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Plain-English health insurance guides
Written and reviewed by Dick Tracy, licensed health insurance broker (NPN 20414610) · New guide most Mondays · Updated October 9, 2026
Everything I write lives here. These are the questions people actually ask me on the phone, answered the way I answer them: what the option is, who it fits, where the trap is, and what I would do in your shoes. Read whatever applies to you. I educate, you decide.
All guides
Will my expensive brand name prescription be covered?
Almost certainly yes, but covered and cheap are two different things. What a formulary tier actually decides, why nobody prices your plan around your medication (so stop worrying about disclosing it), why customizing a plan to chase one drug raises the premium and the deductible at the same time, the five-step way to beat a pricey brand on the back end, and the one case where the drug really should drive the plan.
CostsWill health insurance premiums go up in 2027?
Yes, for most people. The median increase marketplace insurers asked for across 276 companies (15%, per KFF), the approved individual-market averages in the states that have finished their reviews (6.0% New York up to 15.97% Pennsylvania), the 2027 employer forecasts of 8.2% to 11.1%, and the four moves that actually change your number before open enrollment opens November 1.
ConnecticutWhat are my private health insurance options in Connecticut, and what do they cost?
The kinds of private coverage a Connecticut resident can buy in a state that sells no plans priced on your health, 2026 prices ($623 to $870 a month at age 40 before any subsidy), the approved 2027 increases of 8.8% and 16.0% (11.3% on average across all filings), which companies sell on Access Health CT for 2027, and who each route fits.
West VirginiaWhat are my private health insurance options in West Virginia, and what do they cost?
The kinds of private coverage a West Virginia resident can buy, 2026 prices ($775 to $1,073 a month at age 40 before any subsidy, among the highest in the country), the proposed 2027 increases of 13.59% and 18.33% (pending review), which companies sell it, and who each route fits.
VirginiaWhat are my private health insurance options in Virginia, and what do they cost?
The kinds of private coverage a Virginia resident can buy, 2026 prices ($351 to $455 a month at age 40 before any subsidy), the approved 2027 increases of 3.9% to 22.7%, which companies sell it and where, the new Virginia Premium Savings, and who each route fits.
ConnecticutSmall business health insurance in Connecticut: what does it cost, what is required, and which plan fits my team?
No Connecticut mandate under 50 employees, the 1 to 50 small group definition (no group of one), 2025 average employer premiums ($9,987 single, $28,700 family), the approved 2027 small group increase of 15.1% (insurers asked for 17.8%) by company, Connecticut's 30-month continuation rule, and the three routes I use.
MaineSmall business health insurance in Maine: what does it cost, what is required, and which plan fits my team?
No mandate under 50 FTEs. Maine small group is 50 or fewer eligible employees, asks no health questions, and counts a sole proprietor. The Bureau of Insurance approved 2027 small group increases of 5.5% to 23.8% by company (13.5% average). Average employer coverage $9,803 single and $26,106 family (MEPS-IC, 2025). Three routes compared.
Small businessWhich health insurance companies cover small businesses in Upstate New York?
The companies selling small group coverage in Buffalo, Rochester, Syracuse, Utica, Albany and the Southern Tier, compared on the numbers the state publishes. New York approved an average 8.0% small group increase for 2027 after insurers asked for 23.7%. Approved rates by company, the state complaint ranking, NCQA ratings, and who sells in which county.
KentuckyWhat are my private health insurance options in Kentucky, and what do they cost?
The kinds of private coverage a Kentucky resident can buy, 2026 list prices at age 40 before any subsidy ($481 a month for the lowest-cost Bronze plan to $667 for the lowest-cost Gold), the proposed 2027 increases of 16.91% to 21.19% (pending review), which companies sell it, and who each route fits.
DelawarePrivate health insurance in Delaware: your options, the companies, and what it costs
Private health insurance is any plan that is not Medicaid, Medicare, or a job plan. Two companies filed Delaware individual plans for 2027, with approved average increases of 17.20% and 13.94%. The 2026 benchmark Silver plan averaged $691 a month at age 40 before any subsidy. The five kinds of private coverage, who each fits, and how to buy.
MarylandPrivate Health Insurance in Maryland: Your Options, the Companies, and What It Costs in 2027
What private health insurance means in Maryland, the kinds of plans you can buy without a job, and the approved 2027 prices: a 14.6% average increase for individual plans, with the state's off-exchange silver example for a 40-year-old in the Baltimore metro region at $350 to $674 a month. Plus the five individual plan lines in the state's rate table and who each route fits.
Small businessSmall business health insurance in Massachusetts: what it costs, what is required, and your options
No requirement to offer coverage under 50 full-time equivalent employees. A small business is 1 to 50 eligible employees, priced in one merged market with individuals and no health questions. Approved 2027 rate changes run from 6.7% to 19.2% by carrier, 10.8% on average. Average cost is $10,436 single and $29,619 family (2025). HIRD, EMAC, the state coverage rule, and the three routes compared.
Plans explainedAnother agent recommended a different health plan. Which one is better?
I will not trash a competitor's product. I will run two tests on both plans: is it ACA-compliant major medical (CMS set the 2027 out-of-pocket ceiling at $12,000 for one person and $24,000 for a family) or a limited benefit product, and whose network is really on the card. Plus what "guaranteed issue, covers pre-existing conditions day one" does and does not promise.
Small businessSmall business health insurance in Pennsylvania: costs, approved 2027 rates, and three routes
No mandate under 50 employees. The state approved an average 2027 small group increase of 10.28%, with insurer averages from 1.84% to 30.55%. Average cost $9,421 single and $26,623 family (2025). Pennie does not offer group coverage. Three routes compared.
Small businessSmall business health insurance in South Carolina: what it costs, what is required, and your options
No mandate under 50 full-time equivalent employees. Small group is 2 to 50 employees with no health questions. The five companies that filed for 2027 proposed average small group increases from 5.96% to 11.50%, still pending review. Average cost is $8,552 single and $25,046 family (2025). Rules, costs, and the three routes compared.
Small businessSmall Business Health Insurance in West Virginia: What Does It Cost, What Is Required, and Which Plan Fits My Team?
No mandate under 50 full-time equivalent employees. Small group asks no health questions. The three 2027 small group filings propose average increases of 19.48% to 30.19%, still pending review. Average cost $8,878 single, $26,094 family (2025). The 11 rating areas, SHOP and the tax credit, the 18-month layoff continuation rule, and the three routes I compare.
Open enrollmentWhen is Access Health CT open enrollment for 2027?
