Private plans: apply any time of year: apply any timeLicensed in 36 states · $0 to work with meVerify my license: NPN 20698748Verify license
Maryland real estate investors

Here's how real estate investors in Maryland are saving money on their health insurance this year

I can arrange a nationwide PPO privately for Maryland investors. If you own rentals around Anne Arundel, perhaps including a vacation property across state lines, here's how to match insurance to your rental income and potential sales.

Sam Jaber, licensed health insurance broker

Hi, I'm Sam Jaber. I'm licensed in 36 states and help rental property owners find health coverage suited to their income. If you're in Maryland, we can arrange everything over the phone.

Consider an investor in Anne Arundel County who lives in Severna Park. She rents four Annapolis and Eastport townhouses, mainly to military and healthcare families who relocate every few years. She also owns a Delaware beach condo that brings in weekly summer rental income. One Eastport townhouse has gained considerable value, and she's thinking about selling next year. She shops through Maryland Health Connection, where the right insurance depends on whether she keeps her properties or completes that sale.

You can still get a nationwide PPO in Maryland

Maryland Health Connection has 43 individual medical plans in Anne Arundel County for 2026. Of those, thirty-nine are HMOs and four are PPOs. Unlike most states, Maryland is among the few that use the same marketplace pricing across regions. That makes the PPO premium difference substantial throughout the state. For someone age 40 paying without a subsidy, the lowest-priced silver PPO costs 64% more than the lowest-priced silver HMO.

I can help you buy a nationwide PPO privately in Maryland instead of using the marketplace. Approval and pricing depend on your health, and the network extends beyond state borders, whether you're visiting Rehoboth, checking another investment property or seeing relatives elsewhere.

How the marketplace reads an investor's income

Maryland Health Connection calculates household income using rental profits after deductions for mortgage interest, property taxes, insurance, maintenance, management, condo fees and depreciation. Other household earnings count too. Premium assistance extends through four times the federal poverty level.

A property sale can completely change your eligibility. Premium credits depend on modified adjusted gross income, which generally includes the profit from selling a townhouse. That's why we need to project next year's income instead of relying on last year's figures.

Scenario 1 of 3

A holding year that qualifies for help

Maryland Health Connection is where you must enroll to use the credit. Because the subsidy follows a benchmark silver plan, you'd pay the PPO's 64% additional cost yourself. An HMO is therefore usually more economical for investors eligible for assistance. HMOs generally cover outside-network treatment only for emergencies. If you spend summers at your Delaware condo, check whether nearby urgent care facilities participate before depending on that plan.

Scenario 2 of 3

The townhouse sells and I'm in good health

One property closing may lift annual income beyond the premium credit range. If advance credits were already applied, you'll reconcile the excess on your tax return. For tax years after 2025, there's no maximum repayment amount. Work out your insurance strategy before putting the property up for sale.

For healthy investors paying full premiums, private medically underwritten plans can offer better value. After reviewing your health questionnaire, the insurer may accept you, accept you with a particular condition excluded or decline you. Healthy applicants frequently pay less than the marketplace's unsubsidized price. I'll compare the benefits with you before you enroll.

Scenario 3 of 3

Turnover and repairs made it a lean year

A roof replacement combined with two vacant properties can substantially reduce taxable rental income. Maryland participates in Medicaid expansion, and KFF puts its adult income threshold at 138% of the poverty level. If your accurate projection meets that limit, Medicaid may work until your units are rented again and you return to marketplace coverage.

Where the Maryland figures come from

  • Maryland Health Connection is Maryland's own state-based marketplace Source
  • Anne Arundel County has 43 individual medical plans on Maryland Health Connection for 2026: 39 HMOs and 4 PPOs Source
  • Maryland's 2026 marketplace rates do not vary among its four rating areas; at age 40, before any subsidy, the lowest-priced silver PPO costs 64% more than the lowest-priced silver HMO Source
  • HMOs generally cover care outside their network only in an emergency Source
  • Net rental income counts as household income for marketplace savings Source
  • The premium tax credit uses modified adjusted gross income, which starts from adjusted gross income, so a capital gain generally raises it for that year; the credit generally covers incomes from 100% to 400% of the federal poverty level Source
  • There is no cap on repaying excess advance premium tax credit for tax years after 2025 Source
  • Maryland expanded Medicaid; KFF lists the adult income limit at 138% of the federal poverty level Source

Questions real estate investors ask me

Straight answers, no sales pitch.

How much does a PPO cost on Maryland Health Connection compared with an HMO?

Across Maryland, the lowest-priced silver PPO carries a premium 64% higher than the lowest-priced silver HMO.

Does rental income count for Maryland Health Connection?

Yes. Your net earnings from rental properties are included in the household income calculation for premium credits.

Can selling a rental raise my income past the credit line?

Potentially. Profits from selling property generally increase the income used to determine that year's credit.

Can a Maryland real estate investor get a nationwide PPO?

Yes. If you qualify medically, I can arrange a private nationwide PPO for you.

What's the portfolio doing this year?

Tell me your county, household coverage needs, last year's Schedule E results and any planned sale. I'll review the appropriate coverage for that year and provide actual prices.

More for real estate investors

The guide for every state, and other work I help with