Health insurance for welders

Here's how welders are saving money on their health insurance this year

Leave the shop for your own rig truck and the health plan stays behind with the time clock. Here's how welders working on their own are finding coverage that fits the work.

Sam Jaber, licensed health insurance broker

Hi, I'm Sam Jaber, a licensed health insurance broker out of Tampa. I'm licensed in 36 states and I do everything by phone, so we can talk from a job site, a truck stop or your kitchen table.

Most welders work for somebody else. Federal labor figures show manufacturing employs the majority of them, and only a few percent are self-employed. But the ones who go out on their own, with a rig truck, a welder on the back and a phone full of contacts, usually do it on purpose and for the money. The shop's group plan doesn't come along.

I'll walk you through how welders in that position are finding health coverage that's affordable and actually useful. It starts with figuring out where your income really lands.

Your net, not your day rate, sets the path

The question that matters most: is your household income low enough this year to get premium help on the marketplace?

That help runs up to four times the federal poverty level. As a single person, the line is just past $60,000 of income, and each extra household member lifts it. When you weld for yourself, the marketplace uses your net self-employment income. That means after the truck payment, fuel, rods and wire, gas bottles, consumables, equipment and insurance. A day rate that sounds high can still turn into a net that qualifies.

Here are the situations I hear about most. Find yours.

Scenario 1 of 4

My net lands under the line

If you're under the cutoff, the marketplace is very likely your most affordable route. Premium help can only be used there, and for a lot of welders it makes a good plan affordable.

Project work comes in bursts, though. One pipeline job can carry a whole quarter, and then you might wait a few weeks for the next one. You enroll based on a guess about the year ahead, and you're expected to update it if your income changes. If you end up earning more and don't update it, the overpayment comes back to you at tax time, and you might owe part of the help or all of it.

So we'll build your estimate from last year's return and what's lined up now, and plan to revisit it if a big job lands.

Scenario 2 of 4

I'm doing well, I'm over the line, and I'm healthy

Experienced pipeline and structural welders running their own rigs can clear well above the line. Without a subsidy, the marketplace charges full price, and for someone healthy it's a steep bill for a plan you might barely use.

The option worth knowing about is a private, medically underwritten plan. You answer health questions on the application, and a healthy applicant can often get a much lower price than the marketplace's full rate. These plans run on nationwide PPO networks, which matters when your next job could be two states away.

The trade-off here is straightforward. The insurer can decline you or exclude a condition from your history. Benefits vary from one plan to another, so I go over what each one pays before you decide.

Scenario 3 of 4

I'm about to leave the shop and weld for myself

If your current employer provides your health plan, leaving will usually end it. The good news is that losing job-based coverage gives you a special enrollment period. You generally have 60 days to enroll in a marketplace plan, regardless of the time of year. If you go on COBRA, let it run out naturally; dropping it early by choice won't open a new enrollment window.

If you're aiming for an underwritten plan, apply a few weeks ahead, since approval takes time.

And a reminder about injury coverage, since welding comes with burns, eye injuries and heavy lifting. Workers' comp handles injuries from the job. It isn't a health plan, and it won't pay for an illness, your yearly checkup or anything your family needs.

Scenario 4 of 4

I've got a health condition to keep an eye on

Heavy work adds up over the years, and you might be managing a bad back, a heart issue or a family member's condition. If someone in your household needs regular care or medication, the marketplace is usually the right place even without premium help. Marketplace plans have to accept you and can't charge more because of your health. Underwritten plans can say no or leave out a condition.

So the goal becomes picking the marketplace plan that keeps your specialists and covers your prescriptions, with pharmacies you can reach when you're working away from home.

A PPO is still within reach

Many marketplaces offer only HMOs or EPOs, which won't pay for routine care outside their network, and some price their PPO plans beyond what most people will pay. That doesn't mean you can't have one. Weld in one state and live in another? I can still get you a PPO with a national network, in any of the 36 states where I'm licensed. If you're healthy, a quick call gets you a real number.

Things to have nearby

These make our call faster, though none are required:

  • Your most recent tax return, or a ballpark net figure
  • Who you want covered, and your home zip code
  • The states you usually work in
  • Doctors and prescriptions you'd like to keep

Working with me is free. I get paid by the insurance company after enrollment, and your premium isn't a penny higher for it.

Questions welders ask me

Straight answers, no sales pitch.

What happens to my health insurance if I leave my job to weld on my own?

Your employer coverage usually ends, and losing it gives you a special enrollment period, generally 60 days, to choose a marketplace plan. If you're healthy and earn too much for premium help, an underwritten plan is worth pricing too.

What income does the marketplace use for a self-employed welder?

Net self-employment income, meaning your earnings after business expenses like your truck, equipment, fuel and consumables, plus any other household income.

Can a mobile welder get a health plan that works in other states?

Yes. Private underwritten plans built on nationwide PPO networks can work across state lines. If you're healthy, I can price them in any of the 36 states where I'm licensed.

Will workers' comp cover my medical bills?

Only for injuries that happen on the job. It won't cover illness, routine care or your family, so you still need health insurance.

Tell me about your rig and your year

Let me know roughly what you cleared after the truck and equipment costs, who's on your plan and where you live. I'll walk you through the path that fits and price it, and if you're already set up right, I'll say so.

By state

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