October 23, 2026 to January 15, 2027, and the date that counts is December 15: enroll by then for a January 1 start. The approved 2027 rates by insurer (11.3% individual average, 15.1% small group), the programs with no window, the special enrollment rules, and the doors that are not tied to the calendar.
Open enrollmentWhen is Connect for Health Colorado open enrollment for 2027?
November 1, 2026 to January 15, 2027, and the date that matters is December 15: enroll by then for a January 1 start. The approved 2027 rates by rating area (10% average, 5.9% to 15.5%), what happens to Cigna plans, the year-round programs, and the doors with no window at all.
GeorgiaWhen Is Georgia Access Open Enrollment for 2027? Dates, the December 15 Deadline, and What Changed
November 1, 2026 to January 15, 2027, with December 15 as the last day for a January 1 start. Rates are up about 21% on average before tax credits, two insurers are leaving, and there is no plan preview this year. Plus the coverage gap under the poverty line and the coverage with no window at all.
Small businessSmall Business Health Insurance in Virginia: What Does It Cost, What Is Required, and Which Plan Fits My Team?
No Virginia mandate with 1 to 50 employees. Small group covers 1 to 50 employees with no health questions. The state approved 2027 small group increases from 7.6% to 20.7%, depending on the company. Average cost $8,970 single, $27,257 family (2025). Northern Virginia, Richmond, and Hampton Roads rating areas, the SHOP tax credit, and the three routes I compare.
Small businessSmall Business Health Insurance in Delaware: What Does It Cost, What Is Required, and Which Plan Fits My Team?
No Delaware mandate under 50 employees. A small employer has no more than 50 eligible employees, and small group asks no health questions. One company files small group rates: the state approved 18.0% for 2027 after 19.5% for 2026. Average cost $9,459 single, $25,600 family (2025). Mini-COBRA, the tax credit reality, and the three routes I compare.
Renewal lettersMy health insurance renewal letter came. How much are Western New York rates going up for 2027?
New York approved the 2027 rates on September 4, 2026: 0% to 12.2% on individual plans and 0% to 13.5% on small group plans in Western New York, depending on the insurer. The table by insurer, what two years of increases add up to, and what to do before December 15.
Open enrollmentWhen is Massachusetts Health Connector open enrollment for 2027?
October 23, 2026 to January 23, 2027, and the deadline is the 23rd: enroll and pay by December 23 for a January 1 start. The final 2027 rates by carrier (10.8% average, 6.7% to 19.2%), the state penalty, the year-round programs, and the doors with no window at all.
Open enrollmentMaryland Health Connection Open Enrollment 2027: Dates, the December 31 Deadline, and the Approved Rates
November 1, 2026 to January 15, 2027, with December 31 as the expected date for a January 1 start. The approved 2027 rates by carrier (14.6% average for individual plans, 10.2% for small group), the state premium assistance that continues, the new Medicaid rules, and the coverage with no window at all.
PenaltyIs there a penalty for not having health insurance in New Jersey in 2026?
Yes, New Jersey still has a penalty. The Shared Responsibility Payment runs from $695 to $4,908 for a single person and up to $24,540 for a family of five on the latest figures the state has published. How it is calculated, the short gap rule, every exemption, and what coverage counts.
Small businessSmall Business Health Insurance in Michigan: What Does It Cost, What Is Required, and Which Plan Fits My Team?
No Michigan mandate under 50 employees. Small group covers 1 to 50 employees with no health questions. Carriers requested an average 9.6% increase for 2027 after 11.1% was approved for 2026. Average cost $8,230 single, $23,800 family. Detroit metro rating areas, contractors and trades crews, and the three routes I compare.
Self-employed1099 health insurance in Texas: what you can buy with no employer, and what it costs
Freelancer, independent contractor, or gig worker in Texas? You have four doors, not one. 2026 cost anchors, the $62,600 subsidy cliff, and what the IRS lets you deduct.
Job lossCan I get a marketplace plan with subsidies mid year after losing my job?
Usually no, and it is the calendar that stops you, not your income. The 60 day special enrollment window runs from the date your job coverage ended, and voluntarily dropping COBRA earns you no new window. What COBRA eligibility really does to your subsidy (nothing), the three events that reopen the door, and the private market coverage that does not wait until January 1, 2027.
Plans explainedWill an old health condition disqualify me from a medically underwritten plan?
Usually not. The health questions ask about treatment, medication, testing or a procedure that is current, recent or scheduled, inside a lookback window that is commonly five years, not every condition you ever had. What the questions actually say, why a blood clot is not a blood disease, why honest answers are the protection, my real rescission numbers, and who belongs in a guaranteed issue lane instead.
Plans explainedWhat happens if my doctor is out of network on a PPO plan?
On a true PPO your doctor is still billable: you lose the network discount and the free routine visit, not the coverage. KFF found the average marketplace enrollee reaches only 40% of the doctors near home in network. How to price the difference, why HMO and EPO plans change the answer, and when the doctor really should decide it.
Claims & billingBilled amount vs allowed amount: why your medical bill is so much higher than what insurance paid
The billed amount is a sticker price almost nobody pays, and JAMA found physician charges run a median of 2.5 times the Medicare allowable. What the allowable rate is, the four numbers on every EOB, when the discount stops protecting you, and how to find your number before the appointment.
COBRAHow much is COBRA insurance in Florida? The monthly cost by family size, and the Florida small-employer rule
About $758 a month for one person, $1,482 for employee-plus-one, and $2,159 for a family at Florida averages, plus the under-20-employee law that allows up to 115%, the faster Florida deadlines, and the cheaper doors for healthy Floridians.
COBRAHow much is COBRA insurance in Pennsylvania? The monthly cost by family size, and the mini-COBRA rules
About $801 a month for one person, $1,654 for employee-plus-one, and $2,263 for a family at Pennsylvania averages, plus the 9-month mini-COBRA rule at up to 105%, the 30-day election trap, and the cheaper doors for healthy Pennsylvanians.
COBRAHow much is COBRA insurance in New Jersey? The monthly cost by family size, and how to find your exact number
About $828 a month for one person, $1,662 for employee-plus-one, and $2,522 for a family at New Jersey averages, among the highest in the country, plus the small-employer continuation rules (18, 29, or 36 months, only 30 days to elect) and what is cheaper for healthy New Jerseyans.
Open enrollmentPennie open enrollment 2027: the dates, the December 15 deadline, and the approved Pennsylvania rates
November 1, 2026 to January 15, 2027, with December 15 the cutoff for a January 1 start. The Insurance Department approved a 15.97% average individual increase (carriers from 1.4% to 35.1%), Pennsylvania has no state subsidy, the 400% cliff is back, and Medical Assistance, CHIP, underwritten private plans, and ERISA group plans have no window at all.
