Freelancers enjoy freedom, but they don’t get employee benefits — which makes health insurance an essential part of planning. Whether you’re based in London, New York, or working remotely, here’s how to protect your health (and your wallet) in 2025.
1️⃣ Understand How Health Coverage Works
UK
- You’re entitled to free or low-cost treatment through the NHS.
- However, private medical insurance can offer faster access to specialists, physiotherapy, or elective procedures.
USA
- Health insurance is crucial because medical bills can be very high.
- You can buy coverage via the ACA Marketplace, private insurers, or professional associations.
2️⃣ Compare Plans Carefully
Look at:
- Monthly premium (what you pay each month)
- Deductible (amount you pay before insurance covers you)
- Co-pays and coinsurance
- Hospital networks and prescription coverage
3️⃣ Consider Your Lifestyle & Needs
- If you travel often, check for worldwide or cross-border coverage.
- Parents should look at family or children’s plans.
- Those with chronic conditions may benefit from low-deductible or comprehensive plans.
4️⃣ Budget for Premiums
- Include insurance in your business budget, just like taxes or software fees.
- In the USA, premiums may be tax-deductible for self-employed workers.
5️⃣ Take Advantage of Savings Accounts
- USA: Pair high-deductible plans with an HSA (Health Savings Account) for tax-free medical savings.
- UK: Some insurers offer cashback or wellness perks for staying healthy.
6️⃣ Check Group or Association Plans
- Join professional groups (writers’ unions, design associations, freelancer collectives).
- They sometimes negotiate cheaper group rates.
7️⃣ Revisit Coverage Annually
- UK: Ensure your private policy still matches your needs.
- USA: Use Open Enrollment (usually November–January) to switch or update plans.
8️⃣ Build a Health Emergency Fund
Even with insurance, you may face:
- Deductibles and co-pays
- Treatments not fully covered
- Unexpected dental or vision costs
Keep a small savings buffer for these.
9️⃣ Prioritise Preventive Care
- Attend routine check-ups and screenings.
- Use free NHS services or annual wellness visits under US plans.
- Prevention is cheaper than treatment.
✅ Final Thoughts
Health insurance gives freelancers stability and peace of mind. Whether you’re relying on the NHS or shopping for a US marketplace plan, reviewing options regularly helps you stay protected while controlling costs.
