Maryland real estate investors

Here's how real estate investors in Maryland are saving money on their health insurance this year

You can still get a nationwide PPO in Maryland through me. Here is how Anne Arundel investors, with rentals near the water and sometimes a second property out of state, line up coverage with the kind of year they're having.

Sam Jaber, licensed health insurance broker

Hi, I'm Sam Jaber. From Tampa, under licenses in 36 states, I help landlords and investors buy health coverage that matches their income, and Maryland investors can do it with me over the phone.

Here's an Anne Arundel picture. An investor lives in Severna Park and owns four townhouses in Annapolis and Eastport, leased mostly to military and medical families who rotate every couple of years. She also has a condo at the Delaware beaches that she rents by the week in summer. One of the Eastport townhouses has appreciated a lot, and she's weighing a sale next year. Her health plan comes from Maryland Health Connection, and the right one depends on whether next year is a holding year or a selling year.

You can still get a nationwide PPO in Maryland

In Anne Arundel County, Maryland Health Connection offers 43 individual medical plans for 2026. Thirty-nine are HMOs; four are PPOs. Maryland is one of the few states where marketplace prices don't change by region, and the PPO markup is steep everywhere: at age 40, before any subsidy, the most affordable silver PPO on the shelf costs 64% more than the most affordable silver HMO.

You can still get a nationwide PPO in Maryland through me, outside the marketplace. It's underwritten on your health, and its network follows you to Rehoboth, to a property you're scouting in another state, or to family far away.

How the marketplace reads an investor's income

Maryland Health Connection counts net rental income: rent after mortgage interest, property taxes, insurance, repairs, management, condo fees and depreciation, plus the rest of your household's income. Help with the premium runs up to four times the federal poverty level.

Selling changes everything. The credit is figured from modified adjusted gross income, and the gain on a sold townhouse generally lands right in it. So we plan for the year ahead, not the year behind.

Scenario 1 of 4

A holding year that qualifies for help

Enroll through Maryland Health Connection, since it's the only place the credit applies. Because the credit is fixed to a benchmark silver plan, the PPO's 64% markup would be yours alone, so most investors in the credit range do better with an HMO. Out of its network, an HMO generally pays only in an emergency. If you spend summers at the Delaware condo, check which urgent care there, if any, is in your plan's network before you rely on it.

Scenario 2 of 4

The townhouse sells and I'm in good health

A closing can take one year far above the credit line. If you've taken credit in advance and the sale pushes income higher, the difference comes back on your tax return, and for tax years after 2025 there's no ceiling on what you repay. Settle your coverage plan before the listing goes up.

At full price, private underwritten coverage frequently suits a healthy investor. Your answers to the medical questions lead to an approval, an approval excluding one condition, or a decline, and healthy applicants often pay below the marketplace's full rate. We compare each plan's benefits before you commit.

Scenario 3 of 4

Turnover and repairs made it a lean year

Two vacancies and a new roof can drag net rental income way down on paper. Maryland expanded Medicaid, and KFF lists the adult limit at 138% of the poverty level. If your honest estimate lands there, Medicaid may fit this year, and you move back to the marketplace when the units fill.

Scenario 4 of 4

A health condition, and income above the line

Stay with Maryland Health Connection at full price. Its plans take everyone and can't charge more for a diagnosis. Your job is choosing the network that keeps your specialists and a deductible that matches how rent comes in.

Where the Maryland figures come from

  • Maryland Health Connection is Maryland's own state-based marketplace Source
  • Anne Arundel County has 43 individual medical plans on Maryland Health Connection for 2026: 39 HMOs and 4 PPOs Source
  • Maryland's 2026 marketplace rates do not vary among its four rating areas; at age 40, before any subsidy, the lowest-priced silver PPO costs 64% more than the lowest-priced silver HMO Source
  • HMOs generally cover care outside their network only in an emergency Source
  • Net rental income counts as household income for marketplace savings Source
  • The premium tax credit uses modified adjusted gross income, which starts from adjusted gross income, so a capital gain generally raises it for that year; the credit generally covers incomes from 100% to 400% of the federal poverty level Source
  • There is no cap on repaying excess advance premium tax credit for tax years after 2025 Source
  • Maryland expanded Medicaid; KFF lists the adult income limit at 138% of the federal poverty level Source

Questions real estate investors ask me

Straight answers, no sales pitch.

How much does a PPO cost on Maryland Health Connection compared with an HMO?

At the silver level, the least expensive PPO costs 64% more than the least expensive HMO, anywhere in Maryland.

Does rental income count for Maryland Health Connection?

Yes. Net rental income counts as household income when your credit is figured.

Can selling a rental raise my income past the credit line?

It can. A gain from the sale generally adds to the income the credit is based on for that year.

Can a Maryland real estate investor get a nationwide PPO?

Yes. If you're healthy, you can buy one privately through me.

What's the portfolio doing this year?

Share your county, who needs a plan, how last year's Schedule E came out and whether a sale is on the calendar. I'll match the year to the right coverage and give you real numbers.

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