Open enrollmentGetCoveredNJ open enrollment 2027: the dates, the December 31 deadline, and what the rate filings say
November 1, 2026 to January 31, 2027, with December 31 for a January 1 start. Carriers have asked for an average 20.4% increase on New Jersey individual plans, finals due late October, plus the state subsidy to 600% of poverty, the New Jersey penalty, and the doors with no window at all.
Open enrollmentNY State of Health open enrollment 2027: the dates, the December 15 deadline, and what changed
New York's window runs November 1, 2026 to January 31, 2027, the state approved a 6% average individual increase after insurers asked for 20.6%, and three programs plus group coverage have no window at all.
Small businessSmall business health insurance in Maryland: cost, requirements, and the three routes
No mandate under 50 employees, 2026 small group rates approved at +4.9%, average cost $8,760 single and $24,717 family, and why a group plan is not the only way to cover a Maryland team.
COBRAHow much is COBRA insurance in California? The monthly cost by family size, and how to find your exact number
About $779 a month for one person, $1,600 for two, $2,300 for a family at California averages, up to 110% on Cal-COBRA, plus three ways to get your real number before the notice lands.
COBRAHow much is COBRA insurance in Texas? The monthly cost by family size, and the Texas rules
About $726 a month for one person, $1,416 for employee-plus-one, and $2,130 for a family at Texas averages, plus the 9-month small-employer rule, the 6 months after COBRA, and the cheaper doors for healthy Texans.
Self-employedHealth insurance for contractors in Florida: 1099, solo, Fort Myers to Naples
A Florida contractor with no employees has four doors, not one, plus the ladder question nobody covers: what pays you when a workers' comp exemption meets a fall from a roof.
Claims & billingGot a Medical Bill but No EOB? The Provider Probably Never Billed Your Insurance
No EOB means no claim. If your insurance company has nothing on file for that date of service, the claim never reached them, the number on the bill is the full sticker price, and you should not pay it yet. The 60-second check, the filing deadline, and the exact words to use on the phone.
Plans explainedWhat Is MagnaCare, and How Does Out of Network Coverage Actually Work?
MagnaCare is the New York and New Jersey provider network, with PHCS and MultiPlan as the nationwide wraparound. Out of network runs your copay structure plus 10 percent on one single deductible, not the doubled deductible and 50/50 split a typical PPO uses.
CaliforniaCalifornia Health Insurance Penalty 2026: How Much, Who Pays, and the Exemptions
Yes, California still has a penalty. At least $950 per adult and $475 per child, or 2.5% of income above the filing threshold, whichever is higher. The thresholds, every exemption, and what coverage counts.
CaliforniaHow Much Is Health Insurance per Month in California? 2026 Costs by Age and Region
A 40-year-old in California averages $440 a month for the lowest Bronze and $570 for the benchmark Silver before any subsidy, per KFF. Costs by age, by region, for a family of 3 or 4, and the 2027 rate increase.
CaliforniaPPO Health Insurance in California 2026: Who Still Sells One and What It Costs
Only two carriers sell an individual PPO in California in 2026: Blue Shield statewide and Health Net in 6 of 19 regions. Anthem sells none. PPO vs HMO prices by region, what private coverage really means here, and how to get a nationwide PPO at group rates.
CaliforniaSmall Business Health Insurance in California: Cost, Requirements, Best Options
No California mandate under 50 full-time equivalents. Average employer coverage runs $9,162 a year single and $27,057 family. How small group is priced, the requirements, and the three routes I use for California businesses.
CaliforniaCOBRA vs Cal-COBRA: The Difference, the Monthly Cost, and the 36-Month Extension
Federal COBRA: 20 or more employees, 18 months, up to 102% of the premium. Cal-COBRA: 2 to 19 employees, up to 36 months, up to 110%. About $779 or $840 a month for one person at the California average. Deadlines, the trap, and the alternatives.
CaliforniaCovered California Open Enrollment 2027: Dates, Deadlines, Special Enrollment
November 1, 2026 to January 31, 2027. Pick by December 31 for a January 1 start. Why some sites say the window got shorter, the special enrollment rules, what changes for 2027, and which coverage has no window at all.
CaliforniaHealth Insurance Broker in Los Angeles: 2026 Costs, PPO Options and the ZIP Code Split
Los Angeles County is two rating regions, so the same Blue Shield PPO Silver costs $689 or $788 a month depending on your ZIP. Carriers, the two PPOs, and the 2027 increases, from a broker licensed in California who works by phone or Zoom.
CaliforniaHealth Insurance Broker in San Diego: 2026 Prices, Carriers, and the 13.1% Increase for 2027
In San Diego County a 40-year-old pays $432 a month for the lowest Bronze and $490 for the benchmark Silver before any subsidy. The preliminary 2027 increase is 13.1%, second highest in the state. Carriers, PPOs and hospital checks.
CaliforniaHealth Insurance Broker in the San Francisco Bay Area: 2026 Costs by County, PPO Options
The Bay Area is six rating regions, so the price changes at the county line: the benchmark Silver runs from $644 a month in Marin to $789 in San Mateo. Blue Shield is the only individual PPO here. County table, hospital network notes, and the San Francisco employer rules.
CaliforniaHealth Insurance Broker in Sacramento: 2026 Costs, the Two PPOs, and Region 3 Rates
Sacramento's region had the lowest 2026 increase in California, 7.4%, yet the cheapest Bronze for a 40-year-old is $520 a month and the benchmark Silver is $638. Why, which two carriers sell a PPO, and what I do about it.
COBRAHow much is COBRA insurance in NY? The monthly cost, and how to find your exact number
At New York's average employer premiums, COBRA runs about $928 a month for one person, $1,767 for employee-plus-one, and $2,529 for a family, because you pay 102% of the full premium your employer was covering. New York plans run about 21% above the national average for single coverage. Here is the math from the federal MEPS survey, three ways to find your exact price before the notice arrives (including the W-2 Box 12 trick), the 36-month New York rule, and when COBRA is still the right call.
Small businessWhy is small business group health insurance so expensive for two people?
Three owners asked me some version of this in one month, so here is the honest mechanic: with two or three people your risk pool is you, so one claim swings the whole rate and the carrier prices the uncertainty up front. KFF found workers at small firms carry an average single deductible of $2,631 against $1,670 at large firms, so small groups pay more and get less. What actually moves the number is which pool you are rated inside of, and the two doors that change it.
