Health Insurance as a Locum Tenens Travel Provider (1099)

Check out my 2 part informative Q+A with @healthinsurancecouple

Securing Your Benefits as a Locum Tenens Independent Contractor

Most locum tenens physicians are independent contractors (1099), which means they are responsible for securing their own comprehensive benefits: medical, dental, life, and disability insurance.

It's completely doable—trust me! I've been working locums for years, and I want to teach you how to build your own robust benefits package.

Where to Start: Major Medical Coverage

This is where you'll find comprehensive health insurance.

  • Healthcare.gov (The Marketplace/Exchange): This is the official website where you can find Affordable Care Act (ACA)-compliant plans.

    • Compare and Enroll in Health Insurance Plans: Use the site to compare different private health insurance plans available in your state. Focus on premiums, deductibles, co-pays, and the specific networks (PPO vs. HMO) to ensure you have coverage where you travel.

    • Essential Health Benefits (EHBs): All plans offered through the Marketplace must cover a set of ten EHBs, guaranteeing coverage for services like hospitalization, maternity care, and prescription drugs.

  • The Travel Factor: If you work in multiple states, check the plan's network coverage outside of your home state. Sometimes, purchasing an "off-exchange" private plan

Dental, Vision, and Life Insurance

  • Ancillary Coverage: Dental and vision plans are typically purchased separately and are very affordable.

  • Life Insurance: Most locums choose Term Life Insurance, which is cost-effective and provides financial security for a set period (e.g., while you have a mortgage or dependents).

The Tax Advantage (An Essential Benefit)

As a 1099 independent contractor, you get a major tax benefit that W-2 employees do not:

  • Self-Employed Health Insurance Deduction: You can typically deduct 100% of the premiums you pay for health, dental, and qualified long-term care insurance for yourself and your family. This deduction is taken above the line on your tax return, meaning it reduces your Adjusted Gross Income (AGI).

Next Steps

  • Visit Healthcare.gov to start comparing plans.

  • Want additional help? Healthcare.gov’s Find Local Help allows you to search for qualified, local insurance agents or navigators near you.

  • Check out @healthinsurancecouple for more tailored advice.

RELATED: Disability Insurance (Income Protection)-Arguably the single most important policy for any physician. Check out my post on this topic HERE

Thanks for reading!

The locumlady

@thelocumlady

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Quick Start Guide to Disability Insurance

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Let’s Locums Podcast with Dr. Mark Royer