Piggy🏥 Health insurance & the ACA
The 400% cliff came back for 2026, and the repayment caps went away. Both hit freelancers hardest.
ACA Subsidy Cliff Calculator
The 400% cliff is back for 2026 — and a retirement contribution can put you back under it.
🧮Premium Tax Credit Repayment
You guessed your income in November. Here's what Form 8962 will say in April — uncapped since 2026.
💊Self-Employed HSA Calculator
2026 limits, the ACA subsidy it can recover — and the payroll saving freelancers don't get.
🩺Self-Employed Health Insurance
How much of your premiums you can deduct — and why it never cuts your SE tax.
Two changes landed on 1 January 2026 and between them they reshaped this topic for anyone who buys their own cover.
First, the enhanced ACA subsidies that had been in place since 2021 expired, so the 400% federal poverty level cliff is back. Not a taper — a cliff. At 400.0% of the poverty line you may receive thousands of dollars of premium tax credit; at 400.1% you receive nothing. For a household of two in the lower 48 that line sits at $84,600.
Second, and much less reported, OBBBA removed the repayment caps. Until 2025, someone under 400% who underestimated their income had the repayment limited by statute. That protection is gone: you now repay every dollar of excess advance credit.
Why this hits freelancers hardest
Because you are asked in November to predict a full year of income you cannot predict, you receive the credit monthly on that guess, and a good December can cost you the entire year's subsidy in one April payment.
Start with the subsidy cliff calculator to find where your line sits and how close you are to it. If the year has already ended and the numbers did not land where you hoped, the repayment calculator works out what Form 8962 will say.
The advantage you do have
Self-employment gives you something employees lack: control over your own adjusted gross income. A deductible retirement contribution or an HSA contribution reduces the income the cliff is measured against — which means a contribution that carries you back under the line does not merely save tax at your marginal rate, it restores the entire credit. Both can be made after the calendar year has ended, which makes January to April the most valuable planning window of the year.
The HSA route became available to far more people in 2026, because bronze and catastrophic Marketplace plans are now HSA-compatible regardless of their deductible.