Via healthcare.gov and COBRA from living in a state that dragged its feet maliciously and a prior employer in a really poor state with an awful risk pool for a family of two adults that cost me $1500 / month for mediocre coverage in 2015. It was so high it blew through my runway far faster than I had budgeted and along with other unforeseen factors led to me stopping with my independent contracting work basically ever. It was high enough I paid out of pocket for everything and had a catastrophic plan only for still $500 / month.