Plans explainedIs a lower deductible worth a higher monthly premium? Run the math before you buy down
The question three prospects pushed back on me with in one month, answered with arithmetic instead of instinct: multiply the monthly premium difference by 12, compare it to the deductible you are buying off, and usually the buy down loses. Two real cases off my calls ($829 vs $759, and $329 vs $267), the one condition that flips the answer, and the cheaper way to cover the gap.
Plans explainedIs this a health share ministry or real insurance? How to tell what you are actually buying
The question I now get on almost every call, answered straight: no, a health care sharing ministry is not insurance, has no carrier behind it, and is not legally required to pay your bill. Colorado made them report their books and members submitted about $362 million in bills while the ministries deemed only about a third of it, roughly $132 million, eligible to share. The four questions that sort it out in ten minutes, and what a real ERISA group plan gives you instead.
Self-employedSupplemental insurance for gig workers and 1099s: what to layer, in what order, and what to skip
No employer, no workers' comp, no benefits menu, so you are the benefits department now. The order I build the stack in: real medical coverage first, then accident cover from $31.95 a month that pays PRIMARY in New York, then hospital cash where it is offered, then dental. Plus the skip list that costs me money to write: vision plans, short-term medical, and health shares.
CostsHow much does a broken bone cost, and does accident insurance cover it?
The average emergency room visit runs $2,453 all in with $646 out of your pocket (Peterson-KFF), and a break that needs surgery is a different animal: one carrier's worked example for a fractured leg with two hospital nights came to about $29,700 billed. What is actually on the bill, what you owe with and without coverage, how to check it before you pay, and the cash layer that pays you instead of the hospital.
New YorkEssential Plan vs a marketplace plan in New York: which one are you supposed to be on?
One number decides it: 200% of the federal poverty level, $31,920 for one person and $66,000 for a family of four in 2026. Under it, the Essential Plan at $0 premium and no deductible, and I say so out loud even though I do not sell it. Over it, what a marketplace plan really costs you, and the ERISA group door most New Yorkers never get shown.
CostsHow much does health insurance cost per month for a couple or a family?
The broker's ballpark, out loud: your age plus a zero per person, so $650 to $700 a month for a young couple and around $1,100 for a family on a $1,500 deductible plan. Then the four details that turn a ballpark into a real price, the 2026 KFF averages nobody puts next to each other, and every door that brings the number down.
Amherst NYHealth insurance broker serving Amherst and Williamsville, NY
There is a broker in Amherst: my Main Street address in Snyder sits inside the town. Written for the Northtowns: UB grad students, postdocs, and adjuncts after the school plan ended in 2024, self-employed physicians and therapists on the Maple Road medical corridor who earn over the 2026 subsidy line, and owners who were only ever shown the marketplace. Three doors, 2026 Erie County prices, no fee to you. New: seven healthcare tips and tricks from a broker who worked on the provider side, from facility fees and cash prices to reading an EOB.
New YorkHow to choose a health insurance broker in New York: 9 things to check before you pick one
Nobody gets to call themselves the best broker in New York. Here are the two free license lookups, the NPN, the New York rules a broker has to know, the questions to ask on the first call, and the red flags.
Self-employedBest health insurance options for self-employed people in Buffalo, NY: five doors, 2026 prices, and the group plan nobody prices
Opens with the monthly number: $0 on the Essential Plan up to about $610 Bronze, $817 Silver, $1,057 Gold at full price. Then the five doors ranked by income and health, the 2026 Erie County carriers, why the company you 1099 for won't cover you, the no-repayment-cap subsidy trap, the tax deduction, client quotes, and the 60-second $1,200-to-$379 video.
Free toolACA Subsidy Calculator 2026: how much premium tax credit will you actually get?
Not a yes-or-no. A dollar estimate. Pick your state, household size, income, and ages and see your monthly credit, the most you pay for the benchmark silver plan under the 2026 IRS table, and your cushion under the 400% cliff. Handles New York community rating, California's state subsidy, and all 25 states I serve. Plus the full 2026 income limits table by family size.
CaliforniaCovered California income limits 2026: Medi-Cal, the state subsidy, and the penalty, by family size
Every 2026 line for households of one to eight: the Medi-Cal cutoff, California's own subsidy to 165% of poverty, the Silver 94/87/73 bands, and the 400% federal ceiling. Plus the state penalty for going uninsured, the 10.3% rate change, and why the private-plan door is closed here while the ERISA door is open.
New YorkNY State of Health income limits 2026: Medicaid, Essential Plan, Child Health Plus, and tax credits by family size
Four programs on one ladder, every rung for households of one to eight, the Essential Plan's new 200% ceiling, why age does not change the price in New York, and the Buffalo-versus-NYC silver prices ($581.62 vs $806.61). Plus the one number on the state chart the IRS reads differently.
PennsylvaniaPennie income limits 2026: Pennsylvania's Medicaid, CHIP, and tax credit lines by family size
Tax credits from $15,650 to $62,600 for one person, Medical Assistance to $22,025, CHIP free to 208% of poverty and low-cost to 314%. Why Pennsylvania pays no state subsidy, the 21.5% approved increase, the 160,000 people who left Pennie, and the underwritten-plan door that New Yorkers do not have.
MarylandMaryland Health Connection income limits 2026: Medicaid, MCHP, two state subsidies, and tax credits by family size
The softest landing in the country for a family near the line: Maryland Premium Assistance replaces the lost enhanced credit for most enrollees, a second subsidy covers ages 18 to 37, and the benchmark silver is $414 a month, the lowest of my 25 states. Every line by family size, the 13.4% approved increase, and the tax-return checkbox that enrolls you late.
New JerseyGetCoveredNJ income limits 2026: New Jersey's NJ FamilyCare, state subsidy, and tax credit lines by family size
Federal tax credits to $62,600 for one person and $128,600 for four, then New Jersey's own subsidy up to 600% of poverty ($93,900 and $192,900), which is worth about $40 a month in that band. NJ FamilyCare for adults to $1,836 a month and for children to 355% of poverty with no premium. The 16.6% approved increase, the 74,000 people who dropped off in six months, and why over-the-line New Jersey works like New York.
ConnecticutAccess Health CT income limits 2026: Connecticut's HUSKY, Covered CT, and tax credit lines by family size
Federal tax credits to $62,600 for one person and $128,600 for four, plus one year of state help that replaces half the lost credit up to 500% of poverty ($78,250 and $160,750), but only if you call. Covered Connecticut's no-premium Silver plan to 175%, HUSKY for adults to $22,025 and for children to 323% of poverty. The $870 benchmark, the 16.8% approved increase, and the ERISA door for a healthy household over the line.
