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Buying health insurance can be intimidating when you’re not under an employer’s umbrella. The various types of health insurance plans, the wide range of costs, and the numerous ways to research and buy a policy can make the process daunting at first.

Here’s a guide to help you sort through the basics to find the plan that’s right for both your budget and your health needs.

What Is Individual Health Insurance?

The term “individual health insurance” is a little confusing. In most cases it means a policy purchased by an individual. But individual insurance also includes family coverage. Depending on your situation, you could be buying an individual health care plan that covers just you, or your spouse and dependents as well.

Young adults aging out of coverage under their parents’ plan may also need to buy individual health insurance.

You may find yourself shopping for private health insurance for you and your family if you no longer have employer-based insurance.


💡 Quick Tip: Your insurance needs depend on your age, dependents, assets, possessions, and economic situation. As your circumstances change, so should your insurance plans.

Types of Individual Health Insurance Plans

When you start your search for health insurance, prepare for alphabet soup — HMO, PPO, HDHP. Individual insurance comes in a lot of forms.

Choosing the right coverage for you starts with determining which type of plan best meets your needs. Here’s a quick look at the different types of health plans available and who might benefit most from each.

HMO

HMO plans limit coverage to health care providers who are under contract with the health maintenance organization. You usually need to have a referral from your primary care doctor to receive care from a specialist or other provider in the HMO network.

Care from providers out of the HMO network is typically not covered, except in the case of an emergency and for routine services with an obstetrician/gynecologist. HMO coverage is usually confined to specific geographic areas.

Some insurers offer a similar setup called exclusive provider organization plans, with coverage only if you use doctors, specialists, or hospitals in the plan’s network, with the exception of emergencies.

May be best for: People looking for the lowest-cost plans, who don’t need coverage outside their geographic area, and who don’t mind changing doctors to stay in the HMO network.

PPO

Members of preferred provider organization (PPO) plans pay less when they use network providers. Care outside the network is covered but at an additional cost. No referrals are necessary.

Some insurers offer a similar type of plan called point of service. As with a PPO, plan members pay less for care from network providers, but they are free to go outside the network. Like an HMO, they must use a network primary care doctor and get a referral to see a specialist.

May be best for: Individuals who can afford higher premiums and perhaps higher out-of-pocket costs in return for the freedom to see specialists and other providers outside the network.

High-Deductible Health Plan

This is a health plan that charges a deductible of $1,400 or more for an individual or $2,800 or more for a family for 2022. A deductible is the amount you pay out of pocket for health care costs before insurance coverage kicks in.

In return for higher deductibles, these plans usually charge significantly lower premiums. (Preventive care is usually covered at 100% when you stay in the network.)

You can combine a high-deductible health plan with a tax-advantaged health savings account. Contributions to an HSA are tax-free and can be used to pay for qualified medical expenses.

May be best for: People who don’t use a lot of health care services and are willing to risk high out-of-pocket costs, and those who are looking to start an HSA to save for future health care expenses.

Recommended: Benefits of a Health Savings Account

Catastrophic

These low-premium, very-high-deductible health plans are designed, as the name implies, to cover only dire circumstances.

The plans cover the essential benefits defined by the Affordable Care Act, though there may be limits on preventive care and the number of covered visits to a primary care provider.

Deductibles are, well, high: in 2023, $9,100 for an individual, according to healthinsurance.org.

The plans will help if you become seriously ill or are injured, but you’ll pay out of pocket for many other health care costs.

Catastrophic plans are only available to people under age 30 and to people with a hardship or affordability exemption. They can be purchased on healthcare.gov or directly from carriers.

May be best for: People in between coverage plans looking for a short-term buffer against large medical bills should an accident or serious illness occur. These plans are generally not viewed as suitable for anyone looking for traditional health care coverage.

Short-Term Health Insurance

Short-term plans are designed to provide temporary emergency coverage when you are between health plans or outside enrollment periods. Depending on what state you live in, short-term coverage can last up to 12 months, sometimes with the possibility of renewal for up to 36 months.

