What a truck driver pays for 2027 health insurance on a 1099: the BLS median ($56,570) against the $63,840 line, the deduction, networks.
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The short answer: BLS puts the national median pay for heavy and tractor-trailer truck drivers at $56,570 (May 2024; that series counts employees, so a 1099 truck driver billing their own clients can sit well above or below it). $56,570 is $7,270 under the 2027 credit line for one person ($63,840). At that income the benchmark Silver plan is capped at 10.2% of income, about $482 a month, and the credit pays the rest of the benchmark price.
Two things make a 1099 truck driver’s price different from an employee’s. First, there is no employer paying part of the premium, so the whole filed price, or the whole price after the credit, is yours. Second, the credit is measured on net income after business expenses, and the premium itself is deductible, which pulls that income down further. The page below walks through both, state by state.
Premiums are set county by county and the credit is set by income, so no table can give a 1099 worker a final number. Enter your ZIP and a licensed agent prices every plan filed where you live against what you actually expect to earn.
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The 2027 premium tax credit caps what you pay for the benchmark Silver plan at a share of income, from 2.15% near the poverty line to 10.22% between 300% and 400% of it, and nothing at all above 400%: $63,840 for one person, $86,560 for a couple, $132,000 for a family of four. At the national median for heavy and tractor-trailer truck drivers:
Income here is modified adjusted gross income for the year: Schedule C profit after expenses, minus half of self-employment tax, minus the health insurance deduction itself. A truck driver who grosses the median usually nets less, which moves the credit up. Estimate the net figure you would defend to the IRS in April, and update the marketplace mid-year if it moves: from the 2026 tax year on there is no cap on repaying credit you were advanced but did not qualify for.
A self-employed person deducts health, dental and vision premiums for the household above the line (Form 7206, carried to Schedule 1), without itemizing, up to the net profit of the business, in any month there was no eligible employer plan available through a job or a spouse’s job. The deduction lowers taxable income and, because it lowers adjusted gross income, it also lowers the income the credit is measured on; the IRS publishes an iterative method for the two together. It does not reduce self-employment tax. A truck driver with an S corporation takes the same deduction only if the corporation pays the premium and adds it to Box 1 of the W-2.
Illustration, not advice: a $600-a-month premium is $7,200 a year; at a 22% federal bracket that is roughly $1,584 less federal income tax, before any state effect. A tax professional owns the return.
An owner-operator is away from the home county most weeks, so an HMO or EPO that pays nothing outside its network is the wrong shape; the plan type matters more than the premium, and eleven of the 24 states here sell no marketplace PPO at all. Typical costs of the trade: Fuel, insurance, maintenance, per diem. A plan is priced the same whether you buy it through an agent or not; the network and the deductible are what differ, and for a truck driver the network is the one to read first: a plan that pays nothing outside its network is a bad fit for anyone who works across county or state lines.
BLS median for heavy and tractor-trailer truck drivers in each state where it is published, whether that median clears the 2027 line for one person, the state’s median filed Silver premium at 40 (full price), and the monthly cap the credit would set at that income.
| State | BLS median | Credit line | Median Silver @40 | Benchmark cap |
|---|---|---|---|---|
| Arkansas | $49,520 | under the line | $780 | $422/mo cap |
| North Carolina | $49,580 | under the line | $866 | $422/mo cap |
| Florida | $50,000 | under the line | $848 | $426/mo cap |
| Alabama | $50,120 | under the line | $782 | $427/mo cap |
| Mississippi | $50,700 | under the line | $851 | $432/mo cap |
| South Carolina | $51,810 | under the line | $767 | $441/mo cap |
| Oklahoma | $51,920 | under the line | $775 | $442/mo cap |
| Texas | $53,070 | under the line | $909 | $452/mo cap |
| Michigan | $55,140 | under the line | $774 | $470/mo cap |
| Tennessee | $55,610 | under the line | $902 | $474/mo cap |
| South Dakota | $56,880 | under the line | $812 | $484/mo cap |
| Kansas | $56,940 | under the line | $973 | $485/mo cap |
| Wisconsin | $57,380 | under the line | $801 | $489/mo cap |
| Nebraska | $57,940 | under the line | $991 | $493/mo cap |
| Ohio | $58,080 | under the line | $692 | $495/mo cap |
| Utah | $59,580 | under the line | $916 | $507/mo cap |
| Indiana | $60,090 | under the line | $616 | $512/mo cap |
Under the line at the state median in every state published. The cap is the most the benchmark plan costs after the credit; cheaper plans cost less, dearer ones more. Where the median is over the line, the full filed price applies and the private market is usually the comparison worth making.
In 11 of the 24 states on this site, every 2027 marketplace plan is an HMO, EPO or POS: Indiana, Iowa, Kansas, Mississippi, Missouri, Nebraska, Ohio, South Carolina, Tennessee, Texas, Utah. A truck driver who travels, or who wants a hospital across a state line, buys a private plan with a national network there or accepts the network. The state pages show the plan types filed.