Kentuckykynect income limits 2026: Kentucky's Medicaid, KCHIP, and tax credit lines by family size
Tax credits to $62,600 for one person and $128,600 for four, Kentucky Medicaid for adults to $22,032, children to 200% of poverty and KCHIP to 218% ($71,940 for four) with no premium. Why Kentucky has no state subsidy and no reinsurance, the 29.8% average increase, CareSource leaving, and the underwritten-plan door that New Yorkers do not have.
MassachusettsMassachusetts Health Connector income limits 2026: ConnectorCare, MassHealth, and tax credit lines by family size
Federal tax credits to $62,600 for one person and $128,600 for four, and ConnectorCare now stops at 400% of poverty too, with premiums from $0 to $235 a month depending on your plan type. MassHealth for adults to $1,769 a month and for children to 300% of poverty. The 11.5% merged-market increase, the jump in people paying full price, the state mandate penalty, and the ERISA door for a healthy household over the line.
ColoradoConnect for Health Colorado income limits 2026: Health First Colorado, CHP+, and tax credit lines by family size
Federal tax credits to $62,600 for one person and $128,600 for four, plus Colorado Premium Assistance of $80 a month on top, automatically. Health First Colorado for adults to $1,769 a month, and CHP+ for children and pregnancy to 260% of poverty ($85,800 for four). Why net premiums doubled for subsidized Coloradans, the reinsurance discount that helps everyone, Cigna leaving for 2027, and the doors over the line.
MaineCoverME.gov income limits 2026: Maine's MaineCare and tax credit lines by family size
Tax credits to $62,600 for one person and $128,600 for four, MaineCare for adults to $1,836 a month, and the line most Maine families miss: children and young adults under 21 qualify for MaineCare up to $8,388 a month for a family of four. Why Maine has no state subsidy, the 24% increase, nearly 14,300 cancellations, Mending Health leaving, and the ERISA door for a healthy household over the line.
VirginiaVirginia's Insurance Marketplace income limits 2026: Medicaid, FAMIS, and tax credit lines by family size
Tax credits to $62,600 for one person and $128,600 for four, Virginia Medicaid for adults to $22,025, and FAMIS for children to 205% of poverty ($67,650 for four) with no premium. Why the $22,025 to $39,900 range on the state's own page is not the tax credit limit, the new Virginia Premium Savings for 2027, the 75% jump in what people pay, and the underwritten-plan door that New Yorkers do not have.
GeorgiaGeorgia Access income limits 2026: tax credit, Pathways, Medicaid, and PeachCare lines by family size
Georgia has two lines that matter. Tax credits run from $15,650 to $62,600 for one person and $32,150 to $128,600 for four, and because Georgia has not expanded Medicaid, an adult under the floor has only Pathways, with 80 hours a month. PeachCare for Kids to 247% of poverty ($81,504 for four). The 34.6% increase, the drop from 1.5 million to about 950,000 enrolled, and the underwritten-plan door that New Yorkers do not have.
Open enrollmentWhen is open enrollment for 2027 health insurance? Dates by state, and why to raise your hand now
November 1, 2026 to January 15, 2027 in most states, January 31 in New York, and December 15 is the day that matters for a January 1 start. The rule that would have cut it to December 15 got thrown out in June. Every date for the 25 states I serve, the 15 percent median 2027 rate request, and a 20-second early list so I call you first.
Job lossWhat are the alternatives to COBRA in Pennsylvania? Mini-COBRA, the 60-day window, and your five options
Pennsylvania has two COBRA clocks: 60 days under federal COBRA, only 30 under the state's mini-COBRA for small employers. And because Pennsylvania allows private underwriting, all five buckets of coverage exist here. Which door for which household, the layoff moves most people miss, and when COBRA still wins.
Save moneyHow do you save money on prescriptions? 9 ways, ranked from biggest savings to smallest
The coupon everybody knows about is the worst rung on the ladder. The drug maker's free-drug program, a manufacturer copay card, and a generic cousin from your doctor can take a $1,594 brand name to $0 or about $15 a month. All nine rungs ranked, with a table of which ones work on a marketplace plan, on Medicare, and with no insurance at all.
Plans explainedPrivate health insurance vs the marketplace in 2026: which is actually cheaper?
One question decides it, and it is not which plan is better: do you get a subsidy? The real KFF 2026 sticker prices, the 400% cliff numbers, where an underwritten plan genuinely beats the marketplace, where it cannot, and the third door most comparisons leave out entirely.
Plans explainedWhat are the 5 types of health insurance for people under 65? The five buckets explained
Marketplace, group (including the pre-established group plans an individual can merge into), short-term, healthcare sharing, and defined benefit. Which ones are guaranteed issue, which are guaranteed renewable, which exist in your state, and the holes in every one. With a chart you can save and share.
Job lossWhat are the alternatives to COBRA insurance? Your options after a layoff, in any state
COBRA is 102% of the full premium and you have 60 days to decide. The other four buckets you can choose from inside that window, which ones exist in your state, the layoff moves most people miss, and when COBRA is still the right call.
Real numbersHow much is health insurance per month in New York if you're self-employed? The real 2026 numbers
From $0 a month on the Essential Plan to $817 for the benchmark Silver at full price, with the actual published 2026 figures for every band in between. Why your age never changes the number in New York, what the subsidy cliff does to your price, real Erie County rates, and the one door that is not community rated at all.
Enroll onlineDelta Dental plans in New York: compare your options and enroll online
Your marketplace plan was never going to fix your teeth: adult dental is not an essential health benefit and your subsidy does not touch a stand-alone dental premium. Here is the honest side-by-side of Delta's PPO Basic, PPO Premium, and DeltaCare USA for New Yorkers, and the 10-minute online enrollment. Same price as going direct, with a broker in your corner.
Enroll onlineDental insurance with no waiting period: what it really pays (implants covered, ages 18 to 99)
"No waiting period" is technically true and half the story. Cleanings covered 100% from day one, but major work pays 10% in year one and 60% after, and I print that number in bold because you deserve the math up front. Implants covered, rates lock at your issue age, and it issues to age 99. Available in 14 states, online in minutes.
Enroll onlineAccident insurance for self-employed people and families: the safety net nobody told you about
No workers' comp when you work for yourself. This 24-hour accident plan (underwritten by a Chubb company) pays accident medical bills up to $10,000 with automatic acceptance through age 64, from $31.95 a month. And for New Yorkers it pays PRIMARY, before your health plan's deductible even wakes up.