Short-term plans are not compliant with the Affordable Care Act and therefore do not have to provide essential coverage such as preventive, maternity, and mental health care and treatment for preexisting conditions.

Deductibles and out-of-pocket costs can be significantly higher than those of traditional health plans.

May be best for: Like catastrophic insurance, this is generally considered suitable only for people looking for stopgap coverage while they are otherwise uninsured.

Recommended: Beginner’s Guide to Health Insurance

Choosing an Individual Health Plan

It’s best to consider a number of factors beyond the premium price to determine the most affordable choice that meets your needs.

Consider how you typically use health care: Are you generally healthy and only need to go to the doctor for annual physicals? Or are you treating a chronic condition that requires consistent care?

It might be a good idea to try to project what the coming year will look like in terms of how you use health care. From there you can take into account what’s most important to you, including costs, providers, and pharmaceutical coverage.

Some questions to possibly ask as you compare plans:

What would my cost-sharing be? This includes out-of-pocket costs such as deductibles, copays, and coinsurance.

Does the plan have an annual or lifetime limit on how much I’d spend out of pocket? Every plan that is ACA compliant must publish a summary of benefits and coverage that you can check to see how the plan covers costs. In addition, most insurers and health care organizations have online tools that can help you compare plan costs.

Are my doctors in the plan’s network? You can check with the insurers or directly with your providers. If your providers are not in the network of the least expensive plans, ask yourself what is most important to you: lower costs and changing doctors or higher costs and keeping current providers.

Are my medications covered? Most plans have a formulary, a list of drugs that are fully or partly covered under the plan. You can access the plan’s formulary on the insurers’ websites. The lists change from year to year.

An experienced agent or broker who sells plans that are on the Health Insurance Marketplace and off the exchange can help you compare the broad range of plans to determine which one is right for your needs. (Agents and brokers often get a commission from insurance companies for selling plans, but the customer does not pay extra for enrolling with them.)

Or you can shop on your own for exchange plans and determine if you qualify for premium subsidies on Healthcare.gov . You can compare off-exchange plans through one of the many online brokers or directly with insurers.

The Takeaway

Shopping for an individual health insurance policy requires time, knowledge, and patience. But armed with the basics and some tools, you’ll have the best chance to find coverage that will meet your health care needs and budget.

When the unexpected happens, it’s good to know you have a plan to protect your loved ones and your finances. SoFi has teamed up with some of the best insurance companies in the industry to provide members with fast, easy, and reliable insurance.

Coverage and pricing is subject to eligibility and underwriting criteria.
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Ladder, SoFi and SoFi Agency are separate, independent entities and are not responsible for the financial condition, business, or legal obligations of the other, SoFi Technologies, Inc. (SoFi) and SoFi Insurance Agency, LLC (SoFi Agency) do not issue, underwrite insurance or pay claims under LadderlifeTM policies. SoFi is compensated by Ladder for each issued term life policy.
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Personal insurance planning can pay off by shielding you from unexpected financial losses. Find out why insurance is important, and how to pay for it.

Withdrawing money from a 401(k) to buy a house may be allowed by your company-sponsored plan, but this tactic is not always advisable, especially for first-time home buyers.

When it comes to using money from a 401(k), first-time home buyers need to keep in mind a few things, including the rules and penalties around early withdrawals from a 401(k) account — as well as the potential loss of retirement savings.

Before you consider using a 401k to buy a house, explore alternatives like withdrawing funds from a Roth IRA, seeking help from a Down Payment Assistance Program (DAP), or seeing if you qualify for other types of home loans.

Let’s take a look at the pros, cons, and important considerations that can help prospective homebuyers make a more informed decision about using funds from a 401(k) to buy a home.

Can You Use a 401(k) to Buy a House?

Before you quickly search up “401k first time home buyer,” here’s the answer: If you’re a first-time home buyer, and your employer plan allows it, you can use your 401(k) to help buy a house. There are a couple of ways to access the funds.

