Self-Employed Health Insurance in Virginia (2026)

Self-employed in Virginia

As a self-employed Virginian, you can buy a Marketplace plan for yourself and your family during open enrollment, which runs November 1, 2026 to January 29, 2027 for 2027 coverage. Tax credits are based on your estimated net self-employment income, so a careful estimate helps you avoid a surprise when you file taxes.

If your income swings from year to year, check where you land against the 138% to 250% range for Virginia Premium Savings in 2027. The state applies that help after you use your full federal tax credit, and it does not count as income on your Virginia tax return.

Starting with 2028 coverage, federal rules will require you to confirm your eligibility before tax credits are applied. Keeping your income records organized now will make that step easier.

The self-employed health insurance deduction

If you have a net profit from self-employment, you may be able to deduct the premiums you pay for medical coverage for yourself, your spouse and your dependents. The deduction isn’t available for any month you were eligible for an employer-subsidized plan, including through a spouse’s job, and it can’t be more than your net earnings from the business.

If you also receive a premium tax credit, the two interact, and the calculation gets technical. Ask your tax preparer to handle it; we can help you pick the plan.

Health savings accounts

An HSA-qualified high-deductible plan lets you put pre-tax money into a health savings account that you own and keep, even if you change plans later. For healthy self-employed people with some cash reserves, pairing a lower-premium HSA plan with regular HSA contributions is often the most tax-efficient setup.