Enroll onlineGuaranteed-issue hospital cash: real options when you have been told no
No health questions, no underwriting: $5,000 or $10,000 cash on a hospital admission plus $250 a day, paid to you on top of any other coverage, from $40 a month. And the sentence half the internet forgets: this is a limited benefit plan, NOT health insurance. The honest version of a product that gets sold dishonestly all the time.
Job lossCOBRA vs a marketplace plan in 2026: which one should you take?
COBRA runs about $793 a month single and $2,294 family; the 2026 marketplace averages $456 bronze and $625 benchmark silver before any subsidy. Which one wins comes down to four things, not just the premium, and the 60-day election window is a shopping tool most people waste. Plus the third door nobody prices for you.
Save moneyHow to save money on healthcare (even when you have insurance): the free Resource Kit
Healthcare has two price tags, and you are allowed to look at both. Ask for the cash price before you hand over your card, never pay the first price on a prescription, and match every bill to your EOB before you pay a dime. Plus the free Resource Kit: the exact tools I use, saved right to your phone, no login and no email required.
Essential PlanThe NY Essential Plan changed July 1, 2026: who still qualifies and what to do now
The Essential Plan still exists with $0 premiums and no deductible for incomes up to $31,920 single or $66,000 for a family of four. But the upper tier ended July 1 under a federal budget law, 450,000 New Yorkers lost it, and the no-gap enrollment window closed August 30. Who is protected, what a marketplace plan costs now, and the moves left if you missed the deadline.
New York kidsChild Health Plus in New York: who qualifies, what it costs, and how to enroll
New York covers kids under 19 for $0 to $60 a month per child, capped at three kids, with no deductible and no copays, and you can enroll any time of year. The full 2026 income table by family size, what it covers (dental and medically necessary orthodontia included), and when kids on Child Health Plus plus parents on their own plan beats one big family plan.
Niagara Falls NYHealth insurance in Niagara Falls, NY for self-employed people
Three doors in a community-rated state, plus the trap specific to the Falls: your plan list is set at the Niagara County line while most of your serious care is in Buffalo. What seasonal tourism income does to a 2026 subsidy estimate, and why the Essential Plan is the door hospitality workers were never shown.
Claims & billingWhat is an EOB? How to read it, and why it is not a bill
Billed amount, allowed amount, plan paid, what you owe: the four numbers on every Explanation of Benefits, what the write-off line really means, and the four-minute check that stops you paying a bill you do not owe. Plus what to do when the EOB says denied, and when there is no EOB at all.
Syracuse NYHealth insurance in Syracuse, NY for self-employed people
Three doors in a community-rated state, plus the Syracuse question that decides everything: are your doctors at Upstate, St. Joseph's, or Crouse, and does the plan actually reach them? Why Onondaga County is its own plan market, and what the university-and-hospital economy means if you work 1099.
Albany NYHealth insurance in Albany, NY for self-employed people
You live in a four-county metro but you buy insurance in exactly one county, and Albany, Rensselaer, Saratoga, and Schenectady are four different plan lists. Three doors for state contractors and Tech Valley consultants, plus why project-cycle income makes 2026 subsidy estimates risky.
Charleston WVHealth insurance in Charleston, WV for self-employed people
West Virginia has one of the shortest marketplace carrier lists in the country, and most people here look at one expensive quote and give up. That is one door of four. What the other three are for energy contractors, trades, and family businesses in Kanawha County.
Portland MEHealth insurance in Portland, Maine for self-employed people
Seasonal income plus a short carrier list is a rough combination, and 2026 removed the cap on paying back an overpaid subsidy. Four doors for Portland owners, including the fixed indemnity layer that sits on top of your plan and knocks down the deductible.
Wilmington DEHealth insurance in Wilmington, DE for self-employed people
Your life crosses into Pennsylvania and Maryland and your plan might not. Why the border question should decide your coverage before the premium does, and four doors for the consultant economy that Delaware's incorporation industry created.
Lexington KYHealth insurance in Lexington, KY for self-employed people
Horse country runs on 1099 income that arrives around sales and racing calendars, and the insurance system was not built for it. Four doors for trainers, farriers, bloodstock agents, trades, and university freelancers, plus what kynect does and does not do.
Madison WIHealth insurance in Madison, WI for self-employed people
Madison is a system town, which makes the network question sharper here than almost anywhere. Four doors for contract researchers, biotech consultants, and state contractors, plus why grant-cycle income and the 2026 repayment rules do not mix.
Tucson AZHealth insurance in Tucson, AZ for self-employed people
Two Tucson situations that premium shopping handles badly: bridging from an early retirement to Medicare at 65, and splitting the year between here and somewhere else. Four doors, and why a Pima County network may do very little for you in February.
Rochester NYHealth insurance in Rochester, NY for self-employed people
Three doors in a community-rated state, plus the Rochester question that decides everything: are your doctors at Rochester Regional or UR Medicine, and does the plan actually reach them? Why Monroe County is its own plan market, and what the Kodak-to-freelance shift did to coverage here.
Tampa FLHealth insurance in Tampa, FL for self-employed people
Four doors in an underwriting state, plus the Tampa Bay trap: Hillsborough, Pinellas, and Pasco are three different plan markets, and the drive across the bay is a network boundary. How to check BayCare, Tampa General, AdventHealth, and Moffitt before you enroll.
Houston TXHealth insurance in Houston, TX for self-employed people
Four doors in an underwriting state, plus the Houston paradox: you live next to the largest medical complex in the world and a narrow plan can still leave you outside it. Harris, Fort Bend, and Montgomery are three plan markets, and COBRA is rarely the best door between contracts.
Phoenix AZHealth insurance in Phoenix, AZ for self-employed people
Four doors in an underwriting state, plus what affordable really costs in Maricopa County, where most marketplace plans are narrow-network designs. How to check Banner, HonorHealth, Dignity, and Mayo Clinic Arizona, and why snowbirds need a network that travels.
Nashville TNHealth insurance in Nashville, TN for self-employed people
Four doors in an underwriting state, built for a city that runs on 1099 income. Why the 2026 no-repayment-cap rule hits musicians and crew hardest, how to check Vanderbilt, Ascension Saint Thomas, and TriStar, and why a Davidson County plan may not travel with the van.
New YorkHealth insurance in New York for self-employed people: what are your options?
Three doors, not four: a pre-established ERISA group plan you join as a solo owner, NY State of Health (or the same plans off-exchange) with its 2026 subsidy cliff, and supplemental layers. Why community rating makes New York the toughest state for a healthy self-employed person, how carriers and networks differ from Buffalo to NYC, and how much you can deduct.
