 [ Symptoms ] do you have to pay taxes on health plans in the health insurance marketplace at the end of the year  or are they pre taxed like employer sponsored plans [ Disease ] plans purchased through the marketplaces are paid for with after tax dollars which is just one reason why employer sponsored plans are generally a better deal employers also cover 70 80 of your premiums however if your income qualifies you you may receive a tax credit which will lower your monthly health insurance premiums