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Travel allied health insurance
PT, OT, SLPRT and imagingNationwide PPO
Travel allied health

Travel therapists and techs get the same gaps

Allied health travelers face the same contract-to-contract coverage problem as nurses, with more 1099 and per diem arrangements mixed in. Here is how to sort out which kind of worker you are and what that means for coverage.

W-2 agency contracts, 1099 contracts and per diem work, each with a different coverage answer
Coverage that holds up between assignments and across state lines
Private nationwide PPO plans for healthy travelers, priced against the Marketplace
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By Erik Moran, licensed health insurance broker (NPN 20970092) · Updated October 14, 2026

W-2, 1099 or per diem: start there

Quick answer

Travel PTs, OTs, SLPs, respiratory therapists and imaging techs placed by a staffing agency are usually W-2 employees with agency benefits that start and stop with contracts. Allied pros who contract directly with clinics, home health companies or schools are often 1099 independent contractors with no benefits at all. W-2 travelers face gap risk; 1099 travelers buy their own plan and can deduct it.

ArrangementHealth coverageMain risk
W-2 agency travel contractAgency plan during the assignmentGaps between contracts, new plan with each agency
1099 direct contractNone; you buy your ownGoing uninsured, or overpaying without a credit check
PRN or per diemUsually none at part-time hoursAssuming the employer will cover you

If you contract on a 1099

As a 1099 contractor you are self-employed. The Marketplace counts net income after business expenses, minus half of self-employment tax, so check where you land against the 2027 line before you assume a plan is full price. You can generally deduct premiums under the self-employed health insurance deduction, within its limits.

If you are healthy and over the line, a private plan built on a nationwide PPO network gives you one plan for every clinic and state you work in, and you can apply any month.

The plain truth about private plans: the nationwide PPO plans we quote are private, medically underwritten plans, not Marketplace plans. A nationwide network means in-network doctors and hospitals in many states; it does not mean every service is covered. You answer health questions, and the carrier can decline you or exclude a condition. These plans are not ACA-compliant: depending on the plan, prescriptions, maternity, mental health and other benefits can be limited or left out, some benefits have dollar maximums, and out-of-network care costs more. We walk through exactly what a plan pays before you apply, and if a Marketplace plan fits you better, we tell you that too.

If you travel through an agency

  • Ask when coverage starts and ends on each contract, and how long a gap the agency will cover.
  • Check the agency plan's network for the facility's city, not just your home.
  • If you take long breaks or switch agencies often, compare owning your own plan. See opting out of agency coverage; the math is the same for allied travelers.
  • Losing agency coverage opens a 60-day special enrollment period for a Marketplace plan.

Over or under the 2027 subsidy line?

Self-employed and 1099 income is counted after expenses. Our free calculator shows which side of the 400% line you land on in about a minute, with results right away and no sign-up.

Run the subsidy cliff calculator →

Questions we hear most

Do travel physical therapists get health insurance?

Agency-employed travel therapists usually get agency health insurance during assignments. Therapists who contract directly on a 1099 usually do not and buy their own.

Can a 1099 travel therapist deduct health insurance?

Generally yes, through the self-employed health insurance deduction, up to the business's net profit and only for months you were not eligible for an employer-subsidized plan, including a spouse's.

Is a nationwide PPO worth it for allied travelers?

For healthy travelers who work in several states a year, often yes, because it keeps one network across every assignment. If you have a health condition, a Marketplace plan is usually the safer choice.

Want real numbers instead of estimates?

Three quick taps and a ZIP code. One licensed broker calls you once with every plan you qualify for. Your information is never sold.

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