Most of the people we cover in Austin don’t have an employer plan. They’re self-employed, on a 1099, between jobs, or running a business that’s too small to offer one. Here’s how each of those usually goes:
Self-employed, 1099 or gig income
The Marketplace is normally the first place to look, because the premium tax credit is calculated on your income, not on an employer. What you can’t do is estimate that income once and forget about it — that’s the version of this that turns into a bill in April.
Between jobs
Losing job-based coverage opens a Special Enrollment Period: generally 60 days to get on a Marketplace plan without waiting for November. It’s a short window and it’s easy to let it close.
When the Marketplace isn’t an option
Some carriers sell health policies directly, outside the Marketplace, without asking for a Social Security number. Coverage and price vary a lot between them, so it’s worth comparing before you sign — that’s what the free quote is for. This comes up most often in mixed-status households, which are common in Austin: the eligible members (U.S. citizen or lawfully present children, for example) can enroll through the Marketplace with the premium tax credit even when someone else in the home can’t, and the rest of the family looks at the private options.
If the numbers still don’t work
In the Austin area, Central Health / the Travis County Healthcare District runs MAP, a program for low-cost care based on your income, regardless of immigration status. It isn’t insurance, and we’ll say so — but for some households it’s the honest next step, and we’ll tell you when yours is one of them.