The Self-Employed Health Insurance Deduction: A Valuable Personal Deduction (2024)

This special personal deduction allows self-employed people who qualify to deduct 100% of their health insurance premiums for themselves, their spouses, and their dependents.

By Stephen Fishman, J.D. USC Gould School of Law

Updated 1/17/2022

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If you're one of the millions of self-employed people who have to pay for your own health insurance for yourself and your family, you might be entitled to a special tax deduction. If you are, be absolutely sure you take it because it can be one of the largest deductions you have.

Self-employed people who qualify are allowed to deduct 100% of their health insurance premiums (including dental and long-term care coverage) for themselves, their spouses, their dependents, and any nondependent children aged 26 or younger at the end of the year. It's important to understand, however, that this isn't a business deduction. It's a special personal deduction for the self-employed. The deduction applies only to your federal, state, and local income taxes, not to your self-employment taxes.

To qualify for the deduction, you must meet two requirements:

  • You have no other health insurance coverage. You may not take the self-employed health insurance deduction if you're eligible to participate in a health insurance plan maintained by your employer or your spouse's employer.
  • You have business income. You may deduct only as much as the net income you earn from your business. If your business earns no money or incurs a loss, you get no deduction. If you have more than one business, you can't combine the income from all your businesses for purposes of the income limit. You may only use the income from a single business you designate to be the health insurance plan sponsor.
In This Article
  • Designating Your Plan Sponsor
  • Tax Reporting

Designating Your Plan Sponsor

If you qualify, you get the health insurance deduction whether you purchase your health insurance policy as an individual or have your business obtain it. If you purchase your health insurance plan in the name of one of your businesses, that business will be the sponsor. However, the IRS says you may purchase your health coverage in your own name and still get the self-employed health insurance deduction. (IRS Chief Counsel Memo 200524001.) This tactic might be advantageous because it allows you to pick which of your businesses will be the sponsor at the start of each year. Obviously, you should pick the business you think will earn the most money that year.

Moreover, if you have more than one business, you can have one purchase medical insurance and the other purchase dental insurance and deduct 100% of the premiums for each policy, subject to the income limits discussed above. This approach will be helpful if no single business earns enough income for you to deduct both policies through one business.

Tax Reporting

Because the self-employed health insurance deduction is a personal deduction, it doesn't go on your Schedule C if you're a sole proprietor. You deduct it in the "Adjustments to Income" section on Schedule 1 of Form 1040. If you itemize your deductions and don't claim 100% of your self-employed health insurance costs on Schedule 1, you may include the rest with all other medical expenses on Schedule A, subject to the 7.5% of Adjusted Gross Income limit. You would have to do this, for example, if your health insurance premiums exceed your business income.

To learn more about what you can deduct, see Nolo's Personal Tax Deductions and Tax Breaks section.

Further Reading

Premium Health Tax Credits: What To Do If You Owe Subsidy RepaymentsUpdated January 27, 2022
Affordable Care Act Tax Credits: The Pay Back Requirements For Underestimating Annual IncomeUpdated September 15, 2021
Will You Have to Pay the 3.8% Medicare Tax When You Sell Your House?Updated November 20, 2012

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The Self-Employed Health Insurance Deduction: A Valuable Personal Deduction (2024)

FAQs

The Self-Employed Health Insurance Deduction: A Valuable Personal Deduction? ›

The deduction – found on Schedule A of your income tax return — covers a wide range of medical expenses, and also includes premiums you pay for health insurance (including Medicare) or qualified long-term care. And you can only deduct expenses in excess of 7.5% of your adjusted gross.

Can I deduct my health insurance premiums if self-employed? ›

Are health insurance premiums tax deductible? Yes, they are deductible if you have qualifying insurance and if you're an eligible self-employed individual. Qualifying health insurance includes medical insurance, qualifying long-term care coverage and all Medicare premiums (Parts A, B, C and D).

Which of the following is true about the self-employed health insurance deduction? ›

Option E is the correct answer. This deduction allows self-employed individuals to deduct the cost of health insurance premiums paid for themselves, their spouses, and their dependents as an adjustment to their income. It is available even if the taxpayer has an overall business loss from self-employment.

How to enter self-employed health insurance deduction in TurboTax? ›

On the Select the expense categories you have screen, select Less common to show all expense categories. Browse the options and select Health insurance premiums, then select Continue. On the Expenses section, find the Health insurance premiums section and select Start.

