-existing conditions or particular treatments. ...
  • Potential for Profit-Driven Decisions.
Nov 15, 2023

What is considered self-insured coverage? ›

Type of plan usually present in larger companies where the employer itself collects premiums from enrollees and takes on the responsibility of paying employees' and dependents' medical claims.

What is the HRA for dummies? ›

It's an employer-funded group health plan that your employer contributes a certain amount to. You use the money to pay for qualifying medical expenses up to a fixed dollar amount per year. Unused funds may carry over from year to year. The amount you pay for your health insurance every month.

How much health insurance can self-employed deduct? ›

The deduction you can claim is generally limited to your net profit from self-employment. This means that if your net profit is less than the total amount of your health insurance premiums, you may not be able to deduct the full amount. Additionally, the deduction cannot exceed your net earnings from self-employment.

How to calculate self-employed health insurance deduction? ›

How to calculate the self-employed medical deduction? You can also deduct medical expenses that exceed 7.5% of your adjusted gross income (AGI). For example, if you have an AGI of $50,000, and $10,000 in total deductible medical expenses, 7.5% of $50,000 is $3,750. You can deduct the amount over $3,250.

What qualifies for self-employed health insurance deduction? ›

Are health insurance premiums tax deductible? Yes, they are deductible if you have qualifying insurance and if you're an eligible self-employed individual. Qualifying health insurance includes medical insurance, qualifying long-term care coverage and all Medicare premiums (Parts A, B, C and D).

What does 0 after deductible mean? ›

What does “no charge after deductible” mean? Once you have paid your deductible for the year, your insurance benefits will kick in, and the plan pays 100% of covered medical costs for the rest of the year.

Does 20% coinsurance mean I pay 20%? ›

Coinsurance is a percentage of a medical charge you pay, with the rest paid by your health insurance plan, which typically applies after your deductible has been met. For example, if you have 20% coinsurance, you pay 20% of each medical bill, and your health insurance will cover 80%.

What does it mean if coinsurance is 0%? ›

Some of the most common percentages are: 20% coinsurance: You're responsible for 20% of the total bill. 100% coinsurance: You're responsible for the entire bill. 0% coinsurance: You aren't responsible for any part of the bill — your insurance company will pay the entire claim.

Does it cost more to be self-employed? ›

Self-employment taxes include the employer paid portion of Social Security and Medicare taxes. This means your bill for these taxes are going to double.

How do self-employed pay health insurance? ›

Generally, if you run your own business and have no employees, or are self-employed, your business won't qualify for group coverage. You can purchase qualified health coverage through the Marketplace for individuals and families. With an Individual Marketplace plan, you can: Find coverage for yourself and your family.

Do you pay more as self-employed? ›

In most cases, self-employed contractors will pay a slightly higher tax rate than employees on paper – but overall they typically pay a lower amount of taxes due to business tax breaks and expense deductions.

Can I get medical if I'm self-employed? ›

If you're self-employed, you can use the individual Health Insurance Marketplace ® to enroll in flexible, high-quality health coverage that works well for people who run their own businesses. You're considered self-employed if you have a business that takes in income but doesn't have any employees.

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