If you're self-employed, congratulations - you get to pay for your own health insurance AND your taxes are a nightmare. But here's the good news: You can deduct 100% of your health insurance premiums from your taxable income.
This isn't some sketchy loophole. It's an above-the-line deduction written right into the tax code specifically for self-employed people. And most freelancers, contractors, and small business owners aren't taking full advantage of it.
Do You Qualify? (Probably Yes)
You can claim the self-employed health insurance deduction if:
- You have net self-employment income from a business or freelance work
- You're not eligible for an employer plan - either your own "day job" or your spouse's employer
- The insurance is in your name or your business's name
- Your business is profitable - you can't deduct more than your net self-employment income
- Sole proprietors (Schedule C filers)
- Single-member LLC owners
- Partners in a partnership
- S-Corp shareholders owning more than 2% of the company
- Independent contractors (1099 income)
- Gig workers (Uber, DoorDash, etc.)
What You Can (and Can't) Deduct
You CAN Deduct:
- Health insurance premiums for medical, dental, and vision coverage
- Premiums for your spouse and dependents (if covered under your plan)
- Qualified long-term care insurance (with age-based limits)
- Medicare premiums (Parts A, B, C, and D) if you're over 65 and still working
You CAN'T Deduct:
- Months you were eligible for employer coverage (even if you didn't take it)
- Premiums paid with pre-tax dollars (like through an employer cafeteria plan)
- More than your net self-employment income for the year
How to Actually Claim the Deduction
Step 1: Calculate Your Deductible Amount
Add up all premiums paid for the year for:
- Medical insurance
- Dental insurance
- Vision insurance
- Long-term care insurance (if applicable)
Step 2: Check Your Income Limit
Your deduction can't exceed your net self-employment income. If you made $50,000 in self-employment income and paid $10,000 in premiums, you can deduct the full $10,000. But if you only made $8,000, you can only deduct $8,000.
Step 3: Report It on Your Tax Return
This goes on Schedule 1, Line 17 of your Form 1040. It's an "above-the-line" deduction, which means:
- You get it even if you take the standard deduction
- It reduces your Adjusted Gross Income (AGI)
- It also reduces your self-employment tax calculation
Special Cases and Gotchas
If Your Spouse Has Employer Coverage
If your spouse is eligible for employer-sponsored insurance, you can ONLY deduct premiums for months when you (or your spouse) were NOT eligible for that coverage. This is where it gets tricky.
Example: Your spouse gets a job with health insurance on July 1st. You can deduct your premiums for January through June, but not July through December.
If You Have an S-Corp
If you own more than 2% of an S-Corp, your health insurance premiums should be included on your W-2 as wages (Box 1) but NOT subject to withholding (not in Box 2). Then you deduct them on Schedule 1. Your S-Corp gets to deduct the premiums as a business expense.
This is complicated. Get help from an accountant.
If You Also Have a W-2 Job
If you have both self-employment income AND a W-2 job with available health insurance, you can't take this deduction at all. The IRS considers you "eligible" for employer coverage even if you don't actually enroll.
If You're On Your Spouse's Plan
As long as the premium is coming out of YOUR self-employment income (not your spouse's paycheck), you can still deduct your share. But you need to be able to prove what portion of the premium covers you.
Real-World Example: The Math
Meet Sarah, a freelance graphic designer:
- Self-employment income: $75,000
- Health insurance premiums: $8,400/year ($700/month)
- Tax bracket: 22% federal
Sarah's tax savings:
- Federal income tax savings: $8,400 x 22% = $1,848
- Self-employment tax savings: $8,400 x 15.3% = $1,285
- Total savings: $3,133
That's $3,133 Sarah would have paid to the IRS but now gets to keep. Just for claiming a deduction she already qualified for.
What About the Premium Tax Credit?
If you buy insurance through the ACA Marketplace and qualify for premium subsidies, here's how it works:
- You can't double-dip. You can only deduct the premiums you actually paid out of pocket (after subsidies).
- The subsidy is based on your Modified Adjusted Gross Income (MAGI)
- This deduction DOES lower your MAGI, which could qualify you for bigger subsidies next year
Strategy: If you're right on the edge of subsidy eligibility, this deduction might push you into a higher subsidy bracket for next year.
Don't Forget Long-Term Care Insurance
If you have qualified long-term care insurance, you can deduct those premiums too, subject to age-based limits:
- Age 40 or under: $480 max
- Age 41-50: $890 max
- Age 51-60: $1,790 max
- Age 61-70: $4,770 max
- Age 71+: $5,960 max
Record-Keeping: What You Need to Save
Keep these documents in case of an audit:
- Insurance policy declarations page
- Payment receipts or bank statements showing premium payments
- Form 1095-A if you bought through the Marketplace
- Schedule C or equivalent showing your self-employment income
Common Questions
Q: Can I deduct health insurance if I also have retirement income?
Only if you also have self-employment income. The deduction is limited to your net self-employment earnings.
Q: What if I'm semi-retired and only do freelance work part-time?
Still counts, as long as you have self-employment income and aren't eligible for other coverage.
Q: Can I deduct COBRA premiums?
Yes, if you're self-employed and not eligible for another employer plan.
Q: What about HSA contributions?
That's a separate deduction. You can claim both the health insurance premium deduction AND HSA contribution deduction.
Bottom Line: Don't Leave Money on the Table
If you're self-employed and paying for health insurance, you're entitled to this deduction. It's not optional, it's not risky, and it can save you thousands in taxes.
Action steps:
- Add up all your health insurance premiums for the year
- Make sure you weren't eligible for employer coverage
- Report it on Schedule 1, Line 17 of your tax return
- If you're not sure how, hire a CPA who works with self-employed clients
Questions About Self-Employed Coverage?
Call David: (863) 640-3102
Email: dhuff@healthmarkets.com
We'll help you find a plan that works for your business and your budget. And we'll explain exactly how to take the deduction come tax time.
Disclaimer: This is general tax information. Tax laws change, and everyone's situation is different. Always consult with a qualified tax professional for advice specific to your situation.