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Are There Better Health Insurance Options for Freelancers in New Jersey?

By Martin Elefant · Licensed insurance agent · Updated October 2026 · 5 min read

Freelancers in New Jersey — designers, writers, developers, photographers, musicians — usually buy whatever Get Covered New Jersey shows them in November and move on. There's often a better fit.

If your income is modest or variable

The marketplace is probably right, and you may qualify for a larger subsidy than you think once expenses are deducted. Medicaid is expanded (NJ FamilyCare) in New Jersey.

If you've grown past the subsidy line

Successful freelancers hit the 400% cliff and suddenly pay full price. If you're healthy, a private shared-network PPO on MagnaCare and Cigna PPO is priced on your health, not your 1099s — usually 30–50% less, with a national network that travels with you.

If you work across state lines

Marketplace HMOs are local. A national PPO covers you in-network in every state, which matters for freelancers who split time between New Jersey and somewhere else.

If you have a pre-existing condition

Stay on the marketplace. Private plans underwrite; the marketplace doesn't.

The New Jersey picture

New Jersey does not allow short-term medical plans, so the private alternatives here are the shared-network PPO plans rather than short-term coverage. New Jersey has a progressive state income tax, so a self-employed health premium deduction is worth more here than in a no-tax state.

Check your options — we'll show you both.

ME
Martin Elefant
Licensed insurance agent · NPN 20765405 · Lyons Life LLC · New Jersey Private Health

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