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"Why Does My Health Insurance Cost So Much — and Still Cover So Little?"

May 13, 20252 min read

Why Does My Health Insurance Cost So Much

Why Health Insurance Feels Broken for the Middle Class

— and Still Cover So Little?

You’re paying $600, $800, sometimes even $900 a month just to have health insurance… and yet,

when you actually need it, you’re still stuck with surprise bills, out-of-pocket costs, and deductibles that feel more like a second rent payment. Sound familiar?

You’re not alone — and it’s not your fault.

The Problem: You're in the "Middle-Class Health Insurance Trap"

If you’re earning more than $50,000 a year, chances are you’ve already run into this wall. You make too much to qualify for government subsidies — but not enough to comfortably cover the high premiums, co-pays, and deductibles of Marketplace plans.

Common issues people face:

❌ Monthly premiums over $600–$900

❌ Deductibles exceeding $7,000 before any real benefits kick in

❌ Network confusion — is your doctor in-network? Not until the bill shows up...

❌ Coverage gaps for everyday needs like prescriptions, mental health, or urgent care

It feels random. But it’s not.

The Reason: The System Isn’t Designed With You in Mind

Understanding your coverage shouldn't feel like decoding a spreadsheet. Let's simplify it.

Here’s the blunt truth: Marketplace plans are built around income tiers and risk pools. The more you earn, the more you’re expected to pay — regardless of whether the coverage makes sense for your lifestyle, your family, or your health priorities.

These plans often work well for people with very low income or chronic medical conditions. But for self-employed professionals, business owners, and healthy individuals with average to high income?

They’re often the most expensive and least efficient option.

What You Can Do: Explore Private PPO Alternatives

There’s good news. Private PPO plans still exist — and in many cases, they provide a smarter alternative, especially if you:

  • Are self-employed, a 1099 contractor, or a business owner

  • Prefer lower deductibles and broader networks

  • Want coverage that isn’t tied to the subsidy model

  • Travel often or need nationwide access to doctors and specialists

These plans aren't available on Healthcare.gov and often fly under the radar — but they can make a huge difference in both cost and quality of care.

Want to Know If You Qualify?

Let’s clear things up. No spam. No pressure. Just an honest side-by-side quote so you can compare your options.

Get your free quote now!

Official logo of MFE Healthcare Solutions, showcasing a gold handshake to represent trusted partnerships in private health insurance solutions.

You don’t have to keep overpaying for underwhelming insurance. Let’s find something that actually works for you.

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STILL NOT SURE?

Frequently Asked Questions

Will I qualify for Private Health Insurance?

You don’t have to be an olympic athlete by any means, but if you are in relatively good health then you should be a strong candidate. Of course individual considerations will be made, but if you don’t have any major pre-existing conditions such as cancer, heart attack, stroke, or diabetes then a private plan may be right for you!

Does it have to be "Open Enrollment" to be able to sign up for Private Insurance?

This only applies to Marketplace/ACA/Obamacare plans and Employer sponsored plans. Private plans are available year-round! There are no limitations of when you can get on and off of a private plan.

Isn't Private Health Insurance really expensive?

It is much less expensive than you think! Since the rates for private healthcare are based on health, and not your income, you will generally see lower prices AND better benefits if you can qualify. Most clients save anywhere from $1200-3600 per year!

Can I cancel anytime?

Yes, there are no contracts for any type of health insurance plan, besides employer coverage. You can cancel at anytime for both the public and private health insurance plans.

Testimonials

Tanya M

Michael Freese is very knowledgeable and answered all my questions and concerns, either over the phone or text messages. I definitely recommend him for your insurance needs!

Josh R

He went so far above and beyond what I could have ever expected and I'm so unbelievably grateful. My case was handled so professionally, with Michael guiding me every step of the way. Incredible.

Ademola A

I received help finding great insurance in the most professional way from Michael! He was understanding and patient and explained my plan in detail! If you need health insurance you’re in great hands!

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