When Can I Deduct Health Insurance Premiums on My Taxes? – Forbes Advisor

Health insurance is one of the most important types of coverage in your insurance portfolio. But whether you get coverage through your employer, the Affordable Care Act (ACA) Marketplace, or a private health insurance company, premiums can be expensive.

You may be able to deduct your health insurance premiums and other health care costs from your taxable income, which may reduce the amount of money you owe beginning in April.

Reading: How to claim health insurance on taxes

Is health insurance tax deductible?

Health insurance costs may be tax deductible, but it depends on how much you spent on health care during the year and whether you are self-employed.

The rules are different if you’re self-employed versus an employee, says Claire Hunsaker, founder of AskFlossie, a financial community for women. If you are self-employed and pay all of your health insurance premiums, you can deduct the cost from your taxable income.

“Self-employment health insurance premiums are deductible as an ‘above the line’ deduction on Form 1040, which means you can deduct the premium even if you don’t itemize deductions on your schedule. ”, says hunsaker.

The rules are much stricter if you are a w-2 employee. You can only deduct the out-of-pocket portion of your employer-sponsored health insurance premium if you itemize on your tax return. And even then, “premiums can only be deducted to the extent that they and other medical costs exceed 7.5% of your adjusted gross income (AGI),” Hunsaker says.

Here’s how tax deductions work for various types of health insurance.

employer-sponsored health insurance

For most people, their share of employer-sponsored health insurance premiums is not enough to deduct from taxable income. Most group health insurance premiums are subsidized by your employer, with the company paying a large portion of the cost. the rest comes out of your paycheck, tax-free.

“If you’re deducting employer-sponsored health insurance premiums on a pre-tax basis, it’s already being deducted from your taxable income. therefore, you would not be allowed to ‘double dip’ by adding them as a medical deduction on schedule a of the 1040 form,” says kristie adams, cpa and regional director of tax and business services for buckingham advisors, a financial firm based in Ohio. consulting firm.

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market plans here

ACA Marketplace plans, purchased through a state or federal exchange on healthcare.gov, are tax deductible. this may benefit self-employed individuals who are unable to obtain employer-sponsored health insurance coverage or insurance through their spouse.

However, for self-employed individuals, this is not technically a deduction. it is an adjustment to your taxable income.

See also: What National Insurance do I pay as an employee? | Low Incomes Tax Reform Group

When you have health insurance through the ACA Marketplace, you use pre-tax dollars to pay your premiums. As a result, anyone covered here can deduct the full cost of their annual health insurance premium from their taxable income, using Form 1040.

there are exceptions:

  • If you get health insurance through your spouse’s employer-sponsored group health insurance plan and decline comprehensive coverage, you are not eligible to deduct your health insurance premiums here from your taxable income.
  • If you qualify for premium tax credits here on the market, it will affect the amount of money you can deduct on your taxes. if you receive a subsidy that pays 70% of your health insurance premium, you would only be allowed to deduct the 30% you pay on your taxes.
  • charge insurance plans

    Insurance premiums you collect are eligible for a tax deduction as a medical expense because you pay the premiums out of pocket without the help of an employer. But you can only deduct the cost if the premiums you collect and your other medical expenses are more than 7.5% of your AGI and you take the itemized deduction.

    Although you’ll likely be responsible for paying all premiums you collect, you can’t automatically deduct the full amount of your taxable income, like you can with aca market insurance premiums.

    short-term medical insurance

    You can generally deduct short-term health insurance premiums as a medical expense. Short-term health insurance premiums are paid out of pocket using pre-tax dollars, so if you take the itemized deduction and your total annual medical expenses are more than 7.5% of your AGI, you can claim the deduction.

    Which medical expenses are tax deductible?

    Many people don’t know that some expenses can be deducted on their federal income taxes. In addition to your health insurance premiums, other deductible medical expenses may include the following:


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