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PaulDavisThe1st an hour ago

> I'd wager that most self employed folks in the US almost never benefit from insurance (except for things covered by Obamacare which come nowhere near justifying the premiums).

Self-employed here. My wife and I paid $470/month last year, $618/month next year, for a gold insurance plan than has a $3400 deductible with typically a $20 co-pay. It covers 3 prescriptions, therapy sessions for each of us, various older age diagnostic checks, and almost all office visits. In addition, if either of us develops cancer or is hit by a truck, we will not be rendered bankrupt.

So I'd say ... nah.

wampwampwhat an hour ago | parent | next [-]

i'm 36, self-employed. silver plans in my state are ~800/month next year, with 8k deductible, no out of network coverage at all, with no in-network providers out of my state, so god forbid I get injured while traveling to visit my in-laws. the marketplace is a joke and health insurance in this country is pointless.

BeetleB 37 minutes ago | parent | next [-]

> no out of network coverage at all

I thought they'll all cover ER visits out of network. Is that not required by law?

PaulDavisThe1st 39 minutes ago | parent | prev [-]

Too expensive? check

Deductibles too high? check

Stupid coverage limitations? check

Pointless? nope

BeetleB 38 minutes ago | parent | prev [-]

> My wife and I paid $470/month last year, $618/month next year, for a gold insurance plan than has a $3400 deductible

That's really nice - are there state/government subsidies involved?

I work for a top tier company and my premiums are not that much lower than yours.

When I checked the public market's insurance options, getting a $3000 or so deductible was a lot more expensive than yours if one is not low income (i.e. not subsidized).

PaulDavisThe1st 31 minutes ago | parent [-]

Yes, those are numbers with

(a) for 2025, federal premium subsidies in effect ($19k/year of subsidy) ! (b) for 2026, NM temporary subsidies

A reminder that until the end of this year almost everyone gets subsidies. Nobody in the US, no matter their income level, should be paying more than 8.3% of their AGI for health insurance. That all changes come Jan 1st 2026, thanks to the current Congress. Our premiums would be $2531/month had NM not stepped in to use some of those sweet, sweet fossil fuel extraction taxes to help us out.

Oh yeah, deductible in 2025 was actually $2800. At our age (early 60s) and general health (good), gold plans make much more sense (if you can afford them).