Health insurance is one of the most significant monthly expenses for some Americans, leading them to wonder what medical expenses are tax-deductible to reduce their bill. As healthcare prices rise, some consumers seek to reduce their costs through tax breaks on their monthly 澳洲幸运5官方开奖结果体彩网:health insurance premiums.
If you are enrolled in an employer-sponsored health insurance plan, your premiums may already be tax-free. If your premiums are made through a 澳洲幸运5官方开奖结果体彩网:payroll deduction plan, they are likely made with pre-tax dollars, so𒆙 you would not be allowed to claim a year-end tax deduction.
However, you may still be able to claim a deduction if your total 澳洲幸运5官方开奖结果体彩网:healthcare costs for the year are high enough. Self-employed individuals may be qualified to write off their health insurance premiums, but only if they meet specific criteria. This article will explore 澳洲幸运5官方开奖结果体彩网:tax-deductible medical expenses, including the requirements for eligibility.
Key Takeaways
- Health insurance premiums represent the monthly amount paid to maintain an insurance policy but don't include deductibles and co-pays.
- You can deduct your health insurance premiums and healthcare costs if your expenses exceed 7.5% of your adjusted gross income (AGI).
- The Affordable Care Act—signed into law by President Barack Obama in 2010—allowed for premium tax credits on certain health insurance plans.
- Typically, premiums for employer-sponsored plans are made through a payroll deduction using pre-tax dollars, meaning you cannot claim a tax deduction.
- Self-employed individuals who meet certain criteria may be able to deduct their health insurance premiums, even if their expenses do not exceed the 7.5% threshold.
Understanding Health Insurance Premiums
Health insurance premiums represent the monthly amount paid to keep an insurance policy active. Premiums can be considered the "maintenance fee" for a healthcare policy, not including other payments that consumers have to pay, such as deductibles, co-pays, and additional 澳洲幸运5官方开奖结果体彩网:out-of-pocket costs.
When the 澳洲幸运5官方开奖结果体彩网:Affordable Care Act was passed by President Barack Obama in 2010, it allowed certain families to 澳洲幸运5官方开奖结果体彩网:access premium tax credits on their health insurance plans, relieving some of the burdens of skyrocketing health insurance premiums.
According to research by the Kaiser Family Foundation, a non-profit organization that focuses on healthcare issues in the U.S., roughly half of Americans receive health insurance through an employer-based plan.
If your medical premiums are deducted through a payroll deduction plan, it's more than likely that you're covering your share of your insurance premium with pre-tax dollars. So, if you deducted your premiums at the end of the year, you'd effectively be deducting that expense twice.
Deductions for Qualified Unreimburse🌠d 🎃Healthcare Expenses
However, you may be able to deduct some of your premiums if you purchase health insurance on your own using after-tax dollars. For 2024, you’re allowed to deduct any qualified unreimbursed healthcare expenses you paid for yourself, your spouse, or your dependents—but only if they exceed 7.5% of your 澳洲幸运5官方开奖结果体彩网:adjusted gross income (AGI).
AGI is a modification of your 澳洲幸运5官方开奖结果体彩网:gross income. It includes all your sources of income♔—wages, dividends, spousal support, capital gains, interest income, royalties, rental income, and retirement distributions—minus any number of allowable deductions from your income, including retirement plan contributions, student loan interest payments, losses൩ incurred from the sale or exchange of property, early-withdrawal penalties levied by financial institutions, among others.
Expenses that qualify for this deduction include premiums paid for a health insurance policy, as well as any 澳洲幸运5官方开奖结果体彩网:out-of-pocket expenses for things like doctor visits, surgeries, dental care, vision care, and mental healthcare. However, you can deduct only the expenses that exceed 7.5% of your AGI.
How to Calculate Your Healthcare Deductions
Suppose, for instance, that your adjusted gross income for the year was $50,000. The qualified expenses tha𓄧t would be tax deductible would equal $3,750 (7.5% * $50,000).
If your total medical expenses, including premiums, were $6,000, you'd be able to deduct $2,250 from your taxable income ($6,000 - $3,750).
