Guide · Travel nurses

Private health insurance for travel nurses: a plan that stays when the contract ends.

Agency plans, waiting periods, COBRA, tax homes and nationwide PPO networks, explained for nurses who move every 13 weeks. Written by Emily Daza, a bilingual licensed advisor in Plantation, FL.

What is the best private health insurance for travel nurses?

For a healthy travel nurse, the best private option is usually a PPO plan you own, with a nationwide network, so coverage doesn't end when an assignment does and you can see in-network doctors in the next state without a referral. Agency plans can stop between contracts and some start only after a waiting period. COBRA bridges a gap for up to 18 months, at full cost. Source: U.S. Department of Labor

Why health insurance is the hardest part of travel nursing

  • Your agency plan ends on your last shift, and the next contract doesn't start for three weeks.
  • The new agency's coverage only kicks in after a waiting period, so you're uninsured at the start of the assignment.
  • Every new agency means a new plan, a new network and a deductible that starts over.
  • Your doctors are back home, but you're in a different state every 13 weeks.
  • You're not sure whether to give your tax home address or your assignment address when you apply.
  • You took a 1099 contract, so there's no agency plan at all. See how Emily helps travel nurses.

How Emily helps travel nurses find one plan that travels

  • A plan you own, not your agency. Private PPO quotes based on your tax home ZIP and age, so coverage doesn't depend on who you sign with next.
  • Network checked for your next assignments. Before you apply, Emily's team checks that the plan's PPO network reaches the states and hospitals on your list.
  • Licensed in 31+ states. That matters if your tax home isn't in Florida. Ask Emily whether she can write a plan where you live.
  • A gap plan, not a gamble. Agency plan, private PPO or COBRA: she maps out which one covers you from the last day of this contract to the first day of the next.
  • Honest about ACA plans. Emily only sells private PPO plans. If you have a pre-existing condition or your income qualifies for a big subsidy, she'll say so and point you to HealthCare.gov.
  • In English or Spanish. By phone, wherever your assignment is. Health insurance for travel nurses.
A nurse in blue scrubs packs a stethoscope into a navy travel bag beside a bright window
Agency coverage often ends with the contract. A private plan you own goes with you.

What happens to your health insurance between travel nurse contracts?

Agency coverage is job-based: it usually starts and ends with the assignment. Some agencies cover you from day one, others only after a waiting period, and the rules change every time you switch agencies. Ask your recruiter for the exact start and end dates in writing before you sign.

When a job plan ends, COBRA may let you keep it. It applies to employers with 20 or more employees, lasts up to 18 months after your job ends, and you have 60 days to elect it. The catch: you pay the full premium, including the part your employer used to pay, plus 2%. Source: U.S. Department of Labor

Losing job-based coverage also opens a 60-day Special Enrollment Period on HealthCare.gov, before or after the loss. Source: HealthCare.gov A private PPO avoids the stop-start altogether: it isn't tied to an employer, so it stays in force between contracts. Approval depends on your health answers. Losing employer coverage.

Why does a nationwide PPO network matter when you move every 13 weeks?

A PPO lets you see any doctor in its network without a referral, and pays something toward out-of-network care, usually at a higher cost to you. An HMO generally covers only its own network, except in emergencies. Source: HealthCare.gov

For a nurse who works in a different state every few months, that difference is everything. A local HMO built around one metro area can leave you paying out of pocket for a routine visit near your assignment. A PPO with a nationwide network lets you keep one plan, one ID card and one deductible across states, instead of starting over with each agency.

"Nationwide" varies by plan, so check it every time: are the urgent care clinics and specialists near your next hospital in network? Are your prescriptions covered? Emily's team runs that check before you apply and again before each new assignment. PPO vs HMO, explained.

What does your tax home have to do with your health insurance?

The IRS defines your tax home as your regular place of business or post of duty, not simply where your family lives. An assignment in one place that is realistically expected to last more than a year is treated as indefinite, and if you have no regular place of business and no place you regularly live, your tax home is wherever you work. Source: IRS Publication 463

This matters for insurance because individual plans are priced and approved based on where you live. Most travel nurses apply with their permanent home address, which is usually their tax home, not the address of a 13-week assignment. The address you give should match the home you actually keep.

This is general information, not tax advice: stipends and deductions depend on your situation, so confirm your tax home with a tax professional. If you work some contracts as 1099, read health insurance for 1099 workers.

Agency plan vs private PPO vs COBRA vs ACA: which fits a travel nurse?

There's no single best plan for every travel nurse. This is how the four routes compare.

Agency planPrivate PPOCOBRAACA Marketplace
Who it fitsNurses who stay with one agency and take contracts back to backHealthy nurses who want one plan between contracts and across statesNurses mid-treatment who need to keep the same plan short termAnyone, including nurses with a pre-existing condition or who qualify for a subsidy
When it startsDay one or after a waiting period, depending on the agencyDate you pick, often any time of year, subject to approvalContinues your last job plan if you elect it within 60 daysOpen Enrollment, or a 60-day window after losing coverage
Between contractsOften ends with the assignmentStays in force; not tied to an employerUp to 18 months after the job endsStays in force
Across statesDepends on the agency's planNationwide PPO network on many plans; checked before you applySame network as the job planDepends on the plan you pick in your home state
Who paysAgency pays part; your share comes out of payYou pay the full premium; no subsidyYou pay the full premium plus 2%You pay; possible tax credit based on income
Who helps youYour agency's benefits teamEmily quotes and enrolls theseYour former employer's plan administratorHealthCare.gov or a Marketplace navigator

How it works

  1. Ten-minute call or form. Your tax home ZIP, age, upcoming assignments, doctors and prescriptions, and what your agency plan covers now.
  2. Emily checks the fit. Your health and income, so she knows whether a private PPO fits or you're better off with COBRA or an ACA plan.
  3. Network checked for your next states. Side-by-side private PPO options, with the network checked against your next assignments, in English or Spanish.
  4. Enroll and keep it between contracts. Emily stays your contact and re-checks the network before each new assignment.

Who is behind this guide?

  • Emily Daza, licensed health insurance advisor, NPN 21284721, licensed in 31+ states.
  • Rated 5.0 on Google by real clients, and has helped thousands of people find coverage.
  • $2.3M+ in sales, all 4 Hope Awards and the Beacon Award, leading a team of 8.
  • Born in Colombia and fluent in Spanish, working from 8050 SW 10th St, Plantation, FL. Call 954-695-4250.
  • Nursing is a big, mobile workforce: there were 3,465,400 registered nurse jobs in the U.S. in 2025, and some nurses travel frequently. Source: U.S. Bureau of Labor Statistics

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Questions

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Should a travel nurse take the agency health plan or buy a private plan?

It depends on how you work. If you stay with one agency and take contracts back to back, the agency plan may be enough. If you switch agencies, take breaks between contracts or want one network across states, a private PPO you own avoids starting over each time. Private plans require health approval and have no subsidy.

What is the best PPO for travel nurses?

The best PPO for a travel nurse is one whose network reaches the states and hospitals where you actually work, covers your prescriptions and fits your budget. Nationwide networks differ by plan, so check them against your next assignments before you apply. Emily's team runs that check for you.

Can I keep my agency insurance between contracts?

Sometimes. Some agencies extend coverage for short gaps and others end it on your last day. COBRA may let you keep the plan for up to 18 months, but you pay the full premium plus 2%, according to the Department of Labor.

Which address do I use for health insurance as a travel nurse?

Most travel nurses apply with their permanent home address, which is usually their tax home, not a temporary assignment address. This is general information, not tax advice; confirm your tax home with a tax professional.

Can I get an ACA plan instead?

Yes. Losing job-based coverage opens a 60-day Special Enrollment Period on HealthCare.gov, and ACA plans cover pre-existing conditions and may come with income-based savings. Emily doesn't sell ACA plans, but she'll tell you when one fits better and point you to HealthCare.gov.

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