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Montana real estate investors

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

I can help you get a nationwide PPO in Montana, although Park County already has a lower-priced marketplace silver PPO option. Here's how Yellowstone-area short-term rental owners plan insurance around changing income.

Sam Jaber, licensed health insurance broker

Hi, I'm Sam Jaber. I broker health insurance in 36 licensed states, including Montana. Whether you own rental properties around Bozeman or beyond Billings, we can arrange your coverage over the phone.

Picture a property investor based in Livingston. He owns four rental cabins in Paradise Valley, along with a duplex in Gardiner near Yellowstone's northern entrance. June, July, August and September bring steady reservations from national park visitors, and the cabins are usually full. Winter is much quieter, with occasional fly-fishing guests and skiers. The Gardiner duplex provides housing for seasonal park employees. Because property values in the valley have increased, he's considering selling one of his cabins. He currently buys insurance through HealthCare.gov. In Park County, marketplace PPO choices outnumber the other plan types, which matters when deciding what to buy.

You can still get a nationwide PPO in Montana

In 2026, Park County's marketplace lists 30 individual health plans from three insurers, including 22 PPOs and 8 EPOs. PPO pricing is favorable here. For an unsubsidized 40-year-old, the lowest-priced silver PPO costs 5% less than the lowest-priced silver EPO.

I can also arrange private nationwide PPO coverage in Montana. The insurer uses medical underwriting to determine pricing, and the network extends across the country, including places you visit in winter or states where you're considering property purchases.

Your rental income, and the lines it can cross

Marketplace income calculations include rental revenue after deducting cleaning, booking platform charges, lodging taxes you pay, heating propane, snow clearing, repairs, insurance and depreciation. Other household earnings also count. Premium credits end when income exceeds four times the federal poverty level.

A cabin sale can increase your household income considerably. Marketplace credits depend on modified adjusted gross income, which generally includes the gain from selling the property. On the other hand, a winter with few reservations and costly repairs may reduce your income enough to change your eligibility. KFF reports that Montana's expanded Medicaid covers qualifying adults through 138% of the poverty level. Beginning July 1, 2026, a state rule requires most expansion participants ages 19 through 64 to document 80 hours of qualifying monthly activity. Before assuming you'll qualify for Medicaid, make sure you understand how that requirement applies to your own circumstances.

Scenario 1 of 2

A typical booking year, and I get the credit

You can only apply the premium credit to coverage purchased through HealthCare.gov. Because the credit amount is calculated using a benchmark silver plan, choosing a less expensive policy can make that assistance go further. In Park County, the lower-priced choice is a PPO. Compared with an EPO, which generally covers out-of-network treatment only during emergencies, a PPO also contributes toward other out-of-network care, although your portion of the bill is higher. For investors who qualify for credits, I'd usually favor the Park County marketplace PPO, provided it fits their needs.

Scenario 2 of 2

I'm selling a cabin, and I'm healthy

Selling a cabin may increase your income enough to put the entire year beyond premium-credit eligibility. If you've received credits in advance, the gain could mean repaying some or all of that assistance when you file your taxes. Beginning with tax year 2026, there's no maximum repayment amount for excess credits. That's why I'd review the projected sale-year income and compare coverage before putting the cabin on the market, rather than waiting until after the closing.

If you're paying full premiums, compare Park County's marketplace PPO with private plans. A private insurer evaluates your medical questionnaire and may approve you, approve coverage excluding a specific condition or decline you. Healthy applicants frequently pay less than marketplace list prices. We'll examine benefits together.

Where the Montana figures come from

  • Montanans enroll in marketplace plans on HealthCare.gov Source
  • Park County has 30 individual medical plans from 3 insurers for 2026: 22 PPOs and 8 EPOs Source
  • In Park County, the lowest-priced silver PPO costs 5% less than the lowest-priced silver EPO (age 40, before any subsidy) Source
  • EPOs generally cover care outside their network only in an emergency; a PPO covers out-of-network care at a higher cost to you Source
  • Net rental income is counted 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
  • Montana expanded Medicaid to adults up to 138% of the federal poverty level, per KFF; since July 1, 2026, most expansion adults ages 19 to 64 must document 80 hours a month of qualifying activity Source

Questions real estate investors ask me

Straight answers, no sales pitch.

Is there a marketplace PPO in Livingston, Montana?

Yes. Park County offers 22 PPOs, and its lowest-priced silver PPO is 5% less expensive than its lowest-priced silver EPO.

Does rental income count toward the Montana marketplace credit?

Yes. Your rental profits after expenses are included when calculating household income for premium credits.

Is there a work rule for Montana Medicaid?

Yes. Since July 1, 2026, most expansion Medicaid participants ages 19 through 64 must document 80 hours of qualifying activity monthly.

Can a Montana real estate investor get a nationwide PPO?

Yes. I can help healthy Montana investors purchase private nationwide PPO coverage.

What kind of year is next for the rentals?

Give me your location, household members needing coverage, last year's Schedule E results and any possible sales. I'll compare plans and premiums for your expected year.

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