Make sure you don't include any reimbursed expenses when doing your calculation, such as 澳洲幸运5官方开奖结果体彩网:premium tax credits.
Health Insurance Marketplace
Some individuals are eligible for premium tax credits if they've purchased their insurance through the 澳洲幸运5官方开奖结果体彩网:Health Insurance Marketplace, also known as "The Marketplace."
The Marketplace is a platform for individuals, families, or small businesses to purchase health insurance. It was created as a result of the Affordable Care Act in 2010 to achieve maximum compliance with the mandate that all Americans carry some form of 澳洲幸运5官方开奖结果体彩网:health insurance. If you purchase health insurance through the🔯 exchange, you may receive income-based government subsidies that help defray the cost of premiums sold on an exchange.
If your estimated income falls between 100% and 400% of the federal poverty level for your household size, you qualify for a premium tax credit, according to the HealthCare.gov website. Through 2025, if your income is above 400% FPL, you may still qualify for premium tax credits that lower your monthly premium for a Marketplace health insurance plan.
Standard vs. Itemized Deductions
It would help if you also left off any expenses reimbursed by your insurance company or your employer. To deduct medical expenses, you have to 澳洲幸运5官方开奖结果体彩网:itemize your deductions rather than electing the standard deduction. Therefore, it is in your best interest to ensure that you🦋r total itemized deductions exceed the staജndard deduction amount before making this decision.
- For the tax year 2024 (filing your taxes in 2025), the standard deduction is $14,600 for those filing an individual return and $29,200 for married couples filing jointly.
- For the tax year 2025 (filing your taxes in 2026), the standard deduction is $15,000 for those filing an individual return and $30,000 for married couples filing jointly.
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Medical Expense Deductions for🌌 the Self-Employed
There is an exception made to the 7.5% rule for individuals who run their businesses. Among the 澳洲幸运5官方开奖结果体彩网:many o♌ther tax deductions and benefits that 澳洲幸运5官方开奖结果体彩网:self-employed individuals can claim, you're allowed to deduct all your premium payments from your adjusted gross income, regardless of whether you itemize your deductions. However, you may be precluded from this deduction if you are:
- Eligible to participate in another employer's plan and elect not to
- Self-employed, but you have another job that offers a health plan
- Eligible to receive coverage through a spouse's employer-sponsored plan.
There are also limitations imposed on self-employed individuals based on the amount of their business income. In any given year, a self-employed person cannot deduct more than the income they generate through their business operations. Individuals who operate more than one business can designate only one of them as the health insurance plan sponsor; you cannot add up the income generated by multiple companies to claim the maximum deduction. In the case of self-employed persons, it may be in their best interest to choose their most profitable business as the 澳洲幸运5官方开奖结果体彩网:plan sponsor🐷 to increas💜e their potential amount of tax relief.
The deduction for self-employed individuals is considered a write-off to their income taxes; it is not deducted when they are filing on behalf of any of their business operations. For example, in the case of a sole proprietor, they would enter the amount of the deduction on their 澳洲幸运5官方开奖结果体彩网:Form 1040 rather than on their Schedule C form, otherwise known as "Profit or Loss from Business."
Other Ways to Lower Your Tax Bill
If you're not eligible to deduct your health insurance premiums—either because you don't meet the cost threshold or because you opt to take the standard deduction when you're filing taxes—there are other ways to reduce your overall medical expenses.
You might consider electing a 澳洲幸运5官方开奖结果体彩网:high-deductible health plan (HDHP) as a type of insurance coverage. HDHPs typically offer lower premiums than other plans. They also offer the unique feature of enabling plan subscribers to open up a 澳洲幸运5官方开奖结果体彩网:Health Savings Account (HSA), a tax-advantaged savings account. Money that is contributed to an HSA account can be used to pay for out-of-pocket healthcare expenses. Your contributions to an HSA are tax-deductible, and when used for eligible expenses, your withdrawals are tax-free, too.
By selecting an HDHP, you're transferring more of your overall medical costs to a savings account with added tax benefits. The higher your tax bracket, the more money you can save by utilizing an HDHP.
Below are the costs and features of HSAs for 2024 and 2025.
