Can you claim health insurance if you are self-employed?

Asked by: Prof. Shana Cruickshank IV  |  Last update: October 5, 2025
Score: 4.5/5 (64 votes)

You can claim the self-employed health insurance deduction as an adjustment to your gross income on Schedule 1 of Form 1040. You can claim this deduction regardless if you choose to claim the standard deduction or itemize your deductions.

Can a self-employed person deduct health insurance?

The self-employed health insurance deduction is a federal tax deduction that reduces your annual income. Through this deduction, self-employed workers who have a net profit for the year can write off 100 percent of their health insurance premium. They can also deduct premium costs for any spouse or dependents.

Can I claim my health insurance premiums on my taxes?

You can include health insurance premiums in your medical expense calculations. However, certain premiums are not eligible for medical expense deductions. You cannot include the following premiums in your tax deductions: Life insurance policies.

Is it worth claiming medical expenses on taxes?

The medical expense deduction covers a wide variety of expenses. However, because of the high Standard Deduction and the 7.5% of AGI threshold requirement, it can be difficult to benefit unless you have a lot of out-of-pocket costs.

What do self-employed people use for health insurance?

If you're self-employed, you can use the individual Health Insurance Marketplace ® to enroll in flexible, high-quality health coverage that works well for people who run their own businesses. You're considered self-employed if you have a business that takes in income but doesn't have any employees.

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Can I get medical if I'm self-employed?

Generally, if you run your own business and have no employees, or are self-employed, your business won't qualify for group coverage. You can purchase qualified health coverage through the Marketplace for individuals and families. With an Individual Marketplace plan, you can: Find coverage for yourself and your family.

What type of insurance should a self-employed person have?

Types of self-employed insurance you should consider include: Disability and life insurance. Health insurance. Dental and other insurance.

How much do you get back in taxes for medical expenses?

The deduction value for medical expenses varies because the amount changes based on your income. The IRS allows all taxpayers to deduct their total qualified unreimbursed medical care expenses that exceed 7.5% of their adjusted gross income if the taxpayer uses IRS Schedule A to itemize their deductions.

What proof do I need to deduct medical expenses?

You should also keep a statement or itemized invoice showing:
  • What medical care was received.
  • Who received the care.
  • The nature and purpose of any medical expenses.
  • The amount of the other medical expenses.

How much medical expenses can I claim without receipts?

Share: If you're itemizing deductions, the IRS generally allows you a medical expenses deduction if you have unreimbursed expenses that are more than 7.5% of your Adjusted Gross Income.

Does having health insurance affect your tax return?

Whether you get financial help or not, health coverage is part of filing your taxes. Unless you report that you had health coverage, you may have to pay a state tax penalty. If you received federal or state financial help, you'll report that as well.

Can self-employed people deduct Medicare premiums?

If you're self-employed and your business shows a profit you can claim your health insurance premiums as a tax deduction. This includes premiums for Medicare Parts A and B, Medicare Advantage, Part D prescription drug plans and Medicare Supplement plans .

What medical expenses are deductible by the IRS?

You can include in medical expenses the amount you pay for a legal abortion.
  • Acupuncture. You can include in medical expenses the amount you pay for acupuncture. ...
  • Ambulance. You can include in medical expenses amounts you pay for ambulance service. ...
  • Artificial Limb. ...
  • Bandages. ...
  • Body Scan. ...
  • Breast Pumps and Supplies.

What is deductible for self-employed individuals?

You can calculate a deduction for a home office and a vehicle used for business purposes. Meals with clients and business travel are deductible, but meals included with entertainment may not be. Premiums for insurance that you pay for to protect your business and health insurance are legitimate deductions.

Are copays tax deductible?

If you are itemizing and entering medical expenses, yes, you can include co-pays and other out of pocket expenses that were not covered by insurance. The medical expense deduction has to meet a rather large threshold before it can affect your return.

Is car insurance tax deductible?

If you only use your car for personal use, then you likely can't deduct your car insurance premiums from your taxable income. Generally, you need to use your vehicle for business-related reasons (other than as an employee) to deduct part of your car insurance premiums as a business expense.

Is health insurance tax-deductible for self-employed?

Federal tax law allows self-employed individuals to deduct from their gross income the entire amount they spend on health insurance for themselves and their spouses and dependents.

What Cannot be claimed as a medical expense?

Examples of Medical and Dental Payments you CANNOT deduct:

Health club dues, gym membership fees, or spa dues. Electrolysis or hair removal. The cost of diet food or nutritional supplements (vitamins, herbal supplements, "natural medicines") Teeth whitening.

Are gym memberships tax-deductible?

The IRS typically does not allow taxpayers to deduct gym memberships or other costs associated with general health and wellness. The main reason is that these expenses are considered personal, even if they contribute indirectly to improved work performance, stress reduction, or overall well-being.

Will I get audited for medical expenses?

Claiming deductions for things like charitable donations or medical expenses to lower your tax bill doesn't in itself make you prime audit material. But claiming substantial deductions in proportion to your income does.

Are prescription glasses tax-deductible?

You can deduct the costs for prescription eyeglasses and eye exams on your tax return. But they must be a part of your itemized medical deductions, which need to exceed 7.5% of your adjusted gross income.

Can you deduct health insurance premiums without itemizing?

Whether you can deduct health insurance premiums from your tax return also depends on a few factors. First, you'll only be able to deduct premiums as medical expenses if you itemize deductions on your tax return, but not if you take the standard deduction. See more details at the bottom of this section.

How do self-employed people afford health insurance?

One option for self-employed individuals is to purchase an individual health plan. Individual plans allow you to choose the level of coverage that best fits your needs and budget. Based on your household income, you may also qualify for federal premium tax credits (PTCs) that can help cover your monthly premium costs.

How do I know if I am self-employed?

A person is self-employed if they run their business for themselves and take responsibility for its success or failure. Self-employed workers are not paid through PAYE, and they do not have the rights and responsibilities of an employee.