ConnecticutHealth insurance in Connecticut for self-employed people: what are your options?
Three doors, not four: a pre-established ERISA group plan you join as a solo owner, Access Health CT (or the same plans off-exchange) with its 2026 subsidy cliff, and supplemental layers. Why Connecticut has no plans priced on your health, which private providers in CT you can use, what drives cost, and how much self-employed health insurance you can deduct.
KentuckyKentucky health insurance for self-employed people: what are your options?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, the kynect marketplace with its 2026 subsidy cliff, and a pre-established ERISA group plan. Which private health insurance providers in Kentucky you can use, what drives cost from Louisville to Lexington, and which door fits you.
WisconsinHealth insurance in Wisconsin for self-employed people: what are your options?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, the healthcare.gov marketplace with its 2026 subsidy cliff, and a pre-established ERISA group plan. Which private health insurance providers in Wisconsin you can use, what drives cost per month from Milwaukee to Madison to Green Bay, and which door fits you.
West VirginiaHealth insurance in West Virginia for self-employed people: what are your options?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, the healthcare.gov marketplace with its 2026 subsidy cliff, and a pre-established ERISA group plan. How to get health insurance in WV without an employer, which individual plans you can use, private insurance vs self-pay, and what drives cost from Charleston to Morgantown.
MaineHealth insurance in Maine for self-employed people: what are your options?
Three doors, not four: a pre-established ERISA group plan you join as a solo owner, CoverME.gov (or the same plans off-exchange) with its 2026 subsidy cliff, and supplemental layers. Which private health insurance providers in Maine you can use, what drives cost from Portland to Bangor, seasonal-income traps, and the self-employed deduction.
DelawareHealth insurance in Delaware for self-employed people: what are your options?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, the healthcare.gov marketplace with its 2026 subsidy cliff, and a pre-established ERISA group plan. Which individual health insurance plans in Delaware you can use, what drives cost from Wilmington to the beaches, and which door fits you.
MassachusettsHealth insurance in Massachusetts for self-employed people: what are your options?
Three doors, not four: a pre-established ERISA group plan you join as a solo owner, the Massachusetts Health Connector (or the same plans off-exchange) with its 2026 subsidy cliff, and supplemental layers. Why Massachusetts has no plans priced on your health, the state coverage requirement, and the Massachusetts self-employed health insurance deduction.
MarylandHealth insurance in Maryland for the self-employed: what is the best option?
Three doors, not four: a pre-established ERISA group plan you join as a solo owner, Maryland Health Connection (or the same plans off-exchange) with its 2026 subsidy cliff, and supplemental layers. Why Maryland has no plans priced on your health, which private providers you can use, what drives cost, and the write-off.
TennesseeHealth insurance in Tennessee for self-employed people: what are your options?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, the healthcare.gov marketplace with its 2026 subsidy cliff, and a pre-established ERISA group plan. Which private health insurance providers in Tennessee you can use, what drives cost from Nashville to Memphis, and how to tell a good off-marketplace plan from a bad one.
South CarolinaSelf-employed health insurance in South Carolina: what are your options?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, the healthcare.gov marketplace with its 2026 subsidy cliff, and a pre-established ERISA group plan. Which private health insurance providers in South Carolina you can use, what the best individual plan looks like for you, and what drives cost from Charleston to Greenville.
AlabamaHealth insurance in Alabama for self-employed people: what are your options?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, the healthcare.gov marketplace with its 2026 subsidy cliff, and a pre-established ERISA group plan. Why the off-marketplace doors matter more in Alabama than almost anywhere, which providers you can use, and the Alabama self-employed health insurance deduction.
PennsylvaniaHealth insurance in Pennsylvania for self-employed people: what are your options?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, Pennie (Pennsylvania's own marketplace) with its 2026 subsidy cliff, and a pre-established ERISA group plan. Which individual providers in PA you can actually use and what drives private health insurance cost per month.
North CarolinaHealth insurance in North Carolina for self-employed people: what is the best option?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, the healthcare.gov marketplace with its 2026 subsidy cliff, and a pre-established ERISA group plan. Which private health insurance companies in North Carolina a self-employed person can use, and what drives cost.
VirginiaHealth insurance in Virginia for self-employed people: what are your options?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, Virginia's Insurance Marketplace (the state-run exchange) with its 2026 subsidy cliff, and a pre-established ERISA group plan. What drives private health insurance cost in Virginia and which door fits you.
ArizonaHealth insurance in Arizona for self-employed people: what is the best option?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, the healthcare.gov marketplace with its 2026 subsidy cliff, and a pre-established ERISA group plan. What drives private health insurance cost per month in Arizona, which providers you can use, and a note for people who split the year between two states.
ColoradoHealth insurance in Colorado for self-employed people: what is the best option?
Three doors, not four: a pre-established ERISA group plan you join as a solo owner, Connect for Health Colorado (or the same plans off-exchange, including the Colorado Option), and supplemental layers. Why Colorado limits what can be sold off the marketplace, and how much of the premium you can deduct.
CaliforniaHealth insurance in California for self-employed people: how do you get it, and what are your options?
Three doors, not four: Covered California (or the same plans off-exchange), a pre-established ERISA group plan you join as a solo owner, and supplemental layers. Why California limits what can be sold off the marketplace, the state mandate, and why the write-off saves twice.
OhioHealth insurance in Ohio for self-employed people: what is the best option?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, the healthcare.gov marketplace with its 2026 subsidy cliff, and a pre-established ERISA group plan. What actually drives private health insurance cost per month in Ohio, and which door fits which Ohioan.
MichiganHealth insurance in Michigan for self-employed people: how do you get it, and what is best?
The 4 steps to getting covered when you work for yourself, then the four doors: a private PPO priced on your health, a fixed-benefit plan, healthcare.gov with the 2026 cliff, and a pre-established ERISA group plan. What drives private health insurance cost in Michigan.
New JerseyHealth insurance in New Jersey for self-employed people: how much does it cost, and what are your options?
Three doors: Get Covered NJ (or the same plans off-exchange), a pre-established ERISA group plan on the MagnaCare network, and supplemental layers. Why New Jersey does not price by county or by health, the state mandate, and what that means for a healthy owner.
IndianaHealth insurance in Indiana for self-employed people: can you get it, and what is best?
Yes, you can. Four doors: a private PPO plan priced on your health, a fixed-benefit plan, the healthcare.gov marketplace with its 2026 subsidy cliff, and a pre-established ERISA group plan. Cheapest vs best, what drives private health insurance cost in Indiana, and which door fits which Hoosier.