First, it’s possible for a first-time homebuyer to take a loan from an existing 401(k). Your employer generally sets the rules for 401(k) loans, but you typically must pay back the loan, with interest, within five years. You pay yourself interest to help offset the loss of investment growth, since the funds are no longer invested in the market.

You can take out a 401(k) loan for a few different reasons (e.g., qualified educational expenses, medical expenses), depending on your plan’s policies. Those using a loan to purchase a residence may have more time to pay back the loan.

In certain rare circumstances, in the case of an “immediate and heavy financial need,” the IRS will allow you to make a 401(k) hardship withdrawal to purchase a primary residence. Hardship withdrawals do not cover mortgage payments, but using a 401(k) for a down payment for a first-time home buyer could be allowed.

The IRS has very strict rules for qualifying for a hardship withdrawal . And if you don’t meet them, the funds you withdraw will be subject to income tax and a 10% early withdrawal penalty.

How Much of Your 401(k) Can Be Used For Home Purchase?

Generally, home buyers who want to use their 401(k) funds to finance a real estate transaction can borrow or withdraw up to 50% of their vested balance or a maximum of $50,000 — whichever is less. This limit typically applies to any 401(k) loan, not only a home purchase.

4 Potential Drawbacks of Using Your 401(k) to Buy a House

Taking money out of a 401(k) to buy a house may be allowed, but it’s not always recommended.

1. Withdrawal limits

Since there are limits on the amount you can withdraw or borrow for a home purchase, bear in mind that the total amount you can access may not cover all the costs (e.g., the down payment and closing costs) of the transaction. Be sure to run the numbers, to ensure that a 401(k) loan makes sense.

2. Lost contributions

Homebuyers who borrow from their 401(k) plans can’t make additional contributions to the accounts or receive matching contributions from their employers while paying off the loan. Depending on how much they were contributing, these home buyers could miss out on years of retirement contributions while they’re paying back the loan. That could take a substantial bite out of their overall retirement savings.

3. Automatic repayment terms

Generally, it’s not up to you to repay the loan; your company will deduct the loan payments automatically from your paycheck. This could be viewed as a convenience, since you don’t have to think about it, or as an inconvenience, as it lowers your take-home pay.

4. Loan terms change if you leave your job.

Finally, if an individual borrows from their 401(k) to purchase a home and leaves employment at their company (whether voluntarily or via layoff), the loan balance may be deducted from their remaining 401(k) funds in what’s called an offset. An offset is then treated like an early withdrawal, and potentially subject to taxes and a 10% penalty if the borrower is under 59 ½.

As an example: Derek is 35 and has $100,000 in his 401(k) and borrows $30,000 for a home purchase. He pays back $5,000 including interest, but still owes $25,000 when he takes another job. The remaining $25,000 would be deducted from his 401(k) as an offset, leaving $75,000 in the 401(k) or rollover IRA. Worse, the $25,000 would be treated by the IRS as an early withdrawal or distribution, and Derek would owe taxes, plus a 10% penalty ($2,500).

Terms may vary depending on the terms of your loan and the plan rules.


💡 Quick Tip: Before opening an investment account, know your investment objectives, time horizon, and risk tolerance. These fundamentals will help keep your strategy on track and with the aim of meeting your goals.

Pros and Cons of Using a 401(k) to Buy a House

Here are the pros and cons of using a 401(k) to buy a home, at a glance:

What are the Rules & Penalties for Using 401(k) Funds to Buy a House?

Here’s a side-by-side look at some key differences between taking out a 401(k) loan and withdrawing funds from a 401(k).

What are the Alternatives to Using a 401(k) to Buy a House?

For some first-time homebuyers, there may be other, more attractive options for securing a down payment than taking money out of a 401(k) to buy a house. Here are a few of the alternatives.

Withdrawing Money from a Roth IRA

Using a Roth IRA to help buy a first home can be a smart alternative to borrowing from a 401(k) that might be beneficial for some home buyers. Unlike 401(k)s, Roth IRA contributions are made with after-tax dollars.

