What you need to know about Individual & Family Health Insurance
Whether you're self-employed, between jobs, or your employer doesn’t offer health coverage, individual and family health insurance can provide the protection and peace of mind you need. Here’s what you need to know to make informed decisions for yourself or your loved ones.
What Is Individual & Family Health Insurance?
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Individual and family health insurance plans are policies you purchase on your own, rather than through an employer. These plans cover medical expenses like doctor visits, hospital stays, preventive care, prescriptions, and more. You can buy a plan just for yourself (individual) or one that includes your spouse and/or dependents (family).
Who Needs It?
You may need individual or family health insurance if:
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You’re self-employed or own a small business
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You’re working part-time or your employer doesn’t offer health insurance
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You’re between jobs or recently lost coverage
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You’ve aged out of your parent’s plan (usually at age 26)
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You're retiring early and not yet eligible for Medicare
Working with a Licensed Agent Can Help
Health insurance can be complex. A licensed agent or broker can:
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Explain your options
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Help you apply for subsidies
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Compare plans across multiple carriers
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Make sure you're not overpaying for coverage you don’t need
Where to Buy It
You can buy plans through:
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The Health Insurance Marketplace (Healthcare.gov or your state exchange)
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Private insurers directly
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Licensed insurance agents or brokers who can help compare options and find discounts
When to Enroll
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Open Enrollment Period: Typically runs from November 1 to January 15 each year.
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Special Enrollment Periods: Triggered by qualifying life events such as marriage, divorce, birth of a child, loss of coverage, or moving to a new area.
How Much Does It Cost?
Costs vary based on:
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Your age
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Location
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Household size
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Income (subsidies may lower your monthly premium)
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Plan tier: Bronze, Silver, Gold, Platinum (each tier offers a different balance between premium and out-of-pocket costs)
You may also qualify for:
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Premium tax credits to reduce monthly costs
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Cost-sharing reductions to lower deductibles and copayments (if eligible)