Navigating health insurance as a travel therapist can be confusing. Here's what you need to know about agency-provided coverage, marketplace options, and how to stay covered between assignments.
Most travel therapy staffing agencies offer health insurance, but the details vary significantly. Key questions to ask your agency:
Many travel therapists face a coverage gap between assignments. Options include COBRA continuation coverage (often expensive), ACA marketplace plans (may qualify for subsidies based on income), or short-term health plans. Plan ahead — coverage gaps can be costly.
If your agency doesn't provide insurance or you're between assignments, ACA marketplace plans are available at Healthcare.gov. Travel therapists with variable income may qualify for significant subsidies. Special enrollment periods apply after losing employer coverage.
| Option | Cost | Flexibility |
|---|---|---|
| Agency insurance | Often subsidized | Tied to employment |
| COBRA continuation | Full premium + 2% | Keeps existing coverage |
| ACA marketplace | Varies (subsidies available) | Nationwide PPOs available |
| Short-term plans | Lower premium | Limited coverage |
| Spouse/partner plan | Varies | Often best option if available |
As a travel therapist working across different states, a PPO plan with nationwide coverage is far superior to an HMO tied to a local network. Prioritize plans that don't require you to return to your home region for non-emergency care.
Your agency's insurance coverage and how your compensation package is structured can intersect with your tax home status. Consult a travel therapy-savvy accountant to ensure your tax-free stipends are properly structured. See TravelTherapyTax.com for more.