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Are There Better Health Insurance Options for Freelancers in Colorado?

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

Freelancers in Colorado — designers, writers, developers, photographers, musicians — usually buy whatever Connect for Health Colorado 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 (Health First Colorado) in Colorado.

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 Cigna, Aetna and PHCS 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 Colorado and somewhere else.

If you have a pre-existing condition

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

The Colorado picture

Colorado requires carriers to sell standardized 'Colorado Option' plans on the marketplace, and mountain-county premiums run well above Front Range prices — the gap private plans tend to close. Colorado has a flat state income tax, so the self-employed premium deduction helps at both levels.

Check your options — we'll show you both.

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

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