FloridaHealth insurance in Florida for self-employed people: what are your options?
Four doors, not one: a private PPO plan priced on your health, a fixed-benefit plan, the healthcare.gov marketplace with its 2026 subsidy cliff, and a pre-established ERISA group plan. What actually drives the cost per month, and which door fits which Floridian.
TexasHealth insurance in Texas for self-employed people: how do you get it, and what are your options?
The 4-step path to coverage when you are the company, why the PPO question matters more in Texas than almost anywhere, and the four doors: private underwritten PPO, fixed-benefit, healthcare.gov, and a pre-established ERISA group plan.
GeorgiaHealth insurance in Georgia for self-employed people: what is the best (and cheapest) option?
Cheapest and best are two different plans. A one-table answer by situation, why Georgia Access replaced healthcare.gov, and the four doors for a self-employed Georgian, including the write-off that counts on both the federal and Georgia returns.
Medicare supplementsMedigap Plan G vs Plan N: which one is better for you? Pros, cons, and the New York twist
The two plans differ on exactly two lines: Plan N's up-to-$20 office and $50 ER copays, and Part B excess charges. Everything else is identical. The premium-difference-divided-by-$20 math, who each plan fits, and why New York's community rating and year-round guaranteed issue change the answer.
Free toolSelf-Employed Health Insurance Deduction Calculator: how much does health insurance really cost you when you work for yourself?
Your monthly premium, your net profit, your bracket. See the deduction (capped at profit minus half of self-employment tax), the tax savings, and your true monthly cost, plus the eligible-months rule and the subsidy twist. Then the bigger lever: the plan itself.
Free toolAI Second Opinion: paste what ChatGPT told you about your health plan
Paste the answer an AI gave you about your health insurance and I read it myself, not a robot. What it got right, what it got wrong, and the question it did not know to ask you. Free, usually back within a business day.
Free toolCOBRA Cost Calculator: how much does COBRA cost per month, and over the whole stretch?
Pick single, couple, or family, slide to the months you need (18 federal, 36 in New York), and see your monthly COBRA bill and the total. Uses your election notice or the KFF 2025 average plus the 2% fee, then the honest list of what to compare it against.
Subsidy trapsWho is NOT eligible for the premium tax credit in 2026? The 12 knockouts people find out about at tax time
Married filing separately, a job plan you turned down, Medicare, being claimed as a dependent, using your draw instead of net profit. The IRS checks all of it on Form 8962, and for 2026 there is no cap on what you pay back. The full list, the income traps, and the self-employed line 11a rule.
Lost your jobIs COBRA worth it in New York? What it costs, how long it lasts, and the cheaper alternatives
COBRA is 102% of the full premium, about $793 a month single or $2,294 family at 2025 averages, and it can run 36 months in New York. When it's the right call, when the marketplace beats it, and the third door for healthy people that nobody mentions.
Buffalo, NYHealth insurance broker in Buffalo, NY: what I do, what it costs you (nothing), and why it matters in 2026
Same price as going it alone, by law. What a Buffalo broker actually does: network checks against your doctors, subsidy planning around the cliff, the carriers I compare in Erie County, and the doors NY State of Health never shows you.
Straight answersNY State of Health vs. using a broker: same price, different outcome
Is it cheaper to buy through the marketplace or a broker? Neither. A side-by-side of what the website shows you, what it doesn't, why 2026 premiums jumped, and how to keep your subsidy without a tax-time surprise.
Plans explainedPPO vs HMO vs EPO vs POS: what is the difference?
One chart, four plan types. Primary care doctor required? Referrals? Out-of-network coverage? Cost? Plus the New York twist and the three questions to ask before you look at a price.
Small businessPre-established ERISA group plans: the New York small-business cheat code
Federal ERISA law overrides community rating, so healthy small businesses and self-employed people can merge into an existing ERISA group for group rates, a true PPO, and a policy they own.
Small businessSmall business health insurance in Buffalo, NY: the owner-only and under-10 guide, with the 2027 rate-letter math
New York approved 2027 small-group increases of 0% to 13.5% at Western New York's three big carriers (they asked for 9% to 17%), on top of 11% to 16% approved for 2026. What that means in dollars for a 5- and 10-person team, the four doors for a business under 50, who qualifies for Healthy NY and the tax credit, the Nov 15 to Dec 15 window, and two real client stories.
Plans explainedThe five buckets of health coverage, explained in plain English
The four ways Americans under 65 get covered, what each does well, where the holes are (health shares are not insurance), and how to combine them.
2026 changesThe 2026 ACA subsidy cliff: why marketplace premiums jumped (and what to do)
How the 400% FPL subsidy cliff works, why premiums jumped in 2026, and what to do if you are over the line.
StrategyThe “build a house” strategy: how to leave with a check, not a bill
How to combine coverage types so you handle the everyday costs and the catastrophic costs separately.
Plans explainedThe unlimited-copay PPO (the “Cadillac plan”) nobody shows you
The private underwritten PPO where in-network care is capped at copays with no coinsurance, who qualifies, who it is not for, and why most brokers never show it.
Free toolWhy did my health insurance premium go up so much, and what can I actually do about it?
Your letter gave you a percentage and no explanation. Type in what you pay and what the letter says, and see the increase in real dollars per month and per year, plus how yours compares to the 6% the state approved for 2027. Then why community rating means it was never about you, what the DFS actually approved against a 20.6% request, why Western New York runs higher, and the four things to check before you let it auto renew.
Free tools
🧮 Premium Increase Calculator
Your renewal says it is going up. See what that costs per month and per year, whether your increase is in line with the approved 2027 New York average, and the four options before you auto renew.
🧮 Self-Employed Deduction Calculator
Premium, net profit, bracket: your deduction, the tax savings, and what coverage really costs per month when you work for yourself.
🧮 COBRA Cost Calculator
How much does COBRA cost per month, and over 18 months (36 in New York)? Your election notice or the national average, plus the 2% fee.
🧮 2026 Subsidy Cliff Calculator
60 seconds: are you over the line, and do you pass the 8 knockout questions?
🧮 MAGI Calculator for ACA Subsidies
Self-employed? Turn gross receipts, expenses, and household income into the one number the marketplace actually uses, then see it against the 2026 cliff.
🧮 Employer Coverage Affordability Calculator
30 seconds: does your job plan pass the 2026 9.96% test, and can your spouse and kids still get a subsidy (the family glitch fix)?
✅ What health insurance can I get? Quiz
5 questions, 60 seconds, answers never leave your browser.
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