Contributions can be withdrawn at any time, tax free; earnings can be withdrawn without a penalty at age 59 ½ or older, as long as you’ve held the account for at least five years.

If you’re under 59 ½ or don’t meet the five-year criteria, some exceptions may apply for a first-time home purchase.

•  After the account has been open for five years, Roth IRA account holders who are buying their first home are allowed to withdraw up to $10,000 in investment earnings with no taxes or penalties. (Meaning a person could withdraw the amount of their total contribution plus up to $10,000 in investment earnings.) The $10,000 is a lifetime limit.

•  Roth IRA funds can be used to help with the purchase of a first home not only for the account holders themselves, but for their children, parents, or grandchildren.
One important requirement to note is that time is of the essence when using a Roth IRA to purchase a first home: The funds have to be used within 120 days of the withdrawal.

💡 Quick Tip: How much does it cost to set up an IRA? Often there are no fees to open an IRA, but you typically pay investment costs for the securities in your portfolio.

Low- and No-Down-Payment Home Loans

There are certain low- and no-down-payment home loans that homebuyers may qualify for that they can use instead of using a 401(k) for a first time home purchase. This could allow them to secure the down payment for a first home without tapping into their retirement savings.

•  FHA loans are insured by the Federal Housing Administration and allow home buyers to borrow with few requirements. Home buyers with a credit score lower than 580 qualify for a loan with 10% down, and those with credit scores higher than 580 can get a loan with as little as 3.5% down.

•  Conventional 97 loans are Fannie Mae-backed mortgages that allow a loan-to-value ratio of up to 97% of the cost of the loan. In other words, the home buyer could purchase a house for $400,000 and borrow up to $388,000, leaving only a down payment requirement of 3%, or $12,000, to purchase the house.

•  VA loans are available for U.S. veterans, active duty members, and surviving spouses, and they require no down payment or monthly mortgage insurance payment. They’re provided by private lenders and banks and guaranteed by the United States Department of Veterans Affairs.

•  USDA loans are a type of home buyer assistance program offered by the U.S. Department of Agriculture to buy or possibly build a home in designated rural areas with an up-front guarantee fee and annual fee. Borrowers who qualify for USDA loans require no down payment and receive a fixed interest rate for the lifetime of the loan. Eligibility requirements are based on income, and vary by region.

Other Types of Down Payment Assistance

For home buyers who are ineligible for no-down payment loans, there are a few more alternatives instead of using 401(k) funds:

•  Down Payment Assistance (DAP) programs offer eligible borrowers financial assistance in paying the required down payment and closing costs associated with purchasing a home. They come in the form of grants and second mortgages, are available nationwide, can be interest-free, and sometimes have lower rates than the initial mortgage loan.

•  Certain mortgage lenders provide financial assistance by offering credits to cover all or some of the closing costs and down payment.

•  Gifted money from friends or family members can be used to cover a down payment or closing costs on certain home loans.

The Takeaway

Generally speaking, a 401(k) can be used to buy a house, either by taking out a 401(k) loan and repaying it with interest, or by making a 401(k) withdrawal (which is subject to income tax and a 10% withdrawal fee for people under age 59 ½).

However, using a 401(k) for a first-time home purchase is usually not advisable. Both qualified loans and withdrawals have some potential drawbacks — primarily the possibility of owing taxes and a penalty under certain conditions. Fortunately, there are other options. Certain Roth IRA withdrawals can be made tax and penalty free. Qualified homebuyers can also seek financial help from down payment assistance programs and other low- or no-interest plans.

As you weigh your choices, it helps to know where your retirement stands. Many people lose track of retirement accounts when they change jobs. To help manage your retirement funds, consider doing a 401(k) rollover. That’s when you move funds from an old 401(k) to an IRA.

Ready to invest for your retirement? It’s easy to get started when you open a traditional or Roth IRA with SoFi. SoFi doesn’t charge commissions, but other fees apply (full fee disclosure here).

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