Annual Deductible
These are health insurance policies with𝄹 annual deductibles of at least $1,600 for individuals and $3,200 for family coverage for 2024 ($1,650 and $3,300 in 2025).
Out-of-pocket Maximum
For 2024, the annual maximum out-of-pocket expense must be less than $8,050 for individ꧙u🥃als ($8,300 in 2025) and $16,100 for families ($16,600 in 2025).
Contribution Limit
ꦐThe annual contribution limit for individuals is $4,150 for 2024 ($4,300 for 2025) and $8,300 for families ($8,550 for 2025).
COBRA and HSA Funds
In some instances, you may be able to pay health insurance premiums with your HSA funds, too. This would mean that your premiums would also be paid with pre-tax dollars. One scenario where this might be possible is if you temporarily stay on your previous employer’s plan.
The Consolidated Omnibus Budget Reconciliation Act (C𒁃OBRA) created a provision that allows qualified individuals to maintain group coverage for up to 18 or 36 months (depending upon applicable scenarios) after they leave their job or if they become ineligible for insurance coverage through an employer-sponsored plan because they’re working fewer hours.
Whereas most employers who offer health insurance will contribute partially to the total amount of your premiums, when you gain coverage under COBRA, you typically become responsible for covering the entire amount of your premiums. If, before selecting coverage through COBRA, you had an HDHP with an HSA through your employer, you typically have the option of taking your HSA account with you and continuing to contribute to it. So, while your premiums may be higher in this scenario, you have the advantage of paying for those premiums with pre-tax dollars.
If you are receiving 澳洲幸运5官方开奖结果体彩网:unemployment insurance, you may also pay your premiums with pre-tax dollars, provided that you are enrolled in an HDHP and have an HSA account.
Limitations of an HDHP
While an 🙈HDHP can offer some tax benefits, they aren’t necessarily an appropriate healthcare solution for everyone. If you have a pre-existing medical condition or expect to incur significant healthcare exp🍸enses in the year ahead, you may want to select a plan that offers more comprehensive coverage.
Because of the features of an HDHP, they are typically only recommended for individuals who don’t expect to need healthcare coverage except in the face of a serious health emergency. You should carefully weigh your options during the open enrollment period to find the plan that best meets your needs.
Important
Health savings accounts must establish a minimum annual deductible and maximum amount for out-of-pocket costs for both individuals and families.
What Medical Costs Are Tax-Deductible?
Tax-deductible medical costs include payments to doctors, dentists, surgeons, inpatient hospital care, acupuncture treatments, participation in weight-loss programs, and more. The Internal Revenue Service has a list of examples of deductible medical expenses on its website.
What Medical Expenses Are Not Tax Deductible?
Examples of non-tax-deductible medical expenses include funeral or burial expenses, nonprescription medicines, toothpaste, toiletries, cosmetics, and more.
Are Health Insurance Premiums Tax Deductible?
As of the 2024 tax year, you’re allowed to deduct any qualified unreimbursed healthcare expenses you paid for yourself, your spouse, or your dependents—but only if they exceed 7.5% of your adjusted gross income (AGI). Additionally, self-employed people may deduct premiums even if they don't exceed 7.5% of their AGI.
What Is a Qualified Medical Expense?
A qualified medical expense is generally one that can also be deducted as a medical expense on a yearly income tax return, such as doctors' visits, lab tests, and hospital stays.
Can I Claim Medical Expenses on My Tax Return?
It depends. You can claim only those qualified medical expenses that are greater than 7.5% of your adjusted gross income. The amount you may deduct is calculated on Schedule A (Form 1040).
The Bottom Line
If you are enrolled in an employer-sponsored plan, your premiums are likely already tax-advantaged. However, in some limited circumstances, you may be able to claim a tax deduction when you purchase your insurance plan.
For example, you can deduct the amount you spent on your health insurance premiums if your total healthcare costs exceed 7.5% of your adjusted gross income (AGI) or if you’re self-employed. In the latter case, you may be able to write off the total amount that you paid for premiums (as long as the amount doesn’t exceed your business income).
Investopedia does not provide tax, investment, or financial services and advice. Readers should consider engaging a qualified tax professional to determine a suitable tax strategy given your specific situation