Does self-employed health insurance deduction reduce Qbi? ›

Your total qualified business income (QBI) may get a reduction for one-half self-employment (SE) tax, SE health insurance, or certain other retirement plan contributions.

Is it worth claiming medical expenses on taxes? ›

Normally, you should only claim the medical expenses deduction if your itemized deductions are greater than your Standard Deduction (TurboTax can also do this calculation for you). If you elect to itemize, you must use IRS Form 1040 to file your taxes and attach Schedule A.

Can you get tax credit for health insurance premiums? ›

A tax credit you can use to lower your monthly insurance payment (called your “premium”) when you enroll in a plan through the Health Insurance Marketplace ®. Your tax credit is based on the income estimate and household information you put on your Marketplace application.

What is line 17 self-employed health insurance deduction? ›

Use Form 7206 to determine any amount of the self-employed health insurance deduction you may be able to report on Schedule 1 (Form 1040), line 17. You may be able to deduct the amount you paid for medical and dental insurance and qualified long-term care insurance for yourself, your spouse, and your dependents.

Can a single member LLC deduct health insurance premiums? ›

You can generally deduct the cost of individual health insurance from your taxes as a self-employed LLC member, although this ultimately depends on several factors, including the tax classification of the LLC and for whom the deduction is being taken out.

Can a partner deduct health insurance premiums paid personally? ›

Partnerships (or rather partners in partnerships) should report the insurance premiums they've paid or covered for each partner on their K-1 forms. Then, this amount goes onto the partner's individual tax return, where they can deduct it just like a sole proprietor would.

Can 1095-A be a self-employed health insurance deduction? ›

Additionally, as someone who is self-employed, you use the premium you paid, found on your Form 1095-A to determine your self-employed health insurance deduction or itemized medical deductions on Schedule A of your tax return.

Can I deduct health insurance premiums paid out-of-pocket with TurboTax? ›

Health insurance premiums paid with your own after-tax dollars are tax deductible. For example, if you purchased insurance on your own through a health insurance exchange or directly from an insurance company, the money you paid toward your monthly premiums can be taken as a tax deduction.

What is form 7206 self-employed health insurance deduction? ›

Form 7206 is the newly introduced IRS form that self-employed taxpayers use to figure their deduction for health insurance costs.

Is there a limit on self-employed health insurance deduction? ›

Limitations and maximum deduction amounts

The deduction you can claim is generally limited to your net profit from self-employment. This means that if your net profit is less than the total amount of your health insurance premiums, you may not be able to deduct the full amount.

Does self-employed health insurance reduce tax basis? ›

The deduction – which you'll find on Line 17 of Schedule 1 (attached to your Form 1040) – allows self-employed people to reduce their adjusted gross income by the amount they pay in health insurance premiums during a given year.

Who Cannot claim QBI deduction? ›

C-corporations are not eligible for the QBI deduction since they are their own taxable entity. You're also not eligible for the QBI deduction if you earn income as an employee rather than as a business owner or partner.

Can I claim my insurance premiums on taxes? ›

Is health insurance tax-deductible? Health insurance premiums are deductible on federal taxes, in some cases, as these monthly payments are classified as medical expenses. Generally, if you pay for medical insurance on your own, you can deduct the amount from your taxes.

Are long-term care premiums deductible as self-employed health insurance? ›

A self-employed individual can deduct 100% of his/her out-of-pocket long-term care insurance premiums, up to the Eligible Premium amounts listed above [IRC 162(l)]. The portion of LTCi premiums that exceeds the Eligible Premium (see Table 1) amount is not deductible as a medical expense.

What is the IRS rule for deducting medical expenses? ›

Medical Expense Deduction

On Form 1040, medical and dental expenses are deducted on Schedule A, Itemized Deductions. You can deduct only the amount of your medical and dental expenses that is more than 7.5 percent of your adjusted gross income shown on Form 1040, line 38.

Can self-employed people deduct Medicare premiums? ›

If you're self-employed and receive Medicare, you might be able to deduct all your Medicare insurance premiums. The IRS has ruled that Medicare recipients who have self-employment income may deduct the premiums they pay for Medicare coverage, the same as the premiums for any other type of health insurance.

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