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Methodology · Health Coverage

Health coverage methodology

Reviewed by · Last reviewed .

Page in progress.

Health-coverage anchor calculators (marketplace plan optimizer + HSA-eligible plan breakeven) are on the post-launch backlog AND coordinate with the Site #2 (Insurance Coverage Hub) reviewer-gated marketplace-health-plan calculator. Per editorial-standards Section 7 YMYL-Insurance protocol, health-coverage content requires a credentialed reviewer (CHC, RHU, or licensed-broker designation) before publication.

When this calculator ships, this methodology page will cover ACA marketplace plan structure for self-employed (premium tax credit eligibility per IRC §36B), the self-employed health insurance deduction (IRC §162(l) — above-the-line deduction for premiums), HSA-eligible HDHP plan selection and contribution limits (IRC §223), and the §401(k) / §125 / health-FSA stack for solo operators with their own employer plan.

Sources we'll cite

  • IRC §36B — Premium Tax Credit
  • IRC §162(l) — Self-employed health insurance deduction
  • IRC §223 — Health Savings Accounts
  • IRS Pub 969 — HSAs, Archer MSAs, and Other Tax-Favored Health Plans
  • HHS / CMS marketplace plan rules
  • State Departments of Insurance — state-based marketplace overlays

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