Low-cost health insurance for the self-employed means ACA-compliant plans balancing premiums, deductibles, copays, and network access. Top picks include Kaiser Permanente for coordinated care and predictability, Blue Cross Blue Shield for broad networks and PPO options, and Ambetter for low premiums with virtual care. Choosing the right plan depends on income, doctors, prescriptions, and care usage. Cost-sharing reductions on Silver plans can significantly lower